Billing Provider

The billing provider is the provider or business entity submitting the claim and represents the person or entity being reimbursed. The billing provider should be the entity contracted with the payer.

The billing provider model


Properties

  • Name
    id
    Type
    string
    Description

    Unique identifier for the billing provider.

  • Name
    object
    Type
    string
    Description

    Always 'billing_provider'.

  • Name
    is_organization
    Type
    boolean
    Description

    Whether this billing provider is an organization.

  • Name
    first_name
    Type
    string
    Description

    Only applies if 'is_organization' is false. First name of billing provider.

  • Name
    last_name
    Type
    string
    Description

    Only applies if 'is_organization' is false. Last name of billing provider.

  • Name
    organization_name
    Type
    string
    Description

    Only applies if 'is_organization' is true. Name of organization.

  • Name
    npi
    Type
    string
    Description

    NPI of billing provider.

  • Name
    tax_id
    Type
    string
    Description

    Tax ID of billing provider. Must be the same tax ID given to the payer on the IRS W-9 form completed during contracting.

  • Name
    address
    Type
    object
    Description
    Address of the billing provider.
  • Name
    default
    Type
    boolean
    Description

    Whether this billing provider should be set as the default billing provider. By default, all insurance claims and superbills will be populated with the default billing provider and can be changed as the user is completing the claim/superbill.

  • Name
    usable_by
    Type
    object
    Description
    Who can use this billing provider.
  • Name
    created_by
    Type
    string
    Description

    Creator of the billing provider.

  • Name
    created_at
    Type
    number
    Description

    Timestamp (in Unix epoch time in milliseconds) of when the billing provider was created.

  • Name
    last_updated_at
    Type
    number
    Description

    Timestamp (in Unix epoch time in milliseconds) of when the billing provider was last updated.

Response

{
  "id": "bprv_NPAxeKa32I5MbmuvKPAQ",
  "object": "billing_provider",
  "is_organization": true,
  "organization_name": "Avon Co, LLC",
  "npi": "324984924",
  "tax_id": "324984924",
  "default": true,
  "address": {
    "line1": "1 Wall Street",
    "city": "New York",
    "state": "NY",
    "postalCode": "10001",
    "country": "US"
  },
  "usableBy": {
    "usableByAll": true
  },
  "created_by": "user_xeDpGyt67wTor93qKtS7",
  "created_at": 1653798303,
  "last_updated_at": 1653798303
}