The Service Providers section provides additional information relating to the claim on the line level. The screen includes the following sections:
Enter any information on the Operating Provider, Operating Provider, Rendering Provider, and/or Referring Provider.
The Service Providers fields are defined by section below:
Operating Provider Information
Operating Provider Operating Provider
Select the operating provider from the drop-down menu.
Operating provider last name.
Operating provider first name.
Operating provider middle name or initial.
Operating provider name suffix.
Operating provider identifier.
Other Operating Provider Information
Other Operating Provider Other Operating Provider
Select the other operating provider from the drop-down menu.
Other operating provider last name.
Other operating provider first name.
Other operating provider middle name or initial.
Other operating provider name suffix.
Other operating provider identifier.
Rendering Provider Information
Rendering ProviderRendering Provider
Select the rendering provider from the drop-down menu.
Rendering provider last name. The rendering provider is the person or company (laboratory or other facility) who provided the care.
Rendering provider first name.
Rendering provider middle name or initial.
Suffix to individual name.
Rendering provider identification.
Provider Taxonomy CodeProvider Taxonomy Code
Code designating the provider type, classification, and specialization of the rendering provider for this claim. The taxonomy can be different for the same provider on different claims.
Referring Provider Information
Referring Provider Referring Provider
Select the referring provider from the drop-down menu.
Referring provider last name. The referring provider is the person or company who referred the patient to the rendering provider for treatment.
Referring provider first name.
Referring provider first name.
Suffix to individual name.
Referring provider identifier.
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