1360 Provider Agreement Code

Code indicating the type of agreement under which the provider is submitting this claim

Batch

Element Details

Type ID

LengthMin 1 / Max 1

Codes

<>P
Participation Agreement
<>N
No Agreement
<>D
Managed Dental Care Program
<>E
Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) "External" Partnership Agreement
<>H
Health Maintenance Organization (HMO) Agreement
<>Y
Preferred Provider Organization (PPO) Agreement
<>I
Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) "Internal" Partnership Agreement