Carrier Line Provider Type Code

SAS Name
CARR_LINE_PRVDR_TYPE_CD

Code identifying the type of provider furnishing the service for this line item on the carrier claim. 

Comments

Source: NCH

For Physician/Supplier Claims
PRIOR TO VERSION H, DME claims also used this code; the following were valid
Code Code value
0 Clinics, groups, associations, partnerships, or other entities
1 Physicians or suppliers reporting as
solo practitioners
2 Suppliers (other than sole
proprietorship)
3 Institutional provider
4 Independent laboratories
5 Clinics (multiple specialties)
6 Groups (single specialty)
7 Other entities
0 Clinics, groups, associations, partnerships, or other entities for whom the carrier's own ID number has been assigned.
1 Physicians or suppliers billing as solo practitioners for whom SSN's are shown in the physician ID code field.
2 Physicians or suppliers billing as solo practitioners for whom the carrier's own physician ID code is shown.
3 Suppliers (other than sole proprietorship) for whom EI numbers are used in coding the ID field.
4 Suppliers (other than sole proprietorship) for whom the carrier's own code has been shown.
5 Institutional providers and independent laboratories for whom EI numbers are used in coding the ID field.
6 Institutional providers and independent laboratories for whom the carrier's own ID number is shown.
7 Clinics, groups, associations, or partnerships for whom EI numbers are used in coding the ID field.
8 Other entities for whom EI numbers are used in coding the ID field or proprietorship for whom EI numbers are used in coding the ID field.