United States Health Information Knowledgebase

 

File Submission Comparison

Selected Items
Action Item Name Version State Type Organization
Provider Fixed Format File Submission February 20, 2013 Maryland File Specification Maryland Health Care Commission (MHCC)
Provider Fixed Format File Submission September 13, 2013 Maryland File Specification Maryland Health Care Commission (MHCC)
Provider Fixed Format File Submission January 9, 2014 Maryland File Specification Maryland Health Care Commission (MHCC)
File Specification: Provider Fixed Format File Submission - February 20, 2013 (Maryland) Provider Fixed Format File Submission - September 13, 2013 (Maryland) Provider Fixed Format File Submission - January 9, 2014 (Maryland)
[Shared] Responsible Organization:
Maryland Health Care Commission Maryland Health Care Commission Maryland Health Care Commission
[Shared] Definition:
Not provided Not provided Not provided
File Specification: Provider Fixed Format File Submission - February 20, 2013 (Maryland) Provider Fixed Format File Submission - September 13, 2013 (Maryland) Provider Fixed Format File Submission - January 9, 2014 (Maryland)
1
[Shared] Name: Record Identifier
[Shared] Type: numeric
[Shared] Length: 1
Codes:
3
Provider Services
[Shared] Name: Record Identifier
[Shared] Type: numeric
[Shared] Length: 1
Codes:
3
Provider Services
[Shared] Name: Record Identifier
[Shared] Type: numeric
[Shared] Length: 1
Codes:
3
Provider Services
2
[Shared] Name: Practitioner/Supplier ID
[Shared] Type: alphanumeric
[Shared] Length: 11
[Shared] Name: Practitioner/Supplier ID
[Shared] Type: alphanumeric
[Shared] Length: 11
[Shared] Name: Practitioner/Supplier ID
[Shared] Type: alphanumeric
[Shared] Length: 11
3
[Shared] Name: Practitioner/Supplier Federal Tax ID
[Shared] Type: alphanumeric
[Shared] Length: 9
[Shared] Name: Practitioner/Supplier Federal Tax ID
[Shared] Type: alphanumeric
[Shared] Length: 9
[Shared] Name: Practitioner/Supplier Federal Tax ID
[Shared] Type: alphanumeric
[Shared] Length: 9
4
[Shared] Name: Practitioner/Supplier Last Name or Multi-practitioner Health Care Organization
[Shared] Type: alphanumeric
[Shared] Length: 31
[Shared] Name: Practitioner/Supplier Last Name or Multi-practitioner Health Care Organization
[Shared] Type: alphanumeric
[Shared] Length: 31
[Shared] Name: Practitioner/Supplier Last Name or Multi-practitioner Health Care Organization
[Shared] Type: alphanumeric
[Shared] Length: 31
5
[Shared] Name: Practitioner/Supplier First Name
[Shared] Type: alphanumeric
[Shared] Length: 19
[Shared] Name: Practitioner/Supplier First Name
[Shared] Type: alphanumeric
[Shared] Length: 19
[Shared] Name: Practitioner/Supplier First Name
[Shared] Type: alphanumeric
[Shared] Length: 19
6
[Shared] Name: Practitioner Middle Initial
[Shared] Type: alphanumeric
[Shared] Length: 1
[Shared] Name: Practitioner Middle Initial
[Shared] Type: alphanumeric
[Shared] Length: 1
[Shared] Name: Practitioner Middle Initial
[Shared] Type: alphanumeric
[Shared] Length: 1
7
[Shared] Name: Practitioner Name Suffix
[Shared] Type: alphanumeric
[Shared] Length: 4
[Shared] Name: Practitioner Name Suffix
[Shared] Type: alphanumeric
[Shared] Length: 4
[Shared] Name: Practitioner Name Suffix
[Shared] Type: alphanumeric
[Shared] Length: 4
8
[Shared] Name: Practitioner Credential
[Shared] Type: alphanumeric
[Shared] Length: 5
[Shared] Name: Practitioner Credential
[Shared] Type: alphanumeric
[Shared] Length: 5
[Shared] Name: Practitioner Credential
[Shared] Type: alphanumeric
[Shared] Length: 5
9
[Shared] Name: Practitioner/Supplier Specialty - 1
[Shared] Type: alphanumeric
[Unshared] Length: 3
Codes:
001
General Practice
002
General Surgery
003
Allergy & Immunology
