|
| Contains the entity identifier code as received from the e-prescribing interface. |
| May contain organization-specific values: No |
| Category Entries: |
| Dependent |
| Contracted Service Provider |
| Consultant’s Office |
| Health Maintenance Organization (HMO) |
| Oncology Center |
| Kidney Dialysis Unit |
| Preferred Provider Organization (PPO) |
| Acute Care Hospital |
| Provider |
| Military Facility |
| University, College or School |
| Outpatient Surgicenter |
| Physician, Clinic or Group Practice |
| Long Term Care Facility |
| Extended Care Facility |
| Psychiatric Health Facility |
| Laboratory |
| Retail Pharmacy |
| Home Health Care |
| Subcontractor |
| Federal, State, County or City Facility |
| Third-Party Administrator |
| Miscellaneous Health Care Facility |
| Non-Health Care Miscellaneous Facility |
| Church Operated Facility |
| Partnership |
| Public Health Service Facility |
| Veterans Administration Facility |
| Public Health Service Indian Service Facility |
| Hospital Unit of an Institution (prison hospital, college infirmary, etc.) |
| Service Supplier |
| Employer |
| Hospital Unit Within an Institution for the Mentally Retarded |
| Tuberculosis and Other Respiratory Diseases Facility |
| Obstetrics and Gynecology Facility |
| Eye, Ear, Nose and Throat Facility |
| Rehabilitation Facility |
| Orthopedic Facility |
| Chronic Disease Facility |
| Other Specialty Facility |
| Children’s General Facility |
| Children’s Hospital Unit of an Institution |
| Children’s Psychiatric Facility |
| Children’s Tuberculosis and Other Respiratory Diseases Facility |
| Children’s Eye, Ear, Nose and Throat Facility |
| Children’s Rehabilitation Facility |
| Children’s Orthopedic Facility |
| Children’s Chronic Disease Facility |
| Children’s Other Specialty Facility |
| Institution for Mental Retardation |
| Alcoholism and Other Chemical Dependency Facility |
| General Inpatient Care for AIDS/ARC Facility |
| AIDS/ARC Unit |
| Specialized Outpatient Program for AIDS/ARC |
| Alcohol/Drug Abuse or Dependency Inpatient Unit |
| Alcohol/Drug Abuse or Dependency Outpatient Services |
| Arthritis Treatment Center |
| Receiver |
| Claimant Authorized Representative |
| Data Processing Service Bureau |
| Birthing Room/LDRP Room |
| Burn Care Unit |
| Cardiac Catherization Laboratory |
| Open-Heart Surgery Facility |
| Cardiac Intensive Care Unit |
| Angioplasty Facility |
| Chronic Obstructive Pulmonary Disease Service Facility |
| Emergency Department |
| Trauma Center (Certified) |
| Extracorporeal Shock-Wave Lithotripter (ESWL) Unit |
| Genetic Counseling/Screening Services |
| Adult Day Care Program Facility |
| Alzheimer’s Diagnostic/Assessment Services |
| Comprehensive Geriatric Assessment Facility |
| Emergency Response (Geriatric) Unit |
| Geriatric Acute Care Unit |
| Geriatric Clinics |
| Respite Care Facility |
| Patient Education Unit |
| Community Health Promotion Facility |
| Worksite Health Promotion Facility |
| Hemodialysis Facility |
| Home Health Services |
| Hospice |
| Medical Surgical or Other Intensive Care Unit |
| Hisopathology Laboratory |
| Blood Bank |
| Neonatal Intensive Care Unit |
| Obstetrics Unit |
| Occupational Health Services |
| Organized Outpatient Services |
| Pediatric Acute Inpatient Unit |
| Psychiatric Child/Adolescent Services |
| Psychiatric Consultation-Liaison Services |
| Psychiatric Education Services |
| Psychiatric Emergency Services |
| Psychiatric Geriatric Services |
| Psychiatric Inpatient Unit |
