Carrier Line Provider Type Code
Code identifying the type of provider furnishing the service for this line item on the carrier claim.
This variable is coded, and will contain one of the following values.
For Physician/Supplier Claims:
| Value | Description |
|---|---|
0 |
Clinics, groups, associations, partnerships, or other entities |
1 |
Physicians or suppliers reporting as solo practitioners |
2 |
Suppliers (other than sole proprietorship) |
3 |
Institutional provider |
4 |
Independent laboratories |
5 |
Clinics (multiple specialties) |
6 |
Groups (single specialty) |
7 |
Other entities |
NOTE: PRIOR TO VERSION H, DME claims also used this code; the following were valid code VALUES:
| Value | Description |
|---|---|
0 |
Clinics, groups, associations, partnerships, or other entities for whom the carrier's own ID number has been assigned. |
1 |
Physicians or suppliers billing as solo practitioners for whom SSN's are shown in the physician ID code field. |
2 |
Physicians or suppliers billing as solo practitioners for whom the carrier's own physician ID code is shown. |
3 |
Suppliers (other than sole proprietorship) for whom EI numbers are used in coding the ID field. |
4 |
Suppliers (other than sole proprietorship) for whom the carrier's own code has been shown. |
5 |
Institutional providers and independent laboratories for whom EI numbers are used in coding the ID field. |
6 |
Institutional providers and independent laboratories for whom the carrier's own ID number is shown. |
7 |
Clinics, groups, associations, or partnerships for whom EI numbers are used in coding the ID field. |
8 |
Other entities for whom EI numbers are used in coding the ID field or proprietorship for whom EI numbers are used in coding the ID field. |
Some additional information on this variable: