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.
Removed ACO PIDSL field from: • Internal Provider Type Data Set table • Provider Specialty Data Set Elements table • Member File Layout Xxxx Xxxxxxxxxx 08/14/2017 • Secure FTP Server - changes to the server related information in the section • Data Requirements section – mentioning of ACO program implementation • Data Set Elements tables are enhanced with Record Layout information.
Taxonomy Codes: (When mandated.) Provider Type Primary Specialty Secondary Specialty Primary Sub-Specialty Secondary Sub-Specialty NOTE: You may select only one provider type.
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.
Town of Whitestown, Indiana and/or (“Contractor”) Whitestown Municipal Utilities (“Whitestown”) By: By: Printed: Printed: Title: Title: Date: Date: 3010408 TOWN OF WHITESTOWN UNIFORM SERVICE AGREEMENT ADDENDUM Service Provider Type of Service This Uniform Service Agreement Addendum is between the Town of Whitestown, Whitestown Municipal Utilities, and/or its agencies (collectively, “Whitestown”) and (“Provider”), and is regarding the terms and conditions of service to be rendered by Provider.
Contractor shall enter into a contract with any willing and qualified community mental health center (Medicaid Provider Type 36) in the Contracting Area so long as the Provider agrees to Contractor's rate and adheres to Contractor's QA requirements.
Xxxxxx Signature of Authorized Representative 4/1/2015 Date of Execution Southwest Power Pool, Inc.: Transmission Provider Type of Entity (Transmission Owner or Non-Transmission Owner) Xxxxxxxx X.
Visit Provider Type Enter the type of provider providing a documented, face-to-face encounter.
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.
Xxxxx Signature of Authorized Representative May 1, 2015 Date of Execution Southwest Power Pool, Inc.: Transmission Provider Type of Entity (Transmission Owner or Non-Transmission Owner) Xxxxxxxx X.