Transcription of Provider Type and Provider Specialty
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Provider Type and Provider Specialty
Master AppendixProvider Type and Provider Specialty Provider Type and Provider Specialty Wellmark BCBS July 24, 2006 types and Provider Specialties The Provider type indicates what kind of Provider is doing the billing. Provider types include individuals, facilities, and vendors. The Provider s Specialty is a value indicating what field of medicine a Provider has additional education in to make him/her a specialist in a certain field. NOTE: Provider type codes may not be unique to one Provider type. A good example is Provider type 20 says MD/DO but it is used on PHD, old social workers records and CRNA s and SD providers due to pricing issues. Be sure to look at the type in conjunction with the Specialty .
The provider’s specialty is a value indicating what field of medicine a provider has additional education in to make him/her a specialist in a certain field. ... Skilled Nursing Facility (65_ _ _) Swing Bed or Rehab (66_ _ _) 86 . 81 . Home Infusion Therapy . 87 . 26 . Pharmacy (IPSC/Blue Rx/CMM) 87 . 69 . Home Medical Equipment . 88 .
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