A NATIONAL HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA)-COMPLIANT CODE THAT DESCRIBES THE PROVIDER SPECIALTY OR INSTITUTION TYPE OF THE INSTITUTION BILLING/CARING FOR THE BENEFICIARY.
Comments
USER NOTE: THIS IS NOT NECESSARILY THE SAME PROVIDER THAT BILLED FOR THE SERVICE. THIS DATA ELEMENT SHOULD BE 8-FILLED FOR TOS = 20 (CAPITATED PAYMENTS TO HMO, HIO, OR PACE PLANS), TOS = 21 (CAPITATED PAYMENTS TO PREPAID HEALTH PLANS - PHPs) AND TOS = 22 (CAPITATED PAYMENTS FOR PRIMARY CARE CASE MANAGEMENT - PCCM).
NOTE: IN MAX 2005, THIS VARIABLE WAS ADDED TO THE FILE.
NOTE: IN MAX 2005-2008, THIS VARIABLE WAS 9-FILLED.
NOTE: IN MAX 2009, THIS VARIABLE WAS NO LONGER 9-FILLED.
USER NOTE: THIS IS NOT NECESSARILY THE SAME PROVIDER THAT BILLED FOR THE SERVICE. THIS DATA ELEMENT SHOULD BE 8-FILLED FOR TOS = 20 (CAPITATED PAYMENTS TO HMO, HIO, OR PACE PLANS), TOS = 21 (CAPITATED PAYMENTS TO PREPAID HEALTH PLANS - PHPs) AND TOS = 22 (CAPITATED PAYMENTS FOR PRIMARY CARE CASE MANAGEMENT - PCCM).
NOTE: IN MAX 2005, THIS VARIABLE WAS ADDED TO THE FILE.
NOTE: IN MAX 2005-2008, THIS VARIABLE WAS 9-FILLED.
NOTE: IN MAX 2009, THIS VARIABLE WAS NO LONGER 9-FILLED.
SOURCE: MSIS CLAIMS FILE: 'PROVIDER-TAXONOMY'.