United States Health Information Knowledgebase

 

File Submission Comparison

Selected Items
Item Name Version State Type Organization
Provider File Submission February 2014 - v1.1 Rhode Island File Specification Rhode Island Department of Health (RIDoH)
Provider File Submission June 2014 - v1.3 Rhode Island File Specification Rhode Island Department of Health (RIDoH)

Identifying Attributes

File Specification: Provider File Submission - February 2014 - v1.1 (Rhode Island) Provider File Submission - June 2014 - v1.3 (Rhode Island)
[Shared] Responsible Organization:
Rhode Island Department of Health Rhode Island Department of Health
[Shared] Definition:
Not provided Not provided

Data Elements & Codes

File Specification: Provider File Submission - February 2014 - v1.1 (Rhode Island) Provider File Submission - June 2014 - v1.3 (Rhode Island)
HD001
[Shared] Name: Record Type
[Shared] Type: Text
[Shared] Length: 2
Codes:
HD
header record
[Shared] Name: Record Type
[Shared] Type: Text
[Shared] Length: 2
Codes:
HD
header record
HD002
[Shared] Name: Submitter Code
[Shared] Type: Text
[Shared] Length: 8
[Shared] Name: Submitter Code
[Shared] Type: Text
[Shared] Length: 8
HD003
[Shared] Name: Placeholder
[Shared] Type: Text
[Shared] Length: 30
Codes:
Null
 
