Can Provider Reference use "Id" and include multiple Provider Group "Id" values? #512
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The Provider Reference JSON schema does not show an "Id" as an option. In the 3/16 Webinar and in other posts that I have reviewed, it appears that it is possible to add an "Id" value into the provider reference file, but we have had some issues with the validation tool when adding multiple groups and would like to confirm. Is it possible to include multiple Provider Group "Id" values with many NPI/TIN values in each in a single Provider Reference file? For example: NPI 4, NPI 5, NPI 6 Provider Group "Id" 2 Provider Group "Id" 3 |
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@caseyj21 No. Adding an ID would change the structure of the external provider reference group object/array. The external provider reference is an array of provider groups that are to be assigned to an ID within the in-network file. Technically speaking, defining the In your example, you will need to create three separate external provider reference files and give them "IDs" in the |
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Thank you. |
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@caseyj21 No. Adding an ID would change the structure of the external provider reference group object/array. The external provider reference is an array of provider groups that are to be assigned to an ID within the in-network file.
Technically speaking, defining the
provider_group_idwithin the in-network file'sprovider_referencesattribute is important as it is the "foreign key" that is referenced innegotiated_ratesobject.In your example, you will need to create three separate external provider reference files and give them "IDs" in the
provider_referencesarray within the "in-network" file.