HIPAA Transactions Provider Type Cross Reference

Provider Type

Description

Inbound

Outbound

010

Physician

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

011

Dentist

837D, 837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

012

Optometrists

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

013

Podiatric

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

014

Chiropractic

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

015

Medical Partnership

N/A

N/A

016

Nurse Practitioner

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

017

Insurance Agents

270, 824, 997

271, 824, 997

018

Title XXI Outstation Provider

270, 824, 997

271, 824, 997

019

N/A

N/A

N/A

020

Registered Nurse

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

021

Licensed Practical Nurse

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

022

Physical Therapist

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

023

Occupational Therapist

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

024

Speech Therapist

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

025

Audologist

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

026

Individual Non-Registered

N/A

N/A

027

N/A

N/A

N/A

028

Supportive Living Facility

270, 276, 824, 997

271, 277, 824, 997

029

MR Facilities

270, 276, 824, 997

271, 277, 824, 997

030

General Hospital

837P, 837I, 278, 270, 276, 824, 997, Drug Invoice DDE

278, 271, 277, 824, 997

031

Psychiatric Hospital

837P, 837I, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

032

Rehabilitation Hospital

837P, 837I, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

033

Nursing Facility

270, 276, 824, 997

271, 277, 824, 997

034

State Operated LTC Facility

270, 276, 824, 997

271, 277, 824, 997

035

Long Term Care - Day Care Training

270, 276, 824, 997

271, 277, 824, 997

036

Mental Health Services Providers

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

037

DMHDD Day Training

270, 276, 824, 997

271, 277, 824, 997

038

ICF/MI Facility

270, 276, 824, 997

271, 277, 824, 997

039

Hospice

837I, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

040

Federally Qualified Health Centers (FQHC)

837P, 837D, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

041

State-Aided Clinics

270, 276, 824, 997

271, 277, 824, 997

042

DSCC Waiver Services

270, 276, 824, 997

271, 277, 824, 997

043

Encounter Rate Clinics (ERC)

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

044

Medicheck Screening Clinics

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

045

Family Planning Clinics

270, 276, 824, 997

271, 277, 824, 997

046

Ambulatory Surgical Treatment Centers

837P, 837I, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

047

Local Education Agencies (LEA)

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

048

Rural Health Clinics

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

049

Shared Health Facilities

N/A

N/A

050

Home Health Agencies

837P, 837I, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

051

Community Health Agencies

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

052

Certified Health Departments

837I, 837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

053

DORS Schools

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

054

Certified Hospital Organized Satellite Clinics

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

055

Early Intervention Services

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

056

School Bases/Linked Health Centers

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

057

N/A

N/A

N/A

058

N/A

N/A

N/A

059

N/A

N/A

N/A

060

Pharmacies

837P, 278, 270, 276, 824, 997, Drug Invoice DDE

278, 271, 277, 824, 997

061

Independent Laboratories

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

062

Opticians/Optical Companies

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

063

Other Providers of Medical Equipment/Supplies

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

064

Imaging Services

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

065

N/A

N/A

N/A

066

N/A

N/A

N/A

067

N/A

N/A

N/A

068

N/A

N/A

N/A

069

N/A

N/A

N/A

070

Ambulance Service Providers

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

071

Medicar Providers

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

072

Taxicab and Livery Companies

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

073

Other Transportation Providers (Non-Registered)

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

074

Hospital Based Transportation Providers

837P, 278, 270, 276, 824, 997

278, 271, 277, 824, 997

075

Dept of Alcohol and Substance Abuse Providers

270, 276, 824, 997

271, 277, 824, 997

076

N/A

N/A

N/A

077

N/A

N/A

N/A

078

N/A

N/A

N/A

079

N/A

N/A

N/A

080

Health Maintenance Organizations

270, 824, 997

271, 824, 997

081

HM/HK Case Management

N/A

N/A

082

Prepaid Health Plans - Cook County

270, 824, 997

271, 824, 997

083

Managed Care Community Network

270, 824, 997

271, 824, 997

084

N/A

N/A

N/A

085

Childrens Health Insurance Program Providers

270, 276, 824, 997

271, 277, 824, 997

086

Clinical Social Worker

N/A

N/A

087

Psychologist

N/A

N/A

088

Other Behavior Health Professionals

N/A

N/A

089

N/A

N/A

N/A

090

In Home Care - Dept of Aging

N/A

N/A

091

In Home Care - Dept of Mental Health

270, 824, 997

271, 824, 997

092

In Home Care - Dept of Rehab Services

N/A

N/A

093

DORS-AIDS - Dept of Rehab Services

N/A

N/A

094

DMHDD - OBRA Dept of Mental Health - Development Disabilities

N/A

N/A

095

N/A

N/A

N/A

096

DCFS-AIDS - Dept of Children and Family Services

N/A

N/A

097

Community Supported Living Arrangements

N/A

N/A

098

TBI Home and Community-Based Services Medicaid

N/A

N/A

099

N/A

N/A

N/A