[Shared] Name: Placeholder
[Shared] Type: Text
[Shared] Length: 30
Codes:
Null
 
HD004
[Shared] Name: Type of File
[Shared] Type: Text
[Shared] Length: 2
Codes:
PV
provider data
[Shared] Name: Type of File
[Shared] Type: Text
[Shared] Length: 2
Codes:
PV
provider data
HD005
[Shared] Name: Period Beginning Date
[Shared] Type: Integer
[Shared] Length: 6
[Shared] Name: Period Beginning Date
[Shared] Type: Integer
[Shared] Length: 6
HD006
[Shared] Name: Period Ending Date
[Shared] Type: Integer
[Shared] Length: 6
[Shared] Name: Period Ending Date
[Shared] Type: Integer
[Shared] Length: 6
HD007
[Shared] Name: Record Count
[Shared] Type: Integer
[Shared] Length: 10
[Shared] Name: Record Count
[Shared] Type: Integer
[Shared] Length: 10
HD008
[Shared] Name: Comments
[Shared] Type: Text
[Shared] Length: 80
[Shared] Name: Comments
[Shared] Type: Text
[Shared] Length: 80
PV001
[Shared] Name: Submitter Code
[Shared] Type: Text
[Shared] Length: 8
Codes:
RIC
Commercial carrier
RIG
Governmental agency
RIT
Third-party administrator
[Shared] Name: Submitter Code
[Shared] Type: Text
[Shared] Length: 8
Codes:
RIC
Commercial carrier
RIG
Governmental agency
RIT
Third-party administrator
PV002
[Shared] Name: National Plan ID
[Shared] Type: Text
[Shared] Length: 30
[Shared] Name: National Plan ID
[Shared] Type: Text
[Shared] Length: 30
PV003
[Shared] Name: Reporting Period Start Date
[Shared] Type: Date
[Shared] Length: 8
[Shared] Name: Reporting Period Start Date
[Shared] Type: Date
[Shared] Length: 8
PV004
[Shared] Name: Reporting Period End Date
[Shared] Type: Date
[Shared] Length: 8
[Shared] Name: Reporting Period End Date
[Shared] Type: Date
[Shared] Length: 8
PV005
[Shared] Name: Entity Type Qualifier
[Shared] Type: Text
[Shared] Length: 1
Codes:
0
Other: Any type of entity not otherwise defined that performs health care services
1
Person: Physician, clinician, orthodontist, and any individual that is licensed/certified to perform healthcare services
2
Facility: Hospital, health center, long-term care, rehabilitation, and any building that is licensed to transact healthcare services
3
Professional Group: Collection of licensed/certified healthcare professionals that are practicing healthcare services under the same entity name and Federal Tax Identification Number
4
Retail Site: Brick-and-mortar licensed/certified place of transaction that is not solely a healthcare entity (ie, pharmacies, independent laboratories, vision services)
5
E-Site: Internet-based order/logistic system of healthcare services, typically in the form of durable medical equipment, pharmacy, or vision services; address assigned should be the address of the company delivering services or order fulfillment
6
Financial Parent: Financial governing body that does not perform healthcare services itself but directs and finances healthcare service entities, usually through a board of directors
7
Transportation: Any form of transport that conveys a patient to/from a healthcare provider
[Shared] Name: Entity Type Qualifier
[Shared] Type: Text
[Shared] Length: 1
Codes:
0
Other: Any type of entity not otherwise defined that performs health care services
1
Person: Physician, clinician, orthodontist, and any individual that is licensed/certified to perform healthcare services
2
Facility: Hospital, health center, long-term care, rehabilitation, and any building that is licensed to transact healthcare services
3
Professional Group: Collection of licensed/certified healthcare professionals that are practicing healthcare services under the same entity name and Federal Tax Identification Number
4
Retail Site: Brick-and-mortar licensed/certified place of transaction that is not solely a healthcare entity (ie, pharmacies, independent laboratories, vision services)
5
E-Site: Internet-based order/logistic system of healthcare services, typically in the form of durable medical equipment, pharmacy, or vision services; address assigned should be the address of the company delivering services or order fulfillment
6
