Provider Validation Type Code

Reminder: DUA and VRDC access needs to be extended or renewed annually. Read more.

This variable is contained in the following files:

Carrier (Fee-for-Service) Home Health Agency (Fee-for-Service) Hospice (Fee-for-Service) Inpatient (Fee-for-Service) Outpatient (Fee-for-Service) Skilled Nursing Facility (Fee-for-Service)

SAS Name

PRVDR_VLDTN_TYPE_CD

Provider Validation Type Code

Comments

The purpose of the Provider Validation Type field on the claim is to inform Common Working File (CWF) to perform an edit check to ensure that the provider that was submitted on the Prior Authorization (PA) request is the same provider on the claim.

This field was new in April 2019.

Source: NCH

Code	Code value
RP	Rendering Provider
OP	Operating Physician
CP	Ordering/ Referring Physician
AP	Attending Physician
FA	Facility