Data Dictionary
Fields available in our Rate Explorer Portal
For pricing information, please see https://payerset.com/pricing
Last updated
Fields available in our Rate Explorer Portal
For pricing information, please see https://payerset.com/pricing
Last updated
| Field Name | Description / Sample Values | Original Source |
|---|---|---|
Additional Information
Additional information relevant to rate
PAYER MRF
Billing Class
Institutional or Professional
PAYER MRF
Billing Code
Billing code as-is in MRF
PAYER MRF
Billing Code Modifier
Modifiers for different rates (22-99, P1)
PAYER MRF
Billing Code Name
Billing code name as-is in MRF
PAYER MRF
Billing Code Type
HCPCS, CPT, MS-DRG, etc
PAYER MRF
Billing Code Type Version
Version of the billing code (2023, 2024)
PAYER MRF
Expiration Date
Expiration date of the rate (12/31/2024)
PAYER MRF
Negotiated Rate
Negotiated Rate value
PAYER MRF
Negotiated Type
Fee schedule, negotiated, percentage, per diem
PAYER MRF
Negotiation Arrangement
Fee for service (ffs) or Bundle
PAYER MRF
NPI
Provider ID
PAYER MRF
Place of Service Codes
Location of service (11, 21, 22, etc)
PAYER MRF
TIN Type
EIN or NPI
PAYER MRF
TIN Value
Value of associated EIN or NPI
PAYER MRF
City
City Name from NPPES
NPPES
State
State Name from NPPES
NPPES
Organization Name
Organization Name from NPPES
NPPES
Organization Friendly Name
Org Name + DBA Name if present
ADDED BY PAYERSET
Taxonomy Grouping
High-level taxonomy grouping (Allopathic, Hospitals, Hospital Units, etc)
NUCC
Taxonomy Classification
More granular taxonomy classification (Clinic/Center, Abmulance, Nursing Care, etc)
NUCC
Taxonomy Specialization
Most granular taxonomy (Adult Mental Health, Oncology, Orthopedic Surgery, etc...)
NUCC
Payer
Payer column added for convenience
ADDED BY PAYERSET
Payerset Billing Code Name
Payerset standardized name of 21k+ billing codes
ADDED BY PAYERSET
Payerset Billing Code Category
Payerset categorization of 21k+ billing codes
ADDED BY PAYERSET
Payerset Billing Code Subcategory
Payerset subcategorization of 21k+ billing codes
ADDED BY PAYERSET
Payerset Billing Code Type
Payerset categorization of billing code types
ADDED BY PAYERSET
Plan ID
Payerset-created Plan ID that links back to original plan via PLAN_MAP table
ADDED BY PAYERSET
Plan Name
Friendly name of the plan, created by Payerset
ADDED BY PAYERSET
Plan Type
EPO, PPO, HMO, POS, or Other Type of the plan, created by Payerset
ADDED BY PAYERSET