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Short SAS Name
PRVDR_VLDTN_TYPE_CD
SAS Name
PRVDR_VLDTN_TYPE_CD

Provider Validation Type Code

Comments

The purpose of the Provider Validation Type field on the claim is to inform Common Working File (CWF) to perform an edit check to ensure that the provider that was submitted on the Prior Authorization (PA) request is the same provider on the claim.

This field was new in April 2019.

Source: NCH

CodeCode value
RP
Rendering Provider
OP
Operating Physician
CP
Ordering/ Referring Physician
AP
Attending Physician
FA
Facility