Files > LINE PROVIDER

parent
399.0304
name
LINE PROVIDER
number
399.0404
Fields
#NameLocationTypeDetailsIndexDescription
.01line function0;1SET OF CODES1:REFERRING
2:OPERATING
3:RENDERING
4:ATTENDING
5:SUPERVISING
9:OTHER OPERATING
BThere are providers who performed specific functions for the services on this claim line. 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 line.
.02line performed by0;2VARIABLE-POINTER200, 355.93Providers may be VA providers found in the VistA NEW PERSON file or NON-VA providers found in the IB NON VA BILLING PROVIDER file.
.03credentials0;3FREE TEXTThis field should contain the 1-3 digit code for the provider's credentials as they apply to the services being billed for.
.04state0;4POINTER5This is the state of the Referring Provider. This is only used for referring provider types.
.05primary ins co id number0;5FREE TEXTThis is the primary insurance co specific provider's secondary id number.
.06secondary ins co id number0;6FREE TEXTThis is the secondary ins company's specific secondary provider id number.
.07tertiary ins co id number0;7FREE TEXTThis is the tertiary ins company's specific secondary provider id number.
.08specialty0;8FREE TEXTThis field contains the specialty code for the provider if the provider is not resident in VistA's NEW PERSON file.
.12prim ins provider id type0;12POINTER355.97This is the type of id the primary payer uses as a secondary id.
.13sec ins provider id type0;13POINTER355.97This is the type of id the secondary payer requires as a secondary id.
.14tert ins provider id type0;14POINTER355.97This is the type of id the tertiary payer uses as a secondary id.
.15line taxonomy0;15POINTER8932.1This is the Taxonomy Code associated with this entry.

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