Payer Transparency

Data dictionary fields for payer transparency data in Payerset.

Provider

Field
Description
Original Source

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

Field
Description
Original Source

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 potential 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

Field
Description
Original Source

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

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