provider tin
prvdr_tinDefinition
ISO-11179 Definition
The Taxpayer Identification Number used by a healthcare provider for federal tax reporting and claims reimbursement purposes, encompassing both the Employer Identification Number for organizational providers and the Social Security Number for individual providers billing as sole proprietors. The TIN appears on CMS 1500 claim forms in Box 25 and on UB-04 institutional claims. Payers require a valid TIN to process claims and issue reimbursement checks or electronic fund transfers.
Healthcare data teams use prvdr_tin as the primary identifier linking claims payment records to provider tax entities, in 1099 tax reporting workflows, in fraud detection analytics to identify unusual billing patterns by tax entity, and in provider data master management to consolidate billing records across multiple practice locations under a single organizational TIN.
Standard Abbreviation
prvdr_tin
Category
Production DDL — DIM_PROVIDER
CREATE OR REPLACE TABLE DIM_PROVIDER (
prvdr_key INTEGER NOT NULL -- surrogate key,
prvdr_npi VARCHAR(10) -- NPI number,
prvdr_tin VARCHAR(10) -- tax ID number,
prvdr_first_nm VARCHAR(100) -- first name,
prvdr_last_nm VARCHAR(100) -- last name,
prvdr_org_nm VARCHAR(255) -- organization name,
prvdr_typ_cd VARCHAR(20) -- provider type code,
prvdr_spclty_cd VARCHAR(10) -- specialty code,
prvdr_tax VARCHAR(10) -- taxonomy code,
prvdr_state_cd CHAR(2) -- state code,
prvdr_zip_cd VARCHAR(10) -- zip code,
prvdr_ntwk_sts VARCHAR(10) -- network status,
prvdr_accpt_pt_ind CHAR(1) -- accepting patients,
prvdr_excl_ind CHAR(1) -- exclusion indicator,
load_dt TIMESTAMP_NTZ NOT NULL -- load timestamp
);
Standard Snowflake DDL for the canonical provider table. Convert to BigQuery or Databricks →
Why This Term Matters
Provider data management is one of the most operationally complex data domains in healthcare because providers move, merge, and update their credentials continuously. A data engineer who understands provider terminology can build NPI validation, credentialing, and network adequacy pipelines that keep provider directories accurate and prevent claim rejections. Stale or incorrect provider data is a leading cause of prior authorization delays and CMS compliance findings.
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