Data Dictionary
The following fields are located at various places in the Payerset platform. Reach out to [email protected] with any questions or clarifications.
Payer Transparency
Provider
Parent Organization
High-level rollup of organizations that makes it easier to filter and group NPIs. These can represent large hospital systems, ownership groups, groups of facilities, and more. Note this can be separate from NPPES data and NPPES organizations should be used in conjunction with the Parent Organization in getting correct NPIs for analysis.
Payerset
Organization
Indicates the healthcare organization or facility where the service was provided. There can be multiple NPIs for a given organization.
Payerset (derived from NPPES)
NPI
Represents the National Provider Identifier, a unique 10-digit number assigned to healthcare providers. This field is essential for linking pricing data with provider-specific details. There can be multiple NPIs per provider/organization.
Payer MRF
State
Indicates the U.S. state where the NPI is registered in NPPES.
NPPES
County
Indicates the U.S. county where the NPI is registered in NPPES.
NPPES
City
Indicates the U.S. city where the NPI is registered in NPPES.
NPPES
Taxonomy
Represents the categorization of healthcare providers based on their specialties and services.
NUCC
Primary Taxonomy Code
The main code used to identify a provider’s specialty or service category.
NUCC
Taxonomy Display Name
User-friendly name to describe a provider’s specialty or service category. This is the display name of the Taxonomy Code.
NUCC
Taxonomy Classification
Offers a detailed categorization of the provider’s area of expertise.
NUCC
Taxonomy Specialization
Indicates a further level of specialization within a broader taxonomy classification.
NUCC
TIN Type
Specifies the type of Tax Identification Number (TIN) used, such as an individual provider or EIN.
Payer MRF
TIN Value
The actual Tax Identification Number associated with the billing entity. It is helpful for uniquely identifying and cross-referencing providers or organizations. Note that this can differ within NPIs & organizations, respectively.
Payer MRF
Trade Category
Provides a high-level grouping of related healthcare services to segment and analyze data across broad service domains (for example, Home Health and Hospice). This field is is commonly used for macro-level filtering to isolate relevant NPIs.
Payerset
Trade Type
Additional layer of specificity within a trade category by describing the general nature of the services delivered (for example, in-home nursing care services).
Payerset
Trade Subtype
The most granular classification within Trade Categories & Types, identifying the specific service focus within a trade type.
Payerset
Health Plan
Payer
Identifies the insurance provider or entity responsible for reimbursement.
Payerset (derived from Payer MRF & enriched)
Negotiated Type
Indicates the method or category of negotiation used to determine the pricing. Note that some Payers use these fields differently - we recommend always comparing directly to contracts when using this data for analysis. There are five potenital values: 1. Negotiated 2. Fee Schedule 3. Percentage 4. Per Diem 5. Derived
Payer MRF
Negotiation Arrangement
Describes the contractual terms for the negotiated rate. It is useful for understanding the structure and conditions of pricing agreements in your analysis. The potential values are: 1. FFS (fee-for-service) 2. Bundle 3. Capitation
Payer MRF
Plans
Lists the specific insurance plans associated with the negotiated rate.
Payerset (derived from Payer MRF & enriched)
Expiration Date
Indicates when the pricing data or contractual agreement is set to expire. Note that evergreen contracts can be represented by the YYYY value of 1999.
Payer MRF
Service
Negotiated Rate
The agreed-upon price between the payer and provider for a particular service. Use this to evaluate cost efficiency and compare pricing across services and providers.
Payer MRF
Billing Class
Refers to the classification of billing codes based on service type or specialty. This field represents if a rate is Professional or Institutional. Note that the use of this field by individual Payers can be different based on their interpretation of CMS rules.
Payer MRF
Billing Code Category
Groups billing codes into broader categories based on service or procedure characteristics to more easily identify services for analysis.
Payerset
Billing Code Subcategory
Provides a more detailed classification within a broader billing code category to further identify specific services or sets of services.
Payerset
Billing Code Modifier
Adds additional context or specificity to a billing code, often indicating variations of a service. This can be additive to the original service or represent a different service variant depending on the code and payer.
Payer MRF
Billing Code
The standardized code representing a specific medical service or procedure.
Payer MRF
Billing Code Name
Provides a descriptive name associated with the billing code.
Payerset (derived from Payer MRF & enriched)
Billing Code Type
Defines the type of billing code, such as CPT, HCPCS, or ICD.
