# Payer Transparency (TiC)

There is an additional `PLAN_MAP` table that contains details about the Plans and Plan Types. This may or may not be included in your data output, depending on your license structure.

<table data-full-width="false"><thead><tr><th width="303.5">Field Name</th><th width="304">Description / Sample Values</th><th>Original Source</th><th data-hidden>Field Type</th></tr></thead><tbody><tr><td>ADDITIONAL_INFORMATION</td><td>Additional information relevant to rate</td><td>PAYER MRF</td><td>VARCHAR</td></tr><tr><td>BILLING_CLASS</td><td>Institutional or Professional</td><td>PAYER MRF</td><td>VARCHAR</td></tr><tr><td>BILLING_CODE</td><td>Billing code as-is in MRF</td><td>PAYER MRF</td><td>VARCHAR</td></tr><tr><td>BILLING_CODE_MODIFIER</td><td>Modifiers for different rates (22-99, P1)</td><td>PAYER MRF</td><td>VARCHAR</td></tr><tr><td>MRF_BILLING_CODE_NAME</td><td>Billing code name as-is in MRF</td><td>PAYER MRF</td><td>VARCHAR</td></tr><tr><td>MRF_BILLING_CODE_TYPE</td><td>HCPCS, CPT, MS-DRG, etc</td><td>PAYER MRF</td><td>VARCHAR</td></tr><tr><td>BILLING_CODE_TYPE_VERSION</td><td>Version of the billing code (2023, 2024)</td><td>PAYER MRF</td><td>VARCHAR</td></tr><tr><td>EXPIRATION_DATE</td><td>Expiration date of the rate (12/31/2024)</td><td>PAYER MRF</td><td>VARCHAR</td></tr><tr><td>NEGOTIATED_RATE</td><td>Negotiated Rate value</td><td>PAYER MRF</td><td>FLOAT</td></tr><tr><td>NEGOTIATED_TYPE</td><td>Fee schedule, negotiated, percentage, per diem</td><td>PAYER MRF</td><td>VARCHAR</td></tr><tr><td>NEGOTIATION_ARRANGEMENT</td><td>Fee for service (ffs) or Bundle</td><td>PAYER MRF</td><td>VARCHAR</td></tr><tr><td>NPI</td><td>Provider ID</td><td>PAYER MRF</td><td>VARCHAR</td></tr><tr><td>SERVICE_CODES</td><td>Location of service (11, 21, 22, etc)</td><td>PAYER MRF</td><td>VARCHAR</td></tr><tr><td>TIN_TYPE</td><td>EIN or NPI</td><td>PAYER MRF</td><td>VARCHAR</td></tr><tr><td>TIN_VALUE</td><td>Value of associated EIN or NPI</td><td>PAYER MRF</td><td>VARCHAR</td></tr><tr><td>NPPES_CITY</td><td>City Name from NPPES</td><td>NPPES</td><td>VARCHAR</td></tr><tr><td>NPPES_STATE</td><td>State Name from NPPES</td><td>NPPES</td><td>VARCHAR</td></tr><tr><td>NPPES_ORGANIZATION_NAME</td><td>Organization Name from NPPES</td><td>NPPES</td><td>VARCHAR</td></tr><tr><td>NPPES_ORGFRIENDLYNAME</td><td>Org Name + DBA Name if present</td><td>ADDED BY PAYERSET</td><td>VARCHAR</td></tr><tr><td>NPPES_PRIMARY_TAXONOMY_CODE</td><td>Primary taxonomy derived using switches in NPPES file</td><td>ADDED BY PAYERSET</td><td>VARCHAR</td></tr><tr><td>NUCC_TAXONOMY_GROUPING</td><td>High-level taxonomy grouping (Allopathic, Hospitals, Hospital Units, etc)</td><td>NUCC</td><td>VARCHAR</td></tr><tr><td>NUCC_TAXONOMY_CLASSIFICATION</td><td>More granular taxonomy classification (Clinic/Center, Abmulance, Nursing Care, etc)</td><td>NUCC</td><td>VARCHAR</td></tr><tr><td>NUCC_TAXONOMY_SPECIALIZATION</td><td>Most granular taxonomy (Adult Mental Health, Oncology, Orthopedic Surgery, etc...)</td><td>NUCC</td><td>VARCHAR</td></tr><tr><td>PAYER</td><td>Payer column added for convenience</td><td>ADDED BY PAYERSET</td><td>VARCHAR</td></tr><tr><td>PAYERSET_BILLING_CODE_NAME</td><td>Payerset standardized name of 21k+ billing codes</td><td>ADDED BY PAYERSET</td><td>VARCHAR</td></tr><tr><td>PAYERSET_BILLING_CODE_CATEGORY</td><td>Payerset categorization of 21k+ billing codes</td><td>ADDED BY PAYERSET</td><td>VARCHAR</td></tr><tr><td>PAYERSET_BILLING_CODE_SUBCATEGORY</td><td>Payerset subcategorization of 21k+ billing codes</td><td>ADDED BY PAYERSET</td><td>VARCHAR</td></tr><tr><td>PAYERSET_BILLING_CODE_TYPE</td><td>Payerset categorization of billing code types</td><td>ADDED BY PAYERSET</td><td>VARCHAR</td></tr><tr><td>PLAN_ID</td><td>Payerset-created Plan ID that links back to original plan via PLAN_MAP table</td><td>ADDED BY PAYERSET</td><td>VARCHAR</td></tr></tbody></table>


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