What does each type of service pull into a claim? (TOS) (KB)

April 5th, 2019

Medical Care (1) = no provider

Surgery (2)= no provider, unless it's a code that is hard coded to pull in the referring doctor, such as a 11720, 11721, etc.

Consultation (3) = referring provider

Diagnostic Radiology (4)= billing provider

Diagnostic Laboratory (5) = billing provider

Biological (9) = no provider