Provider Type. Required - Identifies the physician’s general area of service with an alpha character. See the provider description reference table for all accepted values. Treating providers that are members of a group will have their own record, provider type P, PCP indicator P, so the group or the individual may be selected for enrollment. For PSN and Medipass-MPN and ER Diversion, each Beneficiary will be enrolled to the Supergroup, the individual Provider selected by the beneficiary will be provided to the PSN/MPN/PERD in the monthly Recipient Data file.
Appears in 4 contracts
Samples: Medicaid Hmo Reform Contract (Wellcare Health Plans, Inc.), Ahca Contract, Ahca Contract
