Code | Code value |
---|---|
RP
|
Rendering Provider
|
OP
|
Operating Physician
|
CP
|
Ordering/ Referring Physician
|
AP
|
Attending Physician
|
FA
|
Facility
|
This variable is contained in the following files: Carrier (Fee-for-Service), Home Health Agency (Fee-for-Service), Hospice (Fee-for-Service), Inpatient (Fee-for-Service), Outpatient (Fee-for-Service), Skilled Nursing Facility (Fee-for-Service)
Short SAS Name
PRVDR_VLDTN_TYPE_CD
SAS Name
PRVDR_VLDTN_TYPE_CD
Provider Validation Type Code
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