| Psychiatric Outpatient Services |
| Psychiatric Partial Hospitalization Program |
| Megavoltage Radiation Therapy Unit |
| Radioactive Implants Unit |
| Therapeutic Radioisotope Facility |
| X-Ray Radiation Therapy Unit |
| CT Scanner Unit |
| Diagnostic Radioisotope Facility |
| Magnetic Resonance Imaging (MRI) Facility |
| Ultrasound Unit |
| Rehabilitation Inpatient Unit |
| Rehabilitation Outpatient Services |
| Performed At |
| Reproductive Health Services |
| Skilled Nursing or Other Long-Term Care Unit |
| Single Photon Emission Computerized Tomography (SPECT) Unit |
| Organized Social Work Service Facility |
| Outpatient Social Work Services |
| Emergency Department Social Work Services |
| Sports Medicine Clinic/Services |
| Hospital Auxiliary Unit |
| Patient Representative Services |
| Volunteer Services Department |
| Outpatient Surgery Services |
| Organ/Tissue Transplant Unit |
| Orthopedic Surgery Facility |
| Occupational Therapy Services |
| Physical Therapy Services |
| Recreational Therapy Services |
| Respiratory Therapy Services |
| Speech Therapy Services |
| Women’s Health Center/Services |
| Cardiac Rehabilitation Program Facility |
| Non-Invasive Cardiac Assessment Services |
| Emergency Medical Technician |
| Disciplinary Contact |
| Case Manager |
| Attending Physician |
| Operating Physician |
| Other Physician |
| Corrected Insured |
| Service Location |
| Place of Occurrence |
| Hospital |
| Rendering Provider |
| Subscriber’s Employer |
| Billing Provider |
| Pay-to Provider |
| Research Institute |
| Pharmacist |
| Admitting Surgeon |
| Commercial Insurer |
| Assistant Surgeon |
| Consulting Physician |
| Ordering Physician |
| Referring Provider |
| Dependent Name |
| Supervising Physician |
| Person or Other Entity Legally Responsible for a Child |
| Person or Other Entity With Whom a Child Resides |
| Previous Employer |
| Participating Laboratory |
| Facility |
| Physical Address |
| Mail Address |
| Dependent Insured |
| Clinic |
| Other Insured |
| Guardian |
| Paramedic |
| Paramedical Company |
| Previous Insured |
| Spouse Insured |
| Treatment Facility |
| Healthcare Professional Shortage Area (HPSA) Facility |
| Home Health Agency |
| Independent Physicians Association (IPA) |
| Injection Point |
| Insured or Subscriber |
| Insurer |
| Independent Lab |
| Legal Representative |
| Medical Insurance Carrier |
| Mammography Screening Center |
| Ordered By |
| Doctor of Optometry |
| Oxygen Therapy Facility |
| Patient Facility |
| Primary Insured or Subscriber |
| Primary Care Provider |
| Prior Insurance Carrier |
| Third Party Reviewing Preferred Provider Organization (PPO) |
| Third Party Repricing Preferred Provider Organization (PPO) |
| Primary Payer |
| Party to Receive Test Report |
| Party performing certification |
| Pickup Address |
| Pharmacy |
| Purchase Service Provider |
| Patient |
| Responsible Party |
| Policyholder |
| Physician |
| Managed Care |
| Chiropractor |
| Dentist |
| Doctor of Osteopathy |
| Podiatrist |
| Group Practice |
| Medical Doctor |
| Receiving Location |
| Rural Health Clinic |
| Skilled Nursing Facility |
| Secondary Payer |
| Service Provider |
| Supplier/Manufacturer |
| Transfer Point |
| Testing Laboratory |
| Third Party Reviewing Organization (TPO) |
| Transfer To |
| Tertiary Payer |
| Third Party Repricing Organization (TPO) |
| Nursing Home |
| Utilization Management Organization |
| Spouse |
| Durable Medical Equipment Supplier |
| Mutually Defined |
| Subscriber |
| Admitting Services |
