Referring Provider NPI Number

PRVDR_RFRG_PRVDR_NPI_NUM

A number identifying the National Provider Identifier (NPI) of a referring 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 = 'referring').exists() ).provider.identifier.value
Coverage / Claim Type: Carrier
DME
HHA
Hospice
Outpatient
Source View: V2_MDCR_CLM
Source Column: PRVDR_RFRG_PRVDR_NPI_NUM
Sources: FISS
MCS
NCH
VMS
Profiles: Basis
Regular
CMS

Mappings

CCLF

CCLF5.CLM_RFRG_PRVDR_NPI_NUM
CCLF6.ORDRG_PRVDR_NPI_NUM
CCLF6.CLM_RFRG_PRVDR_NPI_NUM

CCW

RFR_PHYSN_NPI