Provider Characteristics

What is Provider Characteristics Codes?

Health Care Provider Characteristics Codes are used with health care provider information for enrollment and credentialing transactions and their corresponding responses. It is intended to provide codified responses to questions presented to a health care provider applying to or registering with an entity and to report the outcome of such application or registration. It may also be used for responses to inquiries regarding provider participation or registration in a program or plan.

Code Examples:

10: Provider has a medical condition that impairs or limits him/her to practice

1M: Provider accepts Medicare assignment

Please visit for complete list of Health Care Provider Characteristics Codes

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