ANSI X12 837P - 4010 2000A PRV - Billing Provider Specialty Information

The PRV (Provider Information) segment in the 2000A loop of the X12 837 (4010) professional claim is used to indicate the billing provider’s specialty information. This segment helps identify the type of provider (such as physician, surgeon, or chiropractor) by supplying a taxonomy code that payers can use for claim adjudication.

The PRV segment is situational. It is reported when the payer requires the provider specialty or taxonomy code to be explicitly included for proper processing. Many payers rely on this segment to determine network participation, benefit coverage, or specialty-specific claim rules.

Sample 837P (4010) – 2000A PRV Segment

In the example PRV*BI*ZZ*111N00000X~:

• BI – Provider Code indicating the Billing Provider. Use PT for the Pay-To Provider.
• ZZ – Reference Identification Qualifier, meaning the following value is a Health Care Provider Taxonomy Code.
• 111N00000X – The taxonomy code for a Chiropractor Physician.

Reminder: The taxonomy code should match the billing provider’s enrollment information with the payer. Incorrect taxonomy codes may result in claim rejections or denials. For a complete list of taxonomy codes, visit the NUCC Health Care Provider Taxonomy Code Set.

Note: The PRV segment should only be included if the payer requires provider taxonomy information. Be sure that the taxonomy matches what is registered with the payer and NPPES to avoid mismatches.