Provider type definition
Examples of Provider type in a sentence
X X X X 1 C 55 Servicing Provider Type A custom MassHealth code indicating the type of provider rendering the service represented by this encounter or claim.
Provider Type Time and Distance Standard Provider office is located within the lesser of Primary care, adult and pediatric Twenty (20) minutes or twenty (20) miles from the member’s home.
Including but not limited to: CPT or HCPCS Code, units of service by individual client served, dates of service detail for each client, client Social Security Number, ICD-10 Diagnosis Code for use with Medi-Cal billing, Authorization number, location, Provider Type, etc.
OB/GYN specialty care Forty-five (45) minutes or thirty (30) miles from the member’s home Outpatient behavioral health-mental health Provider Type Time and Distance Standard Provider office is located within the lesser of Prescribers-adult Thirty (30) minutes or thirty (30) miles from the member’s home.
Required if Provider Type is P for all plans– Indicates if the provider or group can be selected as a PCP.
Certain Coalition Partners are required to participate in certain other DSRIP Projects, based on their defined Provider Type as described further in Exhibit B annexed hereto.
During the Term, you shall participate in all the DSRIP Projects that are applicable to your Provider Type.
Visit Provider Type Enter the type of provider providing a documented, face-to-face encounter.
OB/GYN specialty care Forty-five (45) minutes or thirty (30) miles from the member’s home Outpatient behavioral health-mental health Prescribers-adult Thirty (30) minutes or thirty (30) miles from the Provider Type Time and Distance Standard Provider office is located within the lesser of member’s home.
Participating Provider Non-Participating Provider Type I Services 100% 100% Type II Services 80% 80% Type III Services 50% 50% Type IV Services 50% 50% There is no waiting period for Type IV Services.