Variable: Carrier Provider Type Code

Variable: CLM_PRVDR_TYPE_CD

Carrier Provider Type Code

Description:

Code identifying the type of provider or supplier furnishing the service for this line item on the carrier claim. Also used for conveying supplier types.

Values

This variable is coded, and will contain one of the following values.

Value	Description
0	CLINICS, GROUPS, ASSOCIATIONS, INTERVENTION, OR OTHER ENTITIES FOR WHICH THE CARRIER'S OWN ID NUMBER HAS BEEN ASSIGNED.
1	PHYSICIANS OR SUPPLIERS BILLING AS SOLO-PRACTIONERS FOR WHOM SOCIAL SECURITY NUMBERS (SSN) ARE SHOWN IN THE PHYSICIAN ID CODE FIELD.
2	PHYSICIANS OR SUPPLIERS BILLING AS SOLO-PRACTITIONERS FOR THE CARRIER'S OWN PHYSICIAN ID CODE IS SHOWN.
20	PHYSICIAN
21	OSTEOPATH
22	INDEPENDENT DIAGNOSTIC TESTING FACILITY (IDTF)
23	MULTIPLE PHYSICIAN PRACTICE
24	AMBULATORY SURGICAL CENTER
25	INDEPENDENT LAB
27	CLINICAL PSYCHOLOGIST
28	NURSE
29	CHIROPRACTOR
3	SUPPLIERS (OTHER THAN SOLE PROPRIETORSHIP)
30	PODIATRIST
31	PHYSICAL THERAPIST
32	DIETITIAN/NUTRITIONIST
33	OPTOMETRIST
34	AUDIOLOGIST
35	PSYCHOLOGIST
36	DENTIST
37	MAMMOGRAPHY SCREENING CENTER
38	NURSE PRACTITIONER/CLINICAL NURSE SPECIALIST
39	MACILLOFACIAL SURGEON
4	SUPPLIERS (OTHER THAN SOLE PROPRIETORSHIP) FOR WHOM THE CARRIER'S OWN CODE HAS BEEN SHOWN.
40	MISCELLANEOUS
5	INSTITUTIONAL PROVIDERS AND INDEPENDENT LABORATORIES FOR WHOM EMPLOYER ID NUMBERS ARE USED IN CODING THE ID FIELD.
50	SUPPLIER
51	FREESTANDING CARDIAC CATH LAB
55	OPTICIAN
56	CLINICAL SOCIAL WORKER
6	INSTITUTIONAL PROVIDERS AND INDEPENDENT LABORATORIES FOR WHOM THE CARRIER'S OWN ID NUMBER IS SHOWN.
60	HEALTH AGENCY
61	AMBULANCE
64	DRUG AND DEPARTMENT STORE
65	PORTABLE X-RAY
7	CLINICS, GROUPS, ASSOCIATIONS, OR PARTNERSHIPS, FOR WHICH EMPLOYER ID NUMBERS ARE USED IN CODING THE ID FIELD.
8	OTHER ENTITIES FOR WHOM EMPLOYER ID NUMBERS ARE USED IN CODING THE ID FIELD
99	HOSPITAL
~	NO DESCRIPTION AVAILABLE