Referring Provider

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

The referring provider model


Properties

  • Name
    id
    Type
    string
    Description

    Unique identifier for the referring provider.

  • Name
    object
    Type
    string
    Description

    Always 'referring_provider'.

  • Name
    is_organization
    Type
    boolean
    Description

    Whether this referring provider is an organization.

  • Name
    first_name
    Type
    string
    Description

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

  • Name
    last_name
    Type
    string
    Description

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

  • Name
    organization_name
    Type
    string
    Description

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

  • Name
    npi
    Type
    string
    Description

    NPI of referring provider.

  • Name
    tax_id
    Type
    string
    Description

    Tax ID of referring 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 referring provider.
  • Name
    default
    Type
    boolean
    Description

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

  • Name
    usable_by
    Type
    object
    Description
    Who can use this referring provider.
  • Name
    change_log
    Type
    string
    Description

    Change log containing a record of all the changes to the referring provider object.

  • Name
    created_by
    Type
    string
    Description

    Creator of the referring provider.

  • Name
    created_at
    Type
    number
    Description

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

  • Name
    last_updated_at
    Type
    number
    Description

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

Response

{
  "id": "bprv_NPAxeKa32I5MbmuvKPAQ",
  "object": "referring_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
  },
  "change_log": "clog_GrxDtjvCL7auh6Q6RUan",
  "created_by": "user_xeDpGyt67wTor93qKtS7",
  "created_at": 1653798303,
  "last_updated_at": 1653798303
}