Data Dictionary

Fields available in our Rate Explorer Portal

For pricing information, please see https://payerset.com/pricing

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