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This variable is contained in the following files: Carrier (Fee-for-Service)
Short SAS Name
LINE_PRVDR_VLDTN_TYPE_CD
SAS Name
LINE_PRVDR_VLDTN_TYPE_CD

Line Provider Validation Type Code for Carrier claim lines

Comments

The purpose of the Provider Validation Type field on the claim is to inform Common Working File (CWF) to perform an edit check to ensure that the provider that was submitted on the Prior Authorization (PA) request is the same provider on the claim.

This field was new in April 2019.

Source: NCH

CodeCode value
RP
Rendering Provider
OP
Operating Physician
CP
Ordering/ Referring Physician
AP
Attending Physician
FA
Facility