# | Name | Location | Type | Details | Index | Description |
---|---|---|---|---|---|---|
.01 | care unit(+) | 0;1 | POINTER | 355.95 | B | This is the care unit for which the insurance company requires a specific provider id number. |
.03 | insurance company(+) | 0;3 | POINTER | 36 | This is the insurance company that is associated with the selected care type. | |
.04 | form type applied to(+) | 0;4 | SET OF CODES | 0:BOTH UB-04 AND CMS-1500 FORMS 1:UB-04 FORM ONLY 2:CMS-1500 FORM ONLY | This designates whether the id number is to be used for just UB-04 form types, just CMS-1500 form types or both form types. | |
.05 | bill care type(+) | 0;5 | SET OF CODES | 0:BOTH INPATIENT AND OUTPATIENT 1:INPATIENT ONLY 2:OUTPATIENT ONLY 3:PRESCRIPTION ONLY | This designates whether the id number is to be used for just inpatient bills, just outpatient bills, both inpatient and outpatient bills or just prescriptions. | |
.06 | id type(+) | 0;6 | POINTER | 355.97 | C | This is the type of provider ID that the set of care unit is being defined for. |