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Provider Tax Number

CLM_RNDRG_PRVDR_TAX_NUM

LINE PROVIDER TAX NUMBER

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath
ExplanationOfBenefit.item.extension.where(
url = 'https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-PRVDR-TAX-NUM'
).value
Coverage / Claim Type
  • Carrier
  • DME
Source View
V2_MDCR_CLM_LINE
Source Column
CLM_RNDRG_PRVDR_TAX_NUM
Sources
  • NCH
  • VMS
Profiles
  • CMS

Example

{'type': {'coding': [{'system': 'http://terminology.hl7.org/CodeSystem/v2-0203', 'code': 'TAX', 'display': 'Tax ID number'}]}, 'system': 'urn:oid:2.16.840.1.113883.4.4', 'value': '15'}

Mappings

CCLF
  • CCLF5.CLM_RNDRG_PRVDR_TAX_NUM
CCW
  • TAX_NUM
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