Payerset (derived from Payer MRF & enriched)
MRF Billing Code Name
The name of the billing code as it is written in the published MRF. Note that there is a separate Billing Code Name field that is cleaned and often easier to use.
Payer MRF
MRF Billing Code Type
Defines the type of billing code, such as CPT, HCPCS, or ICD as it is written in the published MRF.
Payer MRF
Billing Code Type Version
Specifies the version of the billing code in use, ensuring that comparisons are made within consistent coding standards.
Payer MRF
Place of Service Codes
Codes that identify the physical location where the service was provided, such as an outpatient clinic or hospital. This field represents the actual codes as they show in the data.
Payer MRF
Place of Service
Provides the descriptive name(s) corresponding to the place of service code(s).
Payerset
Facility vs. Non-Facility
Indicates whether the service was performed in a facility (e.g., hospital) or a non-facility setting (e.g., physician’s office). This distinction affects reimbursement rates and cost structures.
Payerset
Additional Information
Contains any supplementary details or notes regarding the rate data. This field can offer context or clarifications on contract arrangements or other nuances for that particular payer/provider/service combination.
Payer MRF
Hospital Transparency
Payer
Payerset-standardized payer name (mapped across hospitals).
Payerset
Plan Name
Payerset-standardized plan/network name.
Payerset
Additional Payer Notes
Free-text notes hospitals sometimes include for a payer or plan. e.g., “Only applicable to self-pay patients seen in ER,” “BCBS rates exclude lab fees”
Hospital MRF
Billing Code Category
Broad clinical grouping of the billing code. “Imaging”, “Surgery–Outpatient”, “Lab & Pathology”
Payerset
Billing Code Type
Coding system. “CPT”, “HCPCS”, “MS-DRG”, “APC”, “NDC”
Hospital MRF
Billing Code
Billing code exactly as published. “99213”, “0274”, “J9206”, “30145”
Hospital MRF
Billing Code Description
Description from file (often truncated/abbreviated). “Office/outpatient visit est low-level”, “Knee arthroscopy w/ meniscus repair”
Hospital MRF
Drug Category
Therapeutic class if row represents a drug. “Antineoplastic Agents”, “Analgesics”
Hospital MRF
Drug Unit Type
Brand / generic / biosimilar flag. “Brand”, “Generic”, “Biosimilar”
Hospital MRF
Drug Unit
Unit of measure for drug price. “mg”, “mL”, “tablet”
Hospital MRF
Gross
Hospital’s standard (chargemaster) price.
Hospital MRF
Discounted Cash
Hospital’s cash price offered to self-pay patients.
Hospital MRF
Methodology
Hospital’s narrative on how standard charges were derived. “Cost-to-charge ratio”, “Rate-setting committee approved”
Hospital MRF
Maximum
Highest negotiated rate among all payers/plans for this code.
Hospital MRF
Minimum
Lowest negotiated rate among all payers/plans for this code.
Hospital MRF
Setting
Care setting or place of service (hospital-reported). “Inpatient”, “Outpatient”, “Emergency Dept”, “Ambulatory Surgery”
Hospital MRF
Standard Charge Algorithm
Text describing how STANDARD_CHARGE_PERCENTAGE or STANDARD_CHARGE_DOLLAR was calculated. “Gross × 25%”, “Average of top 3 commercial contracts”
Hospital MRF
Standard Charge Amount Dollar
A flat-dollar “standard charge” (CMS-defined).
Hospital MRF
Standard Charge Percentage
Percent-based standard charge, if reported. “150% of Medicare OPPS”
Hospital MRF
Claims Data
Payerset's claims data is sourced from various sources and normalized for ease of use. The level of detail of claims-related metrics, at the most granular representation, represent a granularity of Billing NPI | Payer | Billing Code & Modifiers | Year, along with other fields represented in the scope of your analysis (filters & dimensions). Information displayed here is aggregated for benchmarking & analysis and detail is available on the "Data Tab" within the Claims module.
Please note that the Claims data is only available with the upgraded Payerset Pricing Intelligence Solution. For more information, please contact [email protected].
Provider
Parent Organization
High-level rollup of organizations that makes it easier to filter and group NPIs. These can represent large hospital systems, ownership groups, groups of facilities, and more. Note this can be separate from NPPES data and NPPES organizations should be used in conjunction with the Parent Organization in getting correct NPIs for analysis.
