03423
Authorized Provider
2020-01-06
Definition: This represents the organization to which the patient was referred, or that is authorized to perform the procedure(s). The authorized provider represents the organization recognized by the insurance carrier that is authorized to perform the services for the patient specified on the authorization.
Length≤250
10 components
| 1 | O | - | Organization Name | |
| 2 | O | Organization Name Type Code | ||
| 3 | W | - | ID Number | |
| 4 | W | - | Identifier Check Digit | |
| 5 | W | - | Check Digit Scheme | |
| 6 | O | Assigning Authority | ||
| 7 | O | Identifier Type Code | ||
| 8 | O | - | Assigning Facility | |
| 9 | O | Name Representation Code | ||
| 10 | O | - | Organization Identifier |