Carrier Line Provider Type Code

This variable is contained in the following files:

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.