| Name | Description | Type | Additional information |
|---|---|---|---|
| provider_insurance_id | globally unique identifier |
None. |
|
| provider_id | globally unique identifier |
None. |
|
| insurance_id | globally unique identifier |
None. |
|
| secondary_id_txt | string |
None. |
|
| secondary_id_type_txt | string |
None. |
|
| billing_provider_id | globally unique identifier |
None. |
|
| created_dt | date |
None. |
|
| created_by | globally unique identifier |
None. |
|
| updated_dt | date |
None. |
|
| updated_by | globally unique identifier |
None. |
|
| federal_tax_id_txt | string |
None. |
|
| federal_tax_id_type_txt | string |
None. |
|
| Provider | ProviderModel |
None. |
|
| Provider1 | ProviderModel |
None. |