the payer for internal identification purposes, and does not routinely change. MC108 National 2/1/2016 Text 20 National Provider ID for Provider ID attending provider – to Appendix A Attending Provider MC109 Attending 2/1/2016 Text 40 Individual first name Provider First Name MC110 Attending 2/1/2016 Text 25 Individual middle name or initial Provider Middle Name MC111 Attending 2/1/2016 Text 60 Individual last name Provider Last Name MC112 Attending 2/1/2016 Text 10 Individual name suffix Provider Suffix The attending provider suffix shall be used to capture the generation of the individual clinician (e.g., Jr., Sr., III), if applicable, rather than the clinician’s degree (e.g., MD, LCSW). Attending 2/1/2016 Text 10 to Appendix A Provider If defined by payer, then Specialty dictionary for specialty code values must be supplied during testing.
the payer for internal identification purposes, and does not routinely change. MC108 National Provider ID – Attending Provider 2/1/2016 Text 20 National Provider ID for attending provider to Appendix A MC109 Attending Provider First Name 2/1/2016 Text 40 Individual first name MC110 Attending Provider Middle Name 2/1/2016 Text 25 Individual middle name or initial MC111 Attending Provider Last Name 2/1/2016 Text 60 Individual last name MC112 Attending Provider Suffix 2/1/2016 Text 10 Individual name suffix The attending provider suffix shall be used to capture the generation of the individual clinician (e.g., Jr., Sr., III), if applicable, rather than the clinician’s degree (e.g., MD, LCSW). Attending Provider Specialty 2/1/2016 Text 10 to Appendix A If defined by payer, then dictionary for specialty code values must be supplied during testing.
Chapter%20243_Proposed%20Rule_V4_12_15_16%20AAG%20edits.docx