1360 Provider Agreement Code

Code indicating the type of agreement under which the provider is submitting this claim

Type
Identifier (ID)
Length
Min 1 / Max 1
Codes
CodeDescription
DManaged Dental Care Program
Any agreement between a dental provider of service and the third party payor
ECivilian Health and Medical Program of the Uniformed Services (CHAMPUS) "External" Partnership Agreement
Agreement which identifies that the provider is not an employee or member of the Uniformed Services of the United States
HHealth Maintenance Organization (HMO) Agreement
An organized arrangement of health care professionals comprehensive health care to a group of individuals who agree to utilize the network of providers
ICivilian Health and Medical Program of the Uniformed Services (CHAMPUS) ``Internal'' Partnership Agreement
Agreement which identifies that the provider is an employee or member of the Uniformed Services of the United Services
NNo Agreement
PParticipation Agreement
Any agreement between the provider of service and the plan administrator
YPreferred Provider Organization (PPO) Agreement
An agreement between the provider of service and the plan administrator where the fee for service may differ from the usual and prevailing fee

Stedi is a registered trademark of Stedi, Inc. Stedi's EDI Reference is provided for marketing purposes and is free of charge. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.