Organization
Indicates the healthcare organization or facility. Note there can be multiple NPIs per organization.
Billing NPI
Represents the National Provider Identifier, a unique 10-digit number assigned to healthcare providers from which the claim was submitted.
Facility NPI
Represents the National Provider Identifier, a unique 10-digit number assigned to healthcare providers where the services on the claim was performed.
This is not always populated from claims data sources and may not match the Billing NPI (ex. Organization bills through a separate NPI from which the facility where the service is performed).
State
Indicates the U.S. state where the Billing NPI is registered in NPPES.
County
Indicates the U.S. county where the Billing NPI is registered in NPPES.
Zip Code
Indicates the U.S zip code where the Billing NPI is registered in NPPES.
City
Indicates the U.S. city where the Billing NPI is registered in NPPES.
Taxonomy Grouping
Represents the categorization of healthcare providers based on their specialties and services.
Taxonomy Display Name
User-friendly name to describe a provider’s specialty or service category. This is the display name of the Taxonomy Code.
Taxonomy Classification
Offers a detailed categorization of the provider’s area of expertise.
Taxonomy Specialization
Indicates a further level of specialization within a broader taxonomy classification.
Class of Trade
Provides a high-level grouping of related healthcare services to segment and analyze data across broad service domains (for example, Home Health and Hospice). This field is is commonly used for macro-level filtering to isolate relevant NPIs.
Trade Type
Additional layer of specificity within a trade category by describing the general nature of the services delivered (for example, in-home nursing care services).
Trade Subtype
The most granular classification within Trade Categories & Types, identifying the specific service focus within a trade type.
Health Plan
Channel
Commercial, Medicare, Medicaid, or Dual/Other
Payer Name
Identifies the insurance provider or entity responsible for reimbursement.
Service
Claim Type
Refers to the classification of billing codes based on service type or specialty. This field represents if a rate is Professional or Institutional. Note that the use of this field by individual Payers can be different based on their interpretation of CMS rules.
Procedure Code Type
Defines the type of billing code, such as CPT, HCPCS, or ICD.
Procedure Code Category
Groups billing codes into broader categories based on service or procedure characteristics to more easily identify services for analysis.
Procedure Code Subcategory
Provides a more detailed classification within a broader billing code category to further identify specific services or sets of services.
Procedure Code
The standardized code representing a specific medical service or procedure.
Procedure Code Description
Provides a descriptive name associated with the billing code.
Procedure Code Modifier
Adds additional context or specificity to a billing code, often indicating variations of a service. This can be additive to the original service or represent a different service variant depending on the code and payer.
Procedure Code Modifier Description
Additional description for the respective Procedure Code Modifier to provide more context on the modifier
Setting
High-level grouping of services for Inpatient, Outpatient, or Office
Place of Service Code
Codes that identify the physical location where the service was provided, such as an outpatient clinic or hospital. This field represents the actual codes as they show in the data.
Place of Service
Provides the descriptive name(s) corresponding to the place of service code(s).
Amounts
Total Claims
Number of claims submitted (from 837)
Total Remits
Count of remittance records (from 835).
Average Remit
Average allowed amount per remit. This is weighted by the # of units.
Attributed Charge Amount
Sum of charges across all claim submissions from the 837 for the given scope of filters & dimensions.
Attributed Total Units
Total number of billed units at the line-item level. Note: Codes can be billed multiple times on a single claim depending on the code type.
Average Claim Amount
Calculated as Attributed Charge Amount / Attributed Total Units.
Attributed Claim Count
This is the count of claims submitted per given scope of the data. This field is used to determine the "Total Claims" metric when viewing aggregates.
Min Per Unit Allowed
The lowest allowed amount observed for a single billed unit across all remittance records in the selected scope. Represents the lower bound of payer reimbursement at the unit level.
Max Per Unit Allowed
The highest allowed amount observed for a single billed unit across all remittance records in the selected scope. Represents the upper bound of payer reimbursement at the unit level.
Avg Per Unit Allowed
The average of allowed amounts per billed unit across all remittance records for given scope. This is often used in analysis to account for the impact of outliers and variation in reimbursements.
Median Per Unit Allowed
The median of allowed amounts per unit for the given scope. This is often used in conjunction with the Average Per Unit Allowed to better understand the variance of allowed amounts.
