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Variable: IDR-BILL-PROV-PRICE-SPEC

Billing Provider Pricing Specialty

Source System Definition

The billing provider pricing specialty code is a two-character code that identifies the provider's specialty. This field is used to store the provider's specialty code used for reasonable charge computation and on-line pricing purposes.

In the B-States and RRB, the field on the provider data base is populated with an internally assigned value that represents a combination of similar specialty codes which are grouped together for reasonable charge computation purposes. In the RI, RRB and DMERC regions the value is the same as the CMS-maintained specialty code.

Other Info

  • Source System: MCS
  • Source Field: Billing Provider Pricing Specialty
  • Version: 0.2

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