| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | function(+) | 0;1 | SET OF CODES | 1:REFERRING 2:OPERATING 3:RENDERING 4:ATTENDING 5:SUPERVISING 9:OTHER OPERATING | B | There are providers who performed specific functions for the services on this bill. These providers are needed to enable the V.A. to collect reimbursement when more than one provider function is involved in the billable episode (like an operating physician or referring provider). This data identifies the type of function that was performed by a provider. There can only be 1 provider recorded for each function on a claim. |
| .02 | performed by | 0;2 | VARIABLE-POINTER | 200, 355.93 | Providers may be VA providers found in the VistA NEW PERSON file or NON-VA providers found in the IB NON VA BILLING PROVIDER file. | |
| .03 | credentials | 0;3 | FREE TEXT | This field should contain the 1-3 digit code for the provider's credentials as they apply to the services being billed for. | ||
| .04 | state | 0;4 | POINTER | 5 | This is the state of the referring provider. This is only used for referring provider types | |
| .05 | primary ins co id number | 0;5 | FREE TEXT | This is the primary insurance co specific provider's secondary id number. | ||
| .06 | secondary ins co id number | 0;6 | FREE TEXT | This is the secondary ins company's specific secondary provider id number. | ||
| .07 | tertiary ins co id number | 0;7 | FREE TEXT | This is the tertiary ins company's specific secondary provider id number. | ||
| .08 | specialty | 0;8 | FREE TEXT | This field contains the specialty code for the provider if the provider is not resident in VistA's NEW PERSON file. | ||
| .09 | delete 2006 .09(+) | 0;9 | POINTER | 355.96 | The primary insurance company requires a specific care unit value to identify the correct id for the performing provider. You must enter a care unit value here so a valid id can be determined. This care unit must be valid for the insurance co, form type, care type and provider type required by the insurance co. | |
| .1 | delete 2006 .1(+) | 0;10 | POINTER | 355.96 | If the secondary insurance company requires a specific care unit specification to identify the correct id for the performing provider, this is the exact data value related to this claim that will allow the system to perform this match. | |
| .11 | delete 2006 .11(+) | 0;11 | POINTER | 355.96 | If the tertiary insurance company requires a specific care unit specification to identify the correct id for the performing provider, this is the exact data value related to this claim that will allow the system to perform this match. | |
| .12 | prim ins provider id type | 0;12 | POINTER | 355.97 | This is the type of id the primary payer uses as a secondary id. | |
| .13 | sec ins provider id type | 0;13 | POINTER | 355.97 | ||
| .14 | tert ins provider id type | 0;14 | POINTER | 355.97 | This is the type of id the tertiary payer uses as a secondary id. | |
| .15 | taxonomy | 0;15 | POINTER | 8932.1 | ||
| 1.01 | delete 2006 1.01 | 1;1 | POINTER | 355.96 | This is the exact data you need to use to allow the system to match the provider with the correct EMC id # for the primary insurance co based on this piece of data and relating directly to this claim. | |
| 1.02 | delete 2006 1.02 | 1;2 | POINTER | 355.96 | This is the exact data you need to use to allow the system to match the provider with the correct EMC id # for the secondary insurance co based on this piece of data and relating directly to this claim. | |
| 1.03 | delete 2006 1.03 | 1;3 | POINTER | 355.96 | This is the exact data you need to use to allow the system to match the provider with the correct EMC id # for the tertiary insurance co based on this piece of data and relating directly to this claim. |
Error: Invalid Global File Type: 399.0222