Financial Parent: Financial governing body that does not perform healthcare services itself but directs and finances healthcare service entities, usually through a board of directors
7
Transportation: Any form of transport that conveys a patient to/from a healthcare provider
PV006
[Shared] Name: Provider Plan ID
[Shared] Type: Text
[Shared] Length: 50
[Shared] Name: Provider Plan ID
[Shared] Type: Text
[Shared] Length: 50
PV007
[Shared] Name: Provider NPI
[Shared] Type: Text
[Shared] Length: 10
[Shared] Name: Provider NPI
[Shared] Type: Text
[Shared] Length: 10
PV008
[Shared] Name: Provider Tax ID
[Shared] Type: Text
[Shared] Length: 9
[Shared] Name: Provider Tax ID
[Shared] Type: Text
[Shared] Length: 9
PV010
[Shared] Name: Provider DEA Number
[Shared] Type: Text
[Shared] Length: 10
[Shared] Name: Provider DEA Number
[Shared] Type: Text
[Shared] Length: 10
PV011
[Shared] Name: Provider License ID
[Shared] Type: Text
[Shared] Length: 20
[Shared] Name: Provider License ID
[Shared] Type: Text
[Shared] Length: 20
PV013
[Shared] Name: Provider Taxonomy Code - 1
[Shared] Type: Text
[Shared] Length: 10
[Shared] Name: Provider Taxonomy Code - 1
[Shared] Type: Text
[Shared] Length: 10
PV014
[Shared] Name: Provider Taxonomy Code - 2
[Shared] Type: Text
[Shared] Length: 10
[Shared] Name: Provider Taxonomy Code - 2
[Shared] Type: Text
[Shared] Length: 10
PV015
[Shared] Name: Provider Last Name or Organization Name
[Shared] Type: Text
[Shared] Length: 100
[Shared] Name: Provider Last Name or Organization Name
[Shared] Type: Text
[Shared] Length: 100
PV016
[Shared] Name: Provider First Name
[Shared] Type: Text
[Shared] Length: 35
[Shared] Name: Provider First Name
[Shared] Type: Text
[Shared] Length: 35
PV017
[Shared] Name: Provider Middle Initial
[Shared] Type: Text
[Shared] Length: 1
[Shared] Name: Provider Middle Initial
[Shared] Type: Text
[Shared] Length: 1
PV018
[Shared] Name: Provider Suffix
[Shared] Type: Text
[Shared] Length: 10
[Shared] Name: Provider Suffix
[Shared] Type: Text
[Shared] Length: 10
PV019
[Shared] Name: Entity Name
[Shared] Type: Text
[Shared] Length: 100
[Shared] Name: Entity Name
[Shared] Type: Text
[Shared] Length: 100
PV020
[Shared] Name: Entity Code
[Shared] Type: Text
[Shared] Length: 2
Codes:
01
Academic Institution
02
Adult Foster Care
03
Ambulance Services
04
Hospital-Based Clinic
05
Stand-Alone, Walk-In/Urgent Care Clinic
06
Other Clinic
07
Community Health Center - General
08
Community Health Center - Urgent Care
09
Government Agency
10
Health Care Corporation
11
Home Health Agency
12
Acute Hospital
13
Chronic Hospital
14
Rehabilitation Hospital
15
Psychiatric Hospital
16
DPH Hospital
17
State Hospital
18
Veterans' Hospital
19
DMH Hospital
20
Sub-Acute Hospital
21
Licensed Hospital Satellite Emergency Facility
22
Hospital Emergency Center
23
Nursing Home
24
Freestanding Ambulatory Surgery Center
25
Hospital-Licensed Ambulatory Surgery Center
26
Non-Health Corporation
27
School-Based Health Center
28
Rest Home
29
Licensed Hospital Satellite Facility
30
Hospital-Licensed Health Center
31
Other Facility
40
Physician (PV005 = 1)
50
Physician Group (PV005 = 3)
60
Nurse (PV005 = 1)
70
Clinician (PV005 = 1)
80
Technician (PV005 = 1)
90
Pharmacy / Site or Mail Order (PV005 = 4 or 5)
99
Other Individual or Group (PV005 = 1 or 3)
[Shared] Name: Entity Code
[Shared] Type: Text
[Shared] Length: 2
Codes:
01
Academic Institution
02
Adult Foster Care
03
Ambulance Services
04
Hospital-Based Clinic
05
Stand-Alone, Walk-In/Urgent Care Clinic
06
Other Clinic
07
Community Health Center - General
08
Community Health Center - Urgent Care
09
Government Agency
10
Health Care Corporation
11
Home Health Agency
12
Acute Hospital
13
Chronic Hospital
14
Rehabilitation Hospital
15
Psychiatric Hospital
16
DPH Hospital
17
State Hospital
18
Veterans' Hospital
19
DMH Hospital
20
Sub-Acute Hospital
21
Licensed Hospital Satellite Emergency Facility
22
Hospital Emergency Center
23
Nursing Home
24
Freestanding Ambulatory Surgery Center
25
Hospital-Licensed Ambulatory Surgery Center
26
Non-Health Corporation
27
School-Based Health Center
28
Rest Home
29
Licensed Hospital Satellite Facility
30
Hospital-Licensed Health Center
