Provider ID definition
Examples of Provider ID in a sentence
For example, 6 = Internal ID (Plan Specific) X X X X 1 N 49 PCC Provider ID .
X X X X 15 C 50 Servicing Provider ID A unique identifier for the provider performing the service.
This example shows the case when Provider ID is different for every location.
For example, 1 = NPI 6 = Internal ID (Plan Specific) 9 = NAPB Number (for pharmacy claims only) X X X X X 1 N 52 Referring Provider ID A unique identifier for the provider.
X X X X X 15 C 51 Servicing Provider ID Type A code identifying the type of ID provided in Servicing Provider ID above.
X X X X X 8 D/YYYYMM DD 46 Service Class MBHP Specific field X X X X 23 C 47 PCP Provider ID A unique identifier for the Primary Care Physician selected by the patient as of the date of service.
X X X X 15 C 48 PCP Provider ID Type A code identifying the type of ID provided in PCP Provider ID above.
X X X X X 5 N 58 Billing Provider ID A unique identifier for the provider billing for the service.
X X X X 15 C 53 Referring Provider ID Type A code identifying the type of ID provided in Referring Provider ID above.
MMIS Provider ID — A 13-digit number consisting of a combination of the 9-digit base MPI Provider Number and a 4-digit service location.