004
Anesthesiology
005
Cardiology
006
Dermatology
007
Emergency Medicine
008
Endocrinology Medicine
009
Family Practice
010
Gastroenterology
011
Geriatrics
012
Hand Surgery
013
Hematology
014
Internal Medicine
015
Infectious Disease
016
Nephrology
017
Neurology
018
Nuclear Medicine
019
Oncology
020
Ophthalmology
021
Orthopedic Surgery
022
Osteopathy (includes manipulations)
023
Otology, Laryngology, Rhinology, Otolaryngology
024
Pathology
025
Pediatrics
026
Peripheral Vascular Disease or Surgery
027
Plastic Surgery
028
Physical Medicine and Rehabilitation
029
Proctology
030
Psychiatry
031
Pulmonary Disease
032
Radiology
033
Rheumatology
034
Surgical Specialty Not Listed Here
035
Thoracic Surgery
036
Urology
037
Other Spec Not Listed (public health, industrial medicine)
038
Phys w/o Spec Identified & Spec Not Listed
039
Obstetrics/Gynecology
040
Acupuncturist
041
Alcohol/Drug Detox Services
042
Ambulance Services
043
Audiologist/Speech Pathologist
044
Chiropractor
045
Freestanding Clinic - Not a Government Agency
046
Day Care Facility: Medical, Mental Health
047
Dietitian/Licensed Nutritionist
048
Home Health Provider
049
Advanced Practice Nurse: Anesthetist
050
Advanced Practice Nurse: Midwife
051
Advanced Practice Nurse: Nurse Practitioner
052
Advanced Practice Nurse: Psychotherapist
053
Nurse - Other Than Advanced Practice
054
Occupational Therapist
055
Optometrist
056
Podiatrist
057
Physical Therapist
058
Psychologist
059
Clinical Social Worker
060
Public Health or Welfare Agency (federal, state, and local government)
061
Voluntary Health Agency
062
Other Specialty Not Listed Above
063
Respiratory Therapist
064
Physician Assistant
070
General Dentist
071
Endodontist
072
Orthodontist
073
Oral Surgeon
074
Pedodontist
075
Periodontist
076
Prosthodontist
080
Freestanding Pharmacy (includes grocery)
081
Mail Order Pharmacy
082
Independent Laboratory
083
Independent Medical Supply Company
084
Optician/Optometrist (for lenses & eye glasses)
085
All Other Supplies
090
Freestanding Medical Facility
091
Freestanding Surgical Facility
092
Freestanding Imaging Center
093
Other facility
100
Neonatology
101
Multi-Specialty Medical Practice
102
Mental Health Clinic
[Shared] Name: Practitioner/Supplier Specialty - 1
[Shared] Type: alphanumeric
[Unshared] Length: 3
Codes:
001
General Practice
002
General Surgery
003
Allergy & Immunology
004
Anesthesiology
005
Cardiology
006
Dermatology
007
Emergency Medicine
008
Endocrinology Medicine
009
Family Practice
010
Gastroenterology
011
Geriatrics
012
Hand Surgery
013
Hematology
014
Internal Medicine
015
Infectious Disease
016
Nephrology
017
Neurology
018
Nuclear Medicine
019
Oncology
020
Ophthalmology
021
Orthopedic Surgery
022
Osteopathy (includes manipulations)
023
Otology, Laryngology, Rhinology, Otolaryngology
024
Pathology
025
Pediatrics
026
Peripheral Vascular Disease or Surgery
027
Plastic Surgery
028
Physical Medicine and Rehabilitation
029
Proctology
030
Psychiatry
031
Pulmonary Disease
032
Radiology
033
Rheumatology
034
Surgical Specialty Not Listed Here
035
Thoracic Surgery
036
Urology
037
Other Spec Not Listed (public health, industrial medicine)
038
Phys w/o Spec Identified & Spec Not Listed
039
Obstetrics/Gynecology
040
Acupuncturist
041
Alcohol/Drug Detox Services
042
Ambulance Services
043
Audiologist/Speech Pathologist
044
Chiropractor
045
Freestanding Clinic - Not a Government Agency
046
Day Care Facility: Medical, Mental Health
047
Dietitian/Licensed Nutritionist
048
Home Health Provider
049
Advanced Practice Nurse: Anesthetist
050
Advanced Practice Nurse: Midwife
051
Advanced Practice Nurse: Nurse Practitioner
052
Advanced Practice Nurse: Psychotherapist
053
Nurse - Other Than Advanced Practice
