ANSI X12 837P - 5010 2420A PRV - Rendering Provider Specialty Information

The PRV (Provider Information) segment in the 2420A loop of the X12 837 (5010) professional claim is used to convey the rendering (performing) provider’s specialty or taxonomy code at the service line level. This identifies the specialty of the provider who actually performed the procedure being billed and may influence payer adjudication and benefit determination.

Under 5010, the PRV segment is situational. It should only be reported when the payer requires explicit taxonomy information for the rendering provider at the line-item level. Some payers use this to validate network participation, specialty restrictions, or referral requirements.

Sample 837P (5010) – 2420A PRV Segment

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

• PE – Provider Code indicating the Rendering (Performing) Provider.
• PXC – Reference Identification Qualifier for a Health Care Provider Taxonomy Code (required in 5010).
• 111N00000X – The taxonomy code for a Chiropractor.

Reminder: In 5010, the qualifier PXC must be used. The rendering provider’s taxonomy code must align with NPPES registration and payer records. For the official taxonomy list, visit the NUCC Health Care Provider Taxonomy Code Set.

Note: Always use qualifier PXC in 5010 claims. The taxonomy code should match NPPES and payer enrollment records to prevent claim rejections.