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Provider Service Identifier Qualifier Code

PRVDR_SRVC_ID_QLFYR_CD

A CODE INDICATING THE TYPE OF NUMBER USED TO IDENTIFY A SERVICE PROVIDER ON A CLAIM. FOR EXAMPLE: 01 = NPI 07 = NCPDP NUMBER 08 = STATE LICENSE NUMBER REFERENCE TABLE: CLM_PRVDR_ID_QLFYR_CD

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath
ExplanationOfBenefit.contained.where(
id = %context.provider.reference.substring(1)
).identifier.type.where(
system = 'http://bluebutton.cms.gov/fhir/CodeSystem/PRVDR-ID-QLFYR-CD'
).code
Coverage / Claim Type
  • Pharmacy
Source View
V2_MDCR_CLM
Source Column
PRVDR_SRVC_ID_QLFYR_CD
Sources
  • DDPS
Profiles
  • Basis
  • Regular
  • CMS

Mappings

CCLF
  • CCLF7.PRVDR_SRVC_ID_QLFYR_CD
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