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Variable: CLM_RNDRG_PRVDR_PRTCPTG_CD

Provider Participating Indicator Code

Description:

Code indicating whether or not a provider is participating (accepting assignment) for this line-item service on the non-institutional claim.

Values

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

Value Description
1 Participating
2 All or some covered and allowed expenses applied to deductible Participating
3 Assignment accepted/non-participating
4 Assignment not accepted/non-participating
5 Assignment accepted but all or some covered and allowed expenses applied to deductible Non-participating.
6 Assignment not accepted and all covered and allowed expenses applied to deductible non- participating.
7 Participating provider not accepting assignment
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