Count of Units
Total number of units reported on remittance records.
Total Claim Count
Count of remittance records (from 835).
Medicare Data
Inpatient Data
NPI
Provider NPI
Unique 10-digit National Provider Identifier. e.g. 1043270564 or No NPI Found
carrier_number
CCN
CMS Certification Number (6-digit provider identifier). e.g. 110107
Rndrng_Prvdr_Org_Name
Provider Organization Name
Name of the rendering provider's organization. e.g. Atrium Health Navicent
Rndrng_Prvdr_City
Provider City
City where the provider is located. e.g. Macon
Rndrng_Prvdr_St
Provider Street Address
Street address of the provider. e.g. 777 Hemlock Street
Rndrng_Prvdr_State_FIPS
State FIPS Code
U.S. Census state FIPS code. e.g. 13
Rndrng_Prvdr_Zip5
Provider ZIP Code
5-digit postal ZIP code. e.g. 31201
Rndrng_Prvdr_State_Abrvtn
State Abbreviation
USPS two-letter state abbreviation. e.g. GA
CBSA
CBSA Code
Core-Based Statistical Area code for geographic wage adjustment. e.g. 12060
drg_code
DRG Code
Medicare Severity Diagnosis-Related Group code. e.g. 470
operating_base_drg_payment
Operating Base DRG Payment
Wage-adjusted base payment × DRG weight, before adjustments. e.g. 15234.56
operating_dsh_factor
Operating DSH Factor
Disproportionate Share Hospital adjustment factor. e.g. 0.0298
operating_dsh_amount
Operating DSH Amount
Dollar amount of DSH add-on. e.g. 453.99
operating_ime_factor
Operating IME Factor
Indirect Medical Education adjustment factor. e.g. 0.0655
operating_ime_amount
Operating IME Amount
Dollar amount of IME add-on. e.g. 997.86
vbp_factor
VBP Adjustment Factor
Hospital Value-Based Purchasing adjustment (typically 0.98–1.02). e.g. 0.99879
hrrp_factor
HRRP Adjustment Factor
Hospital Readmissions Reduction Program adjustment (min 0.97). e.g. 0.9975
fee_schedule_dollar_amount
Operating Fee Schedule Amount
Total operating IPPS payment. e.g. 18250.75
capital_base_payment
Capital Base Payment
Federal capital rate × DRG weight × GAF × COLA. e.g. 1245.67
capital_dsh_factor
Capital DSH Factor
Capital Disproportionate Share adjustment factor. e.g. 0.05731
capital_dsh_amount
Capital DSH Amount
Dollar amount of capital DSH. e.g. 71.39
capital_ime_factor
Capital IME Factor
Capital Indirect Medical Education factor. e.g. 0.05496
capital_ime_amount
Capital IME Amount
Dollar amount of capital IME. e.g. 68.46
capital_fee_schedule_amount
Capital Fee Schedule Amount
Total capital IPPS payment. e.g. 1385.52
total_reimbursement_amount
Total Reimbursement Amount
Combined operating + capital payment. e.g. 19636.27
Total_Discharges
Total Discharges
Total number of discharges reported. e.g. 250 (may be null)
Avg_Submitted_Covered_Charges
Avg Covered Charges
Average submitted covered charges per discharge. e.g. 32500.50
Avg_Total_Payment_Amount
Avg Total Payment
Average total payment amount per discharge. e.g. 19500.75
Avg_Medicare_Payment_Amount
Avg Medicare Payment
Average amount paid by Medicare per discharge. e.g. 18000.25
Avg_Medicare_Payment_Percent
Medicare Payment %
Ratio of avg Medicare payment to operating fee schedule. e.g. 0.99
latitude
Latitude
Geographic latitude of the provider location. e.g. 32.8095
longitude
Longitude
Geographic longitude of the provider location. e.g. -83.6168
Outpatient Data
HCPCS Code
HCPCS Procedure Code
Healthcare Common Procedure Coding System code. e.g. 0275T
Modifier
HCPCS Modifier
Optional two-character modifier. e.g. "" (empty if none)
Short Description
Service Short Description
Brief description of the procedure. e.g. Perq lamot/lam lumbar
Mac Locality
MAC Locality Code
Medicare Administrative Contractor locality code. e.g. 111205
Locality County
County
County that corresponds with Mac Locality
Locality State
State
State that corresponds with Mac Locality
Non-Facility Price
Non-Facility Price
Allowed charge in a non-facility setting. e.g. "$0.00"
Facility Price
Facility Price
Allowed charge in a facility setting. e.g. "$0.00"
Non-Facility Limiting Charge
Non-Facility Limiting Charge
Payment limit for non-facility. e.g. "$0.00"