054
Occupational Therapist
055
Optometrist
056
Podiatrist
057
Physical Therapist
058
Psychologist
059
Clinical Social Worker
060
Public Health or Welfare Agency (federal, state, and local government)
061
Voluntary Health Agency
062
Other Specialty Not Listed Above
063
Respiratory Therapist
064
Physician Assistant
070
General Dentist
071
Endodontist
072
Orthodontist
073
Oral Surgeon
074
Pedodontist
075
Periodontist
076
Prosthodontist
080
Freestanding Pharmacy (includes grocery)
081
Mail Order Pharmacy
082
Independent Laboratory
083
Independent Medical Supply Company
084
Optician/Optometrist (for lenses & eye glasses)
085
All Other Supplies
090
Freestanding Medical Facility
091
Freestanding Surgical Facility
092
Freestanding Imaging Center
093
Other facility
100
Neonatology
101
Multi-Specialty Medical Practice
102
Mental Health Clinic
[Shared] Name: Practitioner/Supplier Specialty - 1
[Shared] Type: alphanumeric
[Unshared] Length: 10
Codes:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
10
[Shared] Name: Practitioner/Supplier Specialty - 2
[Shared] Type: alphanumeric
[Unshared] Length: 3
Codes:
001
General Practice
002
General Surgery
003
Allergy & Immunology
004
Anesthesiology
005
Cardiology
006
Dermatology
007
Emergency Medicine
008
Endocrinology Medicine
009
Family Practice
010
Gastroenterology
011
Geriatrics
012
Hand Surgery
013
Hematology
014
Internal Medicine
015
Infectious Disease
016
Nephrology
017
Neurology
018
Nuclear Medicine
019
Oncology
020
Ophthalmology
021
Orthopedic Surgery
022
Osteopathy (includes manipulations)
023
Otology, Laryngology, Rhinology, Otolaryngology
024
Pathology
025
Pediatrics
026
Peripheral Vascular Disease or Surgery
027
Plastic Surgery
028
Physical Medicine and Rehabilitation
029
Proctology
030
Psychiatry
031
Pulmonary Disease
032
Radiology
033
Rheumatology
034
Surgical Specialty Not Listed Here
035
Thoracic Surgery
036
Urology
037
Other Spec Not Listed (public health, industrial medicine)
038
Phys w/o Spec Identified & Spec Not Listed
039
Obstetrics/Gynecology
040
Acupuncturist
041
Alcohol/Drug Detox Services
042
Ambulance Services
043
Audiologist/Speech Pathologist
044
Chiropractor
045
Freestanding Clinic - Not a Government Agency
046
Day Care Facility: Medical, Mental Health
047
Dietitian/Licensed Nutritionist
048
Home Health Provider
049
Advanced Practice Nurse: Anesthetist
050
Advanced Practice Nurse: Midwife
051
Advanced Practice Nurse: Nurse Practitioner
052
Advanced Practice Nurse: Psychotherapist
053
Nurse - Other Than Advanced Practice
054
Occupational Therapist
055
Optometrist
056
Podiatrist
057
Physical Therapist
058
Psychologist
059
Clinical Social Worker
060
Public Health or Welfare Agency (federal, state, and local government)
061
Voluntary Health Agency
062
Other Specialty Not Listed Above
063
Respiratory Therapist
064
Physician Assistant
070
General Dentist
071
Endodontist
072
Orthodontist
073
Oral Surgeon
074
Pedodontist
075
Periodontist
076
Prosthodontist
080
Freestanding Pharmacy (includes grocery)
081
Mail Order Pharmacy
082
Independent Laboratory
083
Independent Medical Supply Company
084
Optician/Optometrist (for lenses & eye glasses)
085
All Other Supplies
090
Freestanding Medical Facility
091
Freestanding Surgical Facility
092
Freestanding Imaging Center
093
Other facility
100
Neonatology
101
Multi-Specialty Medical Practice
102
Mental Health Clinic
[Shared] Name: Practitioner/Supplier Specialty - 2
[Shared] Type: alphanumeric
[Unshared] Length: 3
Codes:
001
General Practice
002
General Surgery
003
Allergy & Immunology
004
Anesthesiology
005
Cardiology
006
Dermatology
007
Emergency Medicine
008
Endocrinology Medicine
009
Family Practice
010
Gastroenterology
011
Geriatrics
012
