# | Name | Location | Type | Details | Index | Description |
---|---|---|---|---|---|---|
.01 | line item number | 0;1 | NUMERIC | B | Enter the line item number for the associated Rendering Provider information. Example, Line item 3 has a Rendering Provider different than the claim level Rendering Provider. You would enter 3 to associate this different Rendering Provider to the line item 3 of the claim. | |
.02 | rendering prov name | 0;2 | FREE TEXT | Enter the associated line item Rendering Provider's name found in the line item level claim information. | ||
.03 | rendering prov npi | 0;3 | FREE TEXT | Enter the associated line item Rendering Provider's National Provider Identifier (NPI) for the line level claim information. | ||
.04 | rendering prov taxonomy code | 0;4 | FREE TEXT | Enter the associated line item Rendering Provider's Taxonomy code found in the line item level of the claim information. This value must be 10 characters, including any leading zeros. |
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