Medicare Data Utilities Appendices

Appendix E Carrier Line Provider Type Table
The following claim-level variables reference this Appendix:
bprvtyp Carrier line provider type code
For Physician/Supplier (RIC O) Claims:
0 = Clinics, groups, associations, partnerships, or other entities
1 = Physicians or suppliers reporting as solo practitioners
2 = Suppliers (other than sole proprietorship)
3 = Institutional provider
4 = Independent laboratories
5 = Clinics (multiple specialties)
6 = Groups (single specialty)
7 = Other entities
For DMERC (RIC M) Claims - PRIOR TO VERSION H:
0 = Clinics, groups, associations, partnerships, or other entities
for whom the carrier's own ID number has been assigned.
1 = Physicians or suppliers billing as solo practitioners for whom
SSN's are shown in the physician ID code field.
2 = Physicians or suppliers billing as solo practitioners for whom the
carrier's own physician ID code is shown.
3 = Suppliers (other than sole proprietorship) for whom EI numbers are
used in coding the ID field.
4 = Suppliers (other than sole proprietorship) for whom the carrier's
own code has been shown.
5 = Institutional providers and independent laboratories for whom EI
numbers are used in coding the ID field.
6 = Institutional providers and independent laboratories for whom the
carrier's own ID number is shown.
7 = Clinics, groups, associations, or partnerships for whom EI numbers
are used in coding the ID field.
8 = Other entities for whom EI numbers are used in coding the ID field
or proprietorship for whom EI numbers are used in coding the ID
field.