What is the providerCode value?

You can find the providerCode values in the 5010 spec for the 270/271 Eligibility transaction. The providerCode is required when the provider’s role relates to the benefit being queried about, and it can be sent at your discretion. Select values for this attribute include the following:

Provider CodeDescription
ADAdmitting
ATAttending
BIBilling
COConsulting
CVCovering
RFReferring
SUSupervising

You can obtain the complete list of copyrighted values from the licensed ASC X12 Consolidated Guide. Note that all coding standards observe the current 5010 X279 standard. Check our Eligibility OpenAPI 3.0 spec for the complete implementation list.


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