ePayment.42Specialty Care Transport Care Provider
Documentation to show the patient care provided to the patient met the Specialty Care Transport Base Rate requirements.
Validation Rules
1 rules across 1 statesRule_2567
Additional hospital providers must be documented for CCT transport. (ePayment.42) [3.5_2567_-10]
Allowed Values
| Code | Label |
|---|---|
| 2642001 | Advanced EMT-Paramedic |
| 2642003 | Nurse |
| 2642005 | Nurse Practitioner |
| 2642007 | Physician (MD, DO) |
| 2642009 | Physician Assistant |
| 2642011 | Emergency Medical Responder (EMR) |
| 2642013 | Emergency Medical Technician (EMT) |
| 2643014 | Emergency Medical Technician - Intermediate |
| 2642015 | Advanced Emergency Medical Technician (AEMT) |
| 2642017 | Paramedic |
| 2642027 | Other Healthcare Professional |
| 2642029 | Other Non-Healthcare Professional |
| 2642031 | Respiratory Therapist |
| 2642033 | Student |
| 2642035 | Critical Care Paramedic |
| 2642037 | Community Paramedicine |
| 2642039 | Registered Nurse |
Element Metadata
Other Payment Elements
ePayment.01Primary Method of Payment
11 rules
11 states
ePayment.02Physician Certification Statement
1 rules
1 states
ePayment.03Date Physician Certification Statement Signed
0 rules
0 states
ePayment.04Reason for Physician Certification Statement
0 rules
0 states
ePayment.05Healthcare Provider Type Signing Physician Certification Statement
0 rules
0 states
ePayment.06Last Name of Individual Signing Physician Certification Statement
0 rules
0 states
ePayment.07First Name of Individual Signing Physician Certification Statement
0 rules
0 states
ePayment.08Patient Resides in Service Area
0 rules
0 states
ePayment.09Insurance Company ID
0 rules
0 states
ePayment.10Insurance Company Name
1 rules
1 states