31
Other Facility
40
Physician (PV005 = 1)
50
Physician Group (PV005 = 3)
60
Nurse (PV005 = 1)
70
Clinician (PV005 = 1)
80
Technician (PV005 = 1)
90
Pharmacy / Site or Mail Order (PV005 = 4 or 5)
99
Other Individual or Group (PV005 = 1 or 3)
PV021
[Shared] Name: Practice Affiliation Date (Start)
[Shared] Type: Date
[Shared] Length: 8
[Shared] Name: Practice Affiliation Date (Start)
[Shared] Type: Date
[Shared] Length: 8
PV022
[Shared] Name: Practice Affiliation Date (End)
[Shared] Type: Date
[Shared] Length: 8
[Shared] Name: Practice Affiliation Date (End)
[Shared] Type: Date
[Shared] Length: 8
PV023
[Shared] Name: Provider Gender
[Shared] Type: Text
[Shared] Length: 1
Codes:
F
Female
M
Male
U
Unknown
[Shared] Name: Provider Gender
[Shared] Type: Text
[Shared] Length: 1
Codes:
F
Female
M
Male
U
Unknown
PV024
[Shared] Name: Provider Date of Birth
[Shared] Type: Date
[Shared] Length: 8
[Shared] Name: Provider Date of Birth
[Shared] Type: Date
[Shared] Length: 8
PV025
[Shared] Name: Provider Physical Location - Street Address 1
[Shared] Type: Text
[Shared] Length: 55
[Shared] Name: Provider Physical Location - Street Address 1
[Shared] Type: Text
[Shared] Length: 55
PV026
[Shared] Name: Provider Physical Location - Street Address 2
[Shared] Type: Text
[Shared] Length: 55
[Shared] Name: Provider Physical Location - Street Address 2
[Shared] Type: Text
[Shared] Length: 55
PV027
[Shared] Name: Provider Physical Location - City
[Shared] Type: Text
[Shared] Length: 30
[Shared] Name: Provider Physical Location - City
[Shared] Type: Text
[Shared] Length: 30
PV028
[Shared] Name: Provider Physical Location - State or Province
[Shared] Type: Text
[Shared] Length: 2
[Shared] Name: Provider Physical Location - State or Province
[Shared] Type: Text
[Shared] Length: 2
PV029
[Shared] Name: Provider Physical Location - ZIP/Postal Code
[Shared] Type: Text
[Shared] Length: 9
[Shared] Name: Provider Physical Location - ZIP/Postal Code
[Shared] Type: Text
[Shared] Length: 9
PV030
[Shared] Name: Placeholder
[Shared] Type: N/A
[Shared] Length: N/A
[Shared] Name: Placeholder
[Shared] Type: N/A
[Shared] Length: N/A
PV031
[Shared] Name: Placeholder
[Shared] Type: N/A
[Shared] Length: N/A
[Shared] Name: Placeholder
[Shared] Type: N/A
[Shared] Length: N/A
PV032
[Shared] Name: Placeholder
[Shared] Type: N/A
[Shared] Length: N/A
[Shared] Name: Placeholder
[Shared] Type: N/A
[Shared] Length: N/A
PV033
[Shared] Name: Placeholder
[Shared] Type: N/A
[Shared] Length: N/A
[Shared] Name: Placeholder
[Shared] Type: N/A
[Shared] Length: N/A
PV034
[Shared] Name: Placeholder
[Shared] Type: N/A
[Shared] Length: N/A
[Shared] Name: Placeholder
[Shared] Type: N/A
[Shared] Length: N/A
PV899
[Shared] Name: Record Type
[Shared] Type: Text
[Shared] Length: 2
Codes:
PV
provider file record
[Shared] Name: Record Type
[Shared] Type: Text
[Shared] Length: 2
Codes:
PV
provider file record
TR001
[Shared] Name: Record Type
[Shared] Type: Text
[Shared] Length: 2
Codes:
TR
trailer record
[Shared] Name: Record Type
[Shared] Type: Text
[Shared] Length: 2
Codes:
TR
trailer record
TR002
[Shared] Name: Submitter Code
[Shared] Type: Text
[Shared] Length: 8
[Shared] Name: Submitter Code
[Shared] Type: Text
[Shared] Length: 8
TR003
[Shared] Name: Placeholder
[Shared] Type: Text
[Shared] Length: 30
Codes:
Null
 
[Shared] Name: Placeholder
[Shared] Type: Text
[Shared] Length: 30
Codes:
Null
 
TR004
[Shared] Name: Type of File
[Shared] Type: Text
[Shared] Length: 2
Codes:
PV
provider data
[Shared] Name: Type of File
[Shared] Type: Text
[Shared] Length: 2
Codes:
PV
provider data
TR005
[Shared] Name: Period Beginning Date
[Shared] Type: Integer
[Shared] Length: 6
[Shared] Name: Period Beginning Date
[Shared] Type: Integer
[Shared] Length: 6
TR006
[Shared] Name: Period Ending Date
[Shared] Type: Integer
[Shared] Length: 6
[Shared] Name: Period Ending Date
[Shared] Type: Integer
[Shared] Length: 6
TR007
[Shared] Name: Date Processed
[Shared] Type: Date
[Shared] Length: 8
[Shared] Name: Date Processed
[Shared] Type: Date
[Shared] Length: 8
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