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*********************** Updated:05/16/2008 Copyright © 1996-2008 Management Systems Consulting, Inc. | | | PRV | ![]() | | Billing/Pay-to Provider Specialty Information | . | | Pos: 003 | Max: 1 | | Detail - Optional | | Loop: 2000A | Elements: 3 | |
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To specify the identifying characteristics of a provider Element Summary: | | | | | | | | | | | | | | _Ref_ | Id | _________Element Name__________ | Req | Type | Min/Max | | | | | PRV01 | 1221 | Provider Code | M | ID | 1/3 | | | | | | | Description: Code identifying the type of provider | | | | | | Code | Name_______________________________ | | | | | | BI | Billing | | | | | | PT | Pay-To | | | PRV02 | 128 | Reference Identification Qualifier | M | ID | 2/3 | | | | | | | Description: Code qualifying the Reference Identification | | | | | | Code | Name_______________________________ | | | | | | ZZ | Mutually Defined | | | PRV03 | 127 | Reference Identification | M | AN | 1/30 | | | | | | | Description: Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier |
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