Nonstandard Codes

Data dictionary fields for nonstandard codes in Payerset.

Field Name	Friendly Name	Description / Sample Value
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