Line Provider Participating Indicator Code

SAS Name
PRTCPTNG_IND_CD

Code indicating whether or not a provider is participating or accepting assignment for this line item service on the non-institutional claim.

Comments

Source: NCH

Code Code value
1 Participating
2 All or some covered and allowed expenses applied to deductible Participating
3 Assignment accepted/non-participating
4 Assignment not accepted/non-participating
5 Assignment accepted but all or some covered and allowed expenses applied to deductible Non-participating.
6 Assignment not accepted and all covered and allowed expenses applied to deductible non-participating.
7 Participating provider not accepting assignment.