Provider Validation Type Code

SAS Name

Provider Validation Type Code


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