Skip to main content

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock ( ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Claim Rendering Provider Type Code

CLM_RNDRG_PRVDR_TYPE_CD

THE TYPE OF PROVIDER FURNISHING THE SERVICE FOR THIS LINE ITEM ON THE CARRIER CLAIM (NON-DMERC).

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath 
ExplanationOfBenefit.item.extension.where(
  url = 'https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-PRVDR-TYPE-CD'
).value.code
Coverage / Claim Type
  • Carrier
Source View
V2_MDCR_CLM_LINE
Source Column
CLM_RNDRG_PRVDR_TYPE_CD
Reference Table
https://bluebutton.cms.gov/fhir/CodeSystem/CLM-PRVDR-TYPE-CD
Sources
  • MCS
  • NCH
Profiles
  • CMS
  • Basis
  • Regular

Example 

5

Notes

Still used to populate the qualification.

Mappings

CCW
  • CARR_LINE_PRVDR_TYPE_CD

bluebutton.cms.gov

official website of the U.S. Department of Health and Human Services and the Centers for Medicare & Medicaid Services.

Looking for U.S. government information and services?
Visit USA.gov