PRV

Rendering Provider Specialty Information

Pos: 255	Max: 1
Detail - Optional
Loop: 2310B	Elements: 3

Ref

Id

Element Name

Req

Type

Min/Max

Usage

PRV01

1221

Provider Code
Description: Code identifying the type of provider

M

ID

1/3

Required

Code

Name

PE

Performing

PRV02

128

Reference Identification Qualifier
Description: Code qualifying the Reference Identification
ZZ is used to indicate the “Health Care Provider Taxonomy” code list (provider specialty code) which is available on the Washington Publishing Company web site: http://www.wpc-edi.com. This taxonomy is maintained by the Blue Cross Blue Shield Association and ASC X12N TG2 WG15.

M

ID

2/3

Required

Code

Name

ZZ

Mutually Defined

Health Care Provider Taxonomy Code list

PRV03

127

Reference Identification
Description: Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier
Industry: Provider Taxonomy Code
Alias: Provider Specialty Code
NSF Reference: FA0-37.0

M

AN

1/30

Required

ExternalCodeList

Name: HCPT

Description: Health Care Provider Taxonomy

Notes:

1. The PRV segment in Loop ID-2310 applies to the entire claim unless overridden on the service line level by the presence of a PRV segment with the same value in PRV01.
2. PRV02 qualifies PRV03.
3. Required when adjudication is known to be impacted by provider taxonomy code.

Example:

PRV*PE*ZZ*203BA0200N~