Other Physician NPI
PRVDR_OTHR_PRVDR_NPI_NUM A NUMBER IDENTIFYING THE NATIONAL PROVIDER IDENTIFIER (NPI) OF AN OTHER PROVIDER AS SOURCED FROM THE NPI CROSSWALK REFERENCE INFORMATION PROVIDED BY THE NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM (NPPES).
Field Metadata
- FHIR Resource
- ExplanationOfBenefit
- FHIRPath
- ExplanationOfBenefit.careTeam.where(role.coding.where(code = 'otheroperating').exists()).provider.identifier.value orExplanationOfBenefit.careTeam.where(role.coding.where(code = 'supervisor').exists()).provider.identifier.value
- Coverage / Claim Type
-
- Carrier
- HHA
- Hospice
- Inpatient
- Outpatient
- SNF
- Source View
-
V2_MDCR_CLM - Source Column
-
PRVDR_OTHR_PRVDR_NPI_NUM - Sources
-
- FISS
- MCS
- NCH
- Profiles
-
- Basis
- Regular
- CMS
Notes
This element traditionally refers to institutional claims. However, processing professional claims also populate the "supervisor" value for professional claims with a supervision relationship (eg MD supervising NP).
Mappings
- CCLF
-
-
CCLF1.OTHR_PRVDR_NPI_NUM -
CCLF1.CLM_OTHR_PRVDR_NPI_NUM
-
- CCW
-
-
OT_PHYSN_NPI
-