Hand Surgery
013
Hematology
014
Internal Medicine
015
Infectious Disease
016
Nephrology
017
Neurology
018
Nuclear Medicine
019
Oncology
020
Ophthalmology
021
Orthopedic Surgery
022
Osteopathy (includes manipulations)
023
Otology, Laryngology, Rhinology, Otolaryngology
024
Pathology
025
Pediatrics
026
Peripheral Vascular Disease or Surgery
027
Plastic Surgery
028
Physical Medicine and Rehabilitation
029
Proctology
030
Psychiatry
031
Pulmonary Disease
032
Radiology
033
Rheumatology
034
Surgical Specialty Not Listed Here
035
Thoracic Surgery
036
Urology
037
Other Spec Not Listed (public health, industrial medicine)
038
Phys w/o Spec Identified & Spec Not Listed
039
Obstetrics/Gynecology
040
Acupuncturist
041
Alcohol/Drug Detox Services
042
Ambulance Services
043
Audiologist/Speech Pathologist
044
Chiropractor
045
Freestanding Clinic - Not a Government Agency
046
Day Care Facility: Medical, Mental Health
047
Dietitian/Licensed Nutritionist
048
Home Health Provider
049
Advanced Practice Nurse: Anesthetist
050
Advanced Practice Nurse: Midwife
051
Advanced Practice Nurse: Nurse Practitioner
052
Advanced Practice Nurse: Psychotherapist
053
Nurse - Other Than Advanced Practice
054
Occupational Therapist
055
Optometrist
056
Podiatrist
057
Physical Therapist
058
Psychologist
059
Clinical Social Worker
060
Public Health or Welfare Agency (federal, state, and local government)
061
Voluntary Health Agency
062
Other Specialty Not Listed Above
063
Respiratory Therapist
064
Physician Assistant
070
General Dentist
071
Endodontist
072
Orthodontist
073
Oral Surgeon
074
Pedodontist
075
Periodontist
076
Prosthodontist
080
Freestanding Pharmacy (includes grocery)
081
Mail Order Pharmacy
082
Independent Laboratory
083
Independent Medical Supply Company
084
Optician/Optometrist (for lenses & eye glasses)
085
All Other Supplies
090
Freestanding Medical Facility
091
Freestanding Surgical Facility
092
Freestanding Imaging Center
093
Other facility
100
Neonatology
101
Multi-Specialty Medical Practice
102
Mental Health Clinic
[Shared] Name: Practitioner/Supplier Specialty - 2
[Shared] Type: alphanumeric
[Unshared] Length: 10
Codes:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
11
[Shared] Name: Practitioner/Supplier Specialty - 3
[Shared] Type: alphanumeric
[Unshared] Length: 3
Codes:
001
General Practice
002
General Surgery
003
Allergy & Immunology
004
Anesthesiology
005
Cardiology
006
Dermatology
007
Emergency Medicine
008
Endocrinology Medicine
009
Family Practice
010
Gastroenterology
011
Geriatrics
012
Hand Surgery
013
Hematology
014
Internal Medicine
015
Infectious Disease
016
Nephrology
017
Neurology
018
Nuclear Medicine
019
Oncology
020
Ophthalmology
021
Orthopedic Surgery
022
Osteopathy (includes manipulations)
023
Otology, Laryngology, Rhinology, Otolaryngology
024
Pathology
025
Pediatrics
026
Peripheral Vascular Disease or Surgery
027
Plastic Surgery
028
Physical Medicine and Rehabilitation
029
Proctology
030
Psychiatry
031
Pulmonary Disease
032
Radiology
033
Rheumatology
034
Surgical Specialty Not Listed Here
035
Thoracic Surgery
036
Urology
037
Other Spec Not Listed (public health, industrial medicine)
038
Phys w/o Spec Identified & Spec Not Listed
039
Obstetrics/Gynecology
040
Acupuncturist
041
Alcohol/Drug Detox Services
042
Ambulance Services
043
Audiologist/Speech Pathologist
044
Chiropractor
045
Freestanding Clinic - Not a Government Agency
046
Day Care Facility: Medical, Mental Health
047
Dietitian/Licensed Nutritionist
048
Home Health Provider
049
Advanced Practice Nurse: Anesthetist
050
Advanced Practice Nurse: Midwife
051
Advanced Practice Nurse: Nurse Practitioner
052
Advanced Practice Nurse: Psychotherapist
053
Nurse - Other Than Advanced Practice
