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File Submission Comparison

Selected Items
Item Name Version State Type Organization
Medical Service Providers File Submission 2010-03-16 Maine File Specification Maine Health Data Organization (MHDO)
Medical Service Providers File Submission v1.2 Maine File Specification Maine Health Data Organization (MHDO)
File Specification: Medical Service Providers File Submission - 2010-03-16 (Maine) Medical Service Providers File Submission - v1.2 (Maine)
[Shared] Responsible Organization:
Maine Health Data Organization Maine Health Data Organization
[Shared] Definition:
Not Provided Not Provided
File Specification: Medical Service Providers File Submission - 2010-03-16 (Maine) Medical Service Providers File Submission - v1.2 (Maine)
MCSP001
[Unshared] Name: Provider ID#
[Unshared] Type: integer
[Unshared] Length: Not Provided
[Unshared] Name: Provider ID #
[Unshared] Type: CHAR
[Unshared] Length: 12
MCSP002
[Shared] Name: Payer
[Unshared] Type: varchar
[Shared] Length: 6
Codes:
 
 
 
 
 
 
[Shared] Name: Payer
[Unshared] Type: CHAR
[Shared] Length: 6
Codes:
C
Commercial carrier
T
Third Party Administrator
U
Unlicensed entity
MCSP003
[Shared] Name: Service Provider Number
[Unshared] Type: varchar
[Shared] Length: 30
[Shared] Name: Service Provider Number
[Unshared] Type: CHAR
[Shared] Length: 30
MCSP004
[Shared] Name: Service Provider Tax ID Number
[Unshared] Type: varchar
[Shared] Length: 10
[Shared] Name: Service Provider Tax ID Number
[Unshared] Type: CHAR
[Shared] Length: 10
MCSP005
[Shared] Name: Service Provider Entity Type Qualifier
[Unshared] Type: varchar
[Shared] Length: 1
Codes:
 
 
 
 
[Shared] Name: Service Provider Entity Type Qualifier
[Unshared] Type: CHAR
[Shared] Length: 1
Codes:
1
Person
2
Non-Person Entity
MCSP006
[Unshared] Name: Service/Prescribing Provider First Name
[Unshared] Type: varchar
[Shared] Length: 25
[Unshared] Name: Service Provider First Name
[Unshared] Type: CHAR
[Shared] Length: 25
MCSP007
[Unshared] Name: Service/Prescribing Provider Middle Name
[Unshared] Type: varchar
[Shared] Length: 25
[Unshared] Name: Service Provider Middle Name
[Unshared] Type: CHAR
[Shared] Length: 25
MCSP008
[Unshared] Name: Service/Prescribing Provider Last Name or Organization Name
[Unshared] Type: varchar
[Shared] Length: 60
[Unshared] Name: Service Provider Last Name or Organization Name
[Unshared] Type: CHAR
[Shared] Length: 60
MCSP009
[Shared] Name: Service Provider Suffix
[Unshared] Type: varchar
[Shared] Length: 10
[Shared] Name: Service Provider Suffix
[Unshared] Type: CHAR
[Shared] Length: 10
MCSP010
[Shared] Name: Service Provider Specialty
[Unshared] Type: varchar
[Shared] Length: 10
[Shared] Name: Service Provider Specialty
[Unshared] Type: CHAR
[Shared] Length: 10
MCSP011
[Shared] Name: Service Provider City Name
[Unshared] Type: varchar
[Shared] Length: 30
[Shared] Name: Service Provider City Name
[Unshared] Type: CHAR
[Shared] Length: 30
MCSP012
[Shared] Name: Service Provider State or Province
[Unshared] Type: varchar
[Shared] Length: 2
[Shared] Name: Service Provider State or Province
[Unshared] Type: CHAR
[Shared] Length: 2
MCSP013
[Shared] Name: Service Provider ZIP Code
[Unshared] Type: varchar
[Shared] Length: 11
[Shared] Name: Service Provider ZIP Code
[Unshared] Type: CHAR
[Shared] Length: 11
MCSP014
[Unshared] Name: Data Processing Center Code
[Unshared] Type: integer
[Unshared] Length: Not Provided
[Unshared] Name: Data Processing Center Provider Code
[Unshared] Type: NUMBER
[Unshared] Length: 12
MCSP015
[Shared] Name: Taxonomy Code
[Unshared] Type: varchar
[Shared] Length: 10
[Shared] Name: Taxonomy Code
[Unshared] Type: CHAR
[Shared] Length: 10
MCSP016
[Unshared] Name: INDIVIDUAL
[Unshared] Type: integer
[Unshared] Length: Not Provided
Codes:
0
Release(default)
1
Withhold
[Unshared] Name: Individual Practitioner Flag
[Unshared] Type: NUMBER
[Unshared] Length: 1
Codes:
0
Release
1
Withhold
MCSP017
[Unshared] Name: Registration Number or NPI
[Unshared] Type: varchar
[Shared] Length: 9
[Unshared] Name: Prescribing Physician
[Unshared] Type: CHAR
[Shared] Length: 9
MCSP018
[Unshared] Name: National Service Provider Identifier
[Unshared] Type: varchar
[Shared] Length: 20
[Unshared] Name: National Provider Identifier
[Unshared] Type: CHAR
[Shared] Length: 20
MCSP019
[Unshared] Name: Indicates Source of Information as Medical or Pharmacy File
[Unshared] Type: varchar
[Shared] Length: 1
[Unshared] Name: File Individual
[Unshared] Type: CHAR
[Shared] Length: 1
MCSP020
[Unshared] Name: Service Provider Country
[Unshared] Type: varchar
[Unshared] Length: 30
Data Element: MCSP020
not present in this file submission.
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