ANSI X12 837P - 5010 2000A PRV - Billing Provider Specialty Information

The PRV (Provider Information) segment in the 2000A loop of the X12 837 (5010) professional claim is used to indicate the billing provider's specialty information. This segment conveys the provider’s taxonomy code, which payers use for adjudication, network validation, and benefits processing.

Under 5010, the PRV segment is situational. It is reported when the payer requires the billing provider taxonomy code.

Sample 837P (5010) – 2000A PRV Segment

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

• BI – Provider Code indicating the Billing Provider.
• PXC – Reference Identification Qualifier, specifically designating a Health Care Provider Taxonomy Code (required in 5010).
• 111N00000X – The taxonomy code for a Chiropractor Physician.

Reminder: In 5010, the qualifier PXC must be used (not ZZ as in 4010 examples). The taxonomy code must match what is registered with NPPES and on file with the payer to avoid denials. For a complete list of taxonomy codes, visit the NUCC Health Care Provider Taxonomy Code Set.

Note: The PRV segment in 5010 must use the qualifier PXC with a valid taxonomy code. This ensures consistency with NPPES and payer records, reducing claim rejection risk.