Facility Limiting Charge
Facility Limiting Charge
Payment limit for facility. e.g. "$0.00"
GPCI Work
Work GPCI Factor
Geographic practice cost index for work. e.g. 1.088
GPCI PE
Practice Exp. GPCI Factor
Geographic practice cost index for practice expense. e.g. 1.419
GPCI MP
Malpractice GPCI Factor
Geographic malpractice cost index. e.g. 0.445
Proc Stat
Procedure Status
Status indicator (e.g. R=revised). e.g. "R"
Work RVU
Work RVU
Relative value unit for physician work. e.g. 0.00
NA Flag for Trans Non-FAC PE RVU
Flag: Transitional Non-Facility PE RVU Missing
"NA" if no transitional practice-expense RVU available
Transitioned Non-FAC PE RVU
Transitional Non-Facility PE RVU
Transitional practice-expense RVU, non-facility. e.g. 0.00
NA Flag for Fully IMP Non-FAC PE RVU
Flag: Fully Implemented Non-FAC PE RVU Missing
"NA" if no fully implemented practice-expense RVU available
Fully Implemented Non-FAC PE RVU
Fully Impl. Non-Facility PE RVU
Final practice-expense RVU, non-facility. e.g. 0.00
NA Flag for Trans Facility PE RVU
Flag: Transitional Facility PE RVU Missing
"NA" if no transitional practice-expense RVU for facility available
Transitioned Facility PE RVU
Transitional Facility PE RVU
Transitional practice-expense RVU, facility. e.g. 0.00
NA Flag for Fully IMP FAC PE RVU
Flag: Fully Implemented Facility PE RVU Missing
"NA" if no fully implemented practice-expense RVU for facility available
Fully Implemented Facility PE RVU
Fully Impl. Facility PE RVU
Final practice-expense RVU, facility. e.g. 0.00
MP RVU
Malpractice RVU
Relative value unit for malpractice. e.g. 0.00
Transitioned Non-FAC Total
Transitional Non-Facility Total RVU
Sum of work + PE + MP RVUs (transitional)(non-facility). e.g. 0.00
Transitioned Facility Total
Transitional Facility Total RVU
Sum of work + PE + MP RVUs (transitional)(facility). e.g. 0.00
Fully Implemented Non-Fac Total
Fully Impl. Non-Facility Total RVU
Sum of RVUs (work+PE+MP) final, non-facility. e.g. 0.00
Fully Implemented Facility Total
Fully Impl. Facility Total RVU
Sum of RVUs (work+PE+MP) final, facility. e.g. 0.00
PCTC
Multiple-Procedure Indicator
Indicator for multiple-procedure payment reduction. e.g. "YYY"
Global
Global Surgical Indicator
Global surgery period indicator (0=no global). e.g. 0
Pre Op
Pre-Operative RVU
RVU for pre-operative period. e.g. 0.00
Intra Op
Intra-Operative RVU
RVU for intra-operative period. e.g. 0.00
Post Op
Post-Operative RVU
RVU for post-operative period. e.g. 0.00
Mult Surg
Multiple Surgery RVU
RVU adjustment for multiple surgeries. e.g. 0.00
Bilt Surg
Bilateral Surgery RVU
RVU adjustment for bilateral procedures. e.g. 0.00
Asst Surg
Assistant Surgeon RVU
RVU for assistant surgeon. e.g. 0.00
Co Surg
Co-Surgeon RVU
RVU for co-surgeon. e.g. 0.00
Team Surg
Team Surgery RVU
RVU for team surgery. e.g. 0.00
Phys Supv
Physician Supervision RVU
RVU for physician supervision. e.g. 0.00
Endobase
Endoscopic Base RVU Indicator
Indicator if code is endoscopic base. e.g. ""
Conv Fact
Conversion Factor
Dollar-to-RVU conversion factor. e.g. 32.3465
Not Used for Medicare
Excluded from Medicare
Flag if code is not payable by Medicare. e.g. ""
Diag Imaging Family Ind
Diagnostic Imaging Family Indicator
Family group code. e.g. 99
Opps Non-Facility Payment Amount
OPPS Non-Facility Payment
Payment amount under OPPS non-facility. e.g. "NA"
Opps Facility Payment Amount
OPPS Facility Payment
Payment amount under OPPS facility. e.g. "NA"
Non-Fac PE Used For Opps PMT AMT
Non-Facility PE Weight for OPPS Payment
Practice-expense index used in OPPS non-facility calculation. e.g. 0.0
Facility PE Used For Opps PMT AMT
Facility PE Weight for OPPS Payment
Practice-expense index used in OPPS facility calculation. e.g. 0.0
Malpractice Used For Opps PMT AMT
Malpractice PE Weight for OPPS Payment
Malpractice index used in OPPS payment calculation. e.g. 0.0
Nonstandard Codes
NPI
Provider NPI
National Provider Identifier. e.g. 1417993361
TIN_TYPE
Tax ID Type
Type of tax identifier (e.g., ein, ssn).