054
Occupational Therapist
055
Optometrist
056
Podiatrist
057
Physical Therapist
058
Psychologist
059
Clinical Social Worker
060
Public Health or Welfare Agency (federal, state, and local government)
061
Voluntary Health Agency
062
Other Specialty Not Listed Above
063
Respiratory Therapist
064
Physician Assistant
070
General Dentist
071
Endodontist
072
Orthodontist
073
Oral Surgeon
074
Pedodontist
075
Periodontist
076
Prosthodontist
080
Freestanding Pharmacy (includes grocery)
081
Mail Order Pharmacy
082
Independent Laboratory
083
Independent Medical Supply Company
084
Optician/Optometrist (for lenses & eye glasses)
085
All Other Supplies
090
Freestanding Medical Facility
091
Freestanding Surgical Facility
092
Freestanding Imaging Center
093
Other facility
100
Neonatology
101
Multi-Specialty Medical Practice
102
Mental Health Clinic
[Shared] Name: Practitioner/Supplier Specialty - 3
[Shared] Type: alphanumeric
[Unshared] Length: 3
Codes:
001
General Practice
002
General Surgery
003
Allergy & Immunology
004
Anesthesiology
005
Cardiology
006
Dermatology
007
Emergency Medicine
008
Endocrinology Medicine
009
Family Practice
010
Gastroenterology
011
Geriatrics
012
Hand Surgery
013
Hematology
014
Internal Medicine
015
Infectious Disease
016
Nephrology
017
Neurology
018
Nuclear Medicine
019
Oncology
020
Ophthalmology
021
Orthopedic Surgery
022
Osteopathy (includes manipulations)
023
Otology, Laryngology, Rhinology, Otolaryngology
024
Pathology
025
Pediatrics
026
Peripheral Vascular Disease or Surgery
027
Plastic Surgery
028
Physical Medicine and Rehabilitation
029
Proctology
030
Psychiatry
031
Pulmonary Disease
032
Radiology
033
Rheumatology
034
Surgical Specialty Not Listed Here
035
Thoracic Surgery
036
Urology
037
Other Spec Not Listed (public health, industrial medicine)
038
Phys w/o Spec Identified & Spec Not Listed
039
Obstetrics/Gynecology
040
Acupuncturist
041
Alcohol/Drug Detox Services
042
Ambulance Services
043
Audiologist/Speech Pathologist
044
Chiropractor
045
Freestanding Clinic - Not a Government Agency
046
Day Care Facility: Medical, Mental Health
047
Dietitian/Licensed Nutritionist
048
Home Health Provider
049
Advanced Practice Nurse: Anesthetist
050
Advanced Practice Nurse: Midwife
051
Advanced Practice Nurse: Nurse Practitioner
052
Advanced Practice Nurse: Psychotherapist
053
Nurse - Other Than Advanced Practice
054
Occupational Therapist
055
Optometrist
056
Podiatrist
057
Physical Therapist
058
Psychologist
059
Clinical Social Worker
060
Public Health or Welfare Agency (federal, state, and local government)
061
Voluntary Health Agency
062
Other Specialty Not Listed Above
063
Respiratory Therapist
064
Physician Assistant
070
General Dentist
071
Endodontist
072
Orthodontist
073
Oral Surgeon
074
Pedodontist
075
Periodontist
076
Prosthodontist
080
Freestanding Pharmacy (includes grocery)
081
Mail Order Pharmacy
082
Independent Laboratory
083
Independent Medical Supply Company
084
Optician/Optometrist (for lenses & eye glasses)
085
All Other Supplies
090
Freestanding Medical Facility
091
Freestanding Surgical Facility
092
Freestanding Imaging Center
093
Other facility
100
Neonatology
101
Multi-Specialty Medical Practice
102
Mental Health Clinic
[Shared] Name: Practitioner/Supplier Specialty - 3
[Shared] Type: alphanumeric
[Unshared] Length: 10
Codes:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
12
[Shared] Name: Practitioner DEA #
[Shared] Type: alphanumeric
[Shared] Length: 11
[Shared] Name: Practitioner DEA #
[Shared] Type: alphanumeric
[Shared] Length: 11
[Shared] Name: Practitioner DEA #
[Shared] Type: alphanumeric
[Shared] Length: 11
13
[Shared] Name: Indicator for Multi-Practitioner Health Care Organization
