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Medical Providers File Submission

Maine

Versions: 2010-03-16• v1.2Compare Versions


Name:Medical Providers File Submission
State:Maine
Definition:Not Provided
Versionv1.2

File Specification for Medical Providers File Submission

Data Element ID Data Element Description Type Format Length
Multiple versionsMPM901 Data Processing Center Provider Code This field contains the unique provider identifier that crosses all payers. This field is the link to the Medical Service Providers file (MCSP014). NUMBER 12
Multiple versionsMPM902 Service Provider Tax ID Number This field should contain the provider's tax identification number. For an individual this code is often the social security number. This field is derived from MC026 in the medical claims data. CHAR 10
Multiple versionsMPM903 Service Provider Facility Name This field contains the first name of the practitioner. If the provider is a facility, this field will be blank. This field is derived from MC030 in the medical claims data and from Medical Service Providers file (MCSP008). CHAR 60
Multiple versionsMPM904 Service Provider Facility Code For Maine hospitals, this field contains the tax id of the facility. All Maine hospital tax identification numbers begin with 2000xx. This is the identification number released in the MHDO Outpatient data. The MHDO Inpatient data reports the last two digits. CHAR 10
Multiple versionsMPM905 Service Provider First Name This field contains the first name of the practitioner. If the provider is a facility, this field will be blank. This field is derived from MC028 in the medical claims data and from Medical Service Providers file (MCSP006). CHAR 25
Multiple versionsMPM906 Service Provider Middle Name This field contains the practitioner's middle name or initial. This field is derived from MC029 in the medical claims data and from Medical Service Providers file (MCSP007). CHAR 25
Multiple versionsMPM907 Service Provider Last Name This field contains the full name of provider organization or last name of individual provider. This field is derived from MC030 in the medical claims data and from Medical Service Providers file (MCSP008). CHAR 60
Multiple versionsMPM908 Service Provider Suffix This field contains the generational suffix for the individual. This field is derived from MC031 in the medical claims data and from Medical Service Providers file (MCSP009). CHAR 10
Multiple versionsMPM909 Service Provider Title Not Provided CHAR 10
Multiple versionsMPM910 Service Provider State or Province This is the two character abbreviation for city as defined by the US Postal Service. This field is derived from MC034 in the medical claims data and from Medical Service Providers MCSP012. CHAR 2
Multiple versionsMPM911 Taxonomy Code This field is used to standardize the specialty coding of provider records. It is based upon the service provider specialty code (MC032) and the linkage activity. A single DPCID will have only one national TAXONOMY code. CHAR 10
Multiple versionsMPM912 Unique Physician Identifier This field contains the UPIN code used by CMS CHAR 20
Multiple versionsMPM913 National Provider Identifier Not Provided CHAR 20
Multiple versionsMPM914 Prescribing Physician This field contains the prescribing physician's DEA (Drug Enforcement Authority) registration number. This field is derived from PC047. CHAR 9

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