TIN_VALUE
Tax ID Value
Taxpayer Identification Number. e.g. 390286215
BILLING_CODE
Payer Billing Code
Code used by payer for billing. e.g. MISC, THR1
BILLING_CLASS
Billing Class
Class of billing (e.g., institutional, professional).
EXPIRATION_DATE
Agreement Expiration Date
Date the agreement expires. e.g. 1999-12-31 (from 12/31/99)
NEGOTIATED_RATE
Negotiated Rate
Agreed-upon rate. e.g. 75, 200, 28, 210, 90
NEGOTIATED_TYPE
Rate Type
Type of negotiated rate. e.g. percentage, per diem
SERVICE_CODES
Applicable Service Codes
Comma-separated list of service codes. (empty if none)
FACILITY_FLAG
Facility Flag
Indicator if facility setting. e.g. Y/N or blank
PLACE_OF_SERVICE
Place of Service
Payer’s place-of-service code/name. e.g. No Service Code
NEGOTIATION_ARRANGEMENT
Negotiation Arrangement
Arrangement type. e.g. ffs
ADDITIONAL_INFORMATION
Additional Information
Extra qualifiers. e.g. age[18-64]
BILLING_CODE_MODIFIER
Billing Code Modifier
Modifier for billing code. e.g. (empty)
BILLING_CODE_TYPE
Billing Code Type
Code system used. e.g. CSTM-ALL
BILLING_CODE_TYPE_VERSION
Billing Code Version
Version/year of the code system. e.g. 2025
BILLING_CODE_NAME
Billing Code Description
Human-readable description of billing code. e.g. OUTPATIENT MISCELLANEOUS (DEFAULT)
PAYER
Payer Name
Name of the insurance payer. e.g. UNITED_HEALTHCARE
NPPES_PRIMARY_TAXONOMY_CODE
Primary Taxonomy Code
NPPES taxonomy code. e.g. 101Y00000X
NPPES_STATE
Provider State
USPS state abbreviation. e.g. WI, AZ, CA
NPPES_CITY
Provider City
City of provider. e.g. FORT ATKINSON, PHOENIX
NPPES_COUNTY
Provider County
County of provider. e.g. JEFFERSON, MARICOPA
NPPES_ORGFRIENDLYNAME
Provider Organization Name
Official organization name. e.g. FORT HEALTHCARE INC - FORT ATKINSON MEMORIAL HEALTH SERVICES
NUCC_TAXONOMY_GROUPING
NUCC Taxonomy Grouping
Broad taxonomy grouping. e.g. Behavioral Health & Social Service Providers
NUCC_TAXONOMY_CLASSIFICATION
NUCC Taxonomy Classification
Taxonomy classification. e.g. Counselor
NUCC_TAXONOMY_SPECIALIZATION
NUCC Taxonomy Specialization
Taxonomy specialization. e.g. Addiction (Substance Use Disorder) or None
NUCC_TAXONOMY_DISPLAYNAME
NUCC Display Name
Display name for taxonomy. e.g. Counselor
PAYERSET_BILLING_CODE_NAME
Payerset Billing Code Name
Internal billing code name in Payerset. e.g. OUTPATIENT MISCELLANEOUS (DEFAULT)
PAYERSET_BILLING_CODE_TYPE
Payerset Billing Code Type
Internal billing code type in Payerset. e.g. CSTM-ALL
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