[Shared] Type: alphanumeric
[Shared] Length: 1
Codes:
0
Solo Practitioner
1
Multiple Practitioners
[Shared] Name: Indicator for Multi-Practitioner Health Care Organization
[Shared] Type: alphanumeric
[Shared] Length: 1
Codes:
0
Solo Practitioner
1
Multiple Practitioners
[Shared] Name: Indicator for Multi-Practitioner Health Care Organization
[Shared] Type: alphanumeric
[Shared] Length: 1
Codes:
0
Solo Practitioner
1
Multiple Practitioners
14
[Shared] Name: Practitioner Individual National Provider Identifier (NPI) number
[Shared] Type: alphanumeric
[Shared] Length: 10
[Shared] Name: Practitioner Individual National Provider Identifier (NPI) number
[Shared] Type: alphanumeric
[Shared] Length: 10
[Shared] Name: Practitioner Individual National Provider Identifier (NPI) number
[Shared] Type: alphanumeric
[Shared] Length: 10
15
[Shared] Name: Practitioner Organizational National Provider Identifier (NPI) number
[Shared] Type: alphanumeric
[Shared] Length: 10
[Shared] Name: Practitioner Organizational National Provider Identifier (NPI) number
[Shared] Type: alphanumeric
[Shared] Length: 10
[Shared] Name: Practitioner Organizational National Provider Identifier (NPI) number
[Shared] Type: alphanumeric
[Shared] Length: 10
16
[Unshared] Name: Payer ID Number
[Shared] Type: alphanumeric
[Shared] Length: 4
Codes:
P020
Aetna Life Insurance Co.
P030
Aetna Health, Inc.
P070
American Republic Insurance Co.
P130
CareFirst BlueChoice, Inc.
P131
CareFirst of Maryland, Inc.
P132
Group Hospitalization & Medical Services, Inc. (GHMSI)
P160
CIGNA Healthcare Mid-Atlantic, Inc.
P180
Connecticut General Life Ins. Co.
P220
Corporate Health Insurance Co.
P280
Assurant Health/Time Insurance Co.
P320
Golden Rule Insurance Co.
P480
Kaiser Permanente Mid-Atlantic States
P500
MAMSI Life and Health Ins. Co.
P520
MD-Individual Practice Association, Inc.
P530
MEGA Life & Health Insurance Co.
P620
Optimum Choice, Inc.
P680
Coventry Healthcare of Delaware, Inc.
P760
State Farm Mutual Automobile Ins. Co.
P820
United Healthcare Insurance Co.
P870
United Healthcare of the Mid-Atlantic, Inc.
[Unshared] Name: Payor ID Number
[Shared] Type: alphanumeric
[Shared] Length: 4
Codes:
P020
Aetna Life Insurance Co.
P030
Aetna Health, Inc.
 
 
P130
CareFirst BlueChoice, Inc.
P131
CareFirst of Maryland, Inc.
P132
Group Hospitalization & Medical Services, Inc. (GHMSI)
P160
Cigna Health and Life Insurance Co., Inc.
P180
Connecticut General Life Insurance Co.
P220
Corporate Health Insurance Co.
P280
Assurant Health/Time Insurance Co.
P320
Golden Rule Insurance Co.
P480
Kaiser Permanente Mid-Atlantic States
P500
MAMSI Life and Health Insurance Co.
P520
MD-Individual Practice Association, Inc.
P530
MEGA Life and Health Insurance Co.
P620
Optimum Choice, Inc.
P680
Coventry Healthcare of Delaware, Inc.
P760
State Farm Mutual Automobile Insurance Co.
P820
United Healthcare Insurance Co.
P870
United Healthcare of the Mid-Atlantic, Inc.
[Unshared] Name: Payor ID Number
[Shared] Type: alphanumeric
[Shared] Length: 4
Codes:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
17
[Shared] Name: Source System
[Shared] Type: alphanumeric
[Shared] Length: 1
[Shared] Name: Source System
[Shared] Type: alphanumeric
[Shared] Length: 1
[Shared] Name: Source System
[Shared] Type: alphanumeric
[Shared] Length: 1
18
Data Element: 18
not present in this file submission.
Data Element: 18
not present in this file submission.
[Unshared] Name: Reporting Quarter
[Unshared] Type: numeric
[Unshared] Length: 1
Codes:
1
First Quarter = January 1 thru March 31
2
Second Quarter = April 1 thru June 30
3
Third Quarter = July 1 thru September 30
4
Fourth Quarter = October 1 thru December 31
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