Tip: New Service Provider Data for 99EBD1 Medical Claims





Number

0055

Submitting Entities

99EBD1

Add Date

Jul 31, 2020 

Update Date

Update

 

Description

Service provider information has been added to the medical claims data based on the EBD provider ID.  Only claims where provider ID (MC024) is also present on the EBD provider data in the APCD Provider table were updated. 

Updated fields (these fields were previously empty):

  • Service Provider First Name (MC028)

  • Service Provider Middle Name (MC029)

  • Service Provider Organization Name/Last Name (MC030)

  • Service Provider Street Address (MC108)

  • Service Provider City (MC033)

  • Service Provider State (MC034)

  • Service Provider ZIP Code (MC035)

  • Service Provider Organization Name/Last Name (MC030) - when last name was not present.

  • Service Provider Suffix (MC031)

  • Service Provider Specialty (MC032)

Action / Resolution

Category 1

Misc

Category 2

Providers

Tip / Issue

Tip