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Accepting New Patients

PV049, Massachusetts

Versions: December 1, 2010 - v2.1 • June 7, 2013 - v3.1• October 1, 2014 - v4.0Compare Versions


Name:Accepting New Patients
Data Element ID:PV049
Description:Indicator - New Patients Accepted
State:Massachusetts
Data Type:Lookup Table - Integer
Data Type Description:tlkpFlagIndicators
Format:int[1]
Length:1
Column:49
Threshold:1
File:PV
Element Submission Guideline:Report the value that defines the element. EXAMPLE: 1 = Yes, provider or provider group is accepting new patients as of the day the file was created for this submission.
Condition:Required when PV034 = 1, 2, or 3
Cat:A2
Permissible Values: Accepting New Patients uses the following permissible values:
Code / Value Meaning
1 Yes
2 No
3 Unknown
4 Other
5 Not Applicable
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File Specification for Multiple versionsProvider File Submission - October 1, 2014 - v4.0

Data Element ID Data Element Description Type Format Length
Multiple versionsHD001 Record Type Header Record Identifier Text char[2] 2
Multiple versionsHD002 Submitter Header Submitter / Carrier ID defined by CHIA Integer varchar[6] 6
Multiple versionsHD003 National Plan ID Header CMS National Plan Identification Number (PlanID) Integer int[10] 10
Multiple versionsHD004 Type of File Defines the file type and data expected. Text char[2] 2
Multiple versionsHD005 Period Beginning Date Header Period Start Date Date Period - Integer int[6] CCYYMM 6
Multiple versionsHD006 Period Ending Date Header Period Ending Date Date Period - Integer int[6] CCYYMM 6
Multiple versionsHD007 Record Count Header Record Count Integer varchar[10] 10
Multiple versionsHD008 Comments Header Carrier Comments Text varchar[80] 80
Multiple versionsHD009 APCD Version Number Submission Guide Version Decimal - Numeric char[3] 3
Multiple versionsPV001 Submitter CHIA defined and maintained unique identifier Integer varchar[6] 6
Multiple versionsPV002 Plan Provider ID Carrier Unique Provider Code Text varchar[30] 30
Multiple versionsPV003 Tax Id Federal Tax ID of non-individual Provider Numeric char[9] 9
Multiple versionsPV004 UPIN Id Unique Physician ID Text char[6] 6
Multiple versionsPV005 DEA ID Provider DEA Text char[9] 9
Multiple versionsPV006 License Id State practice license ID Text varchar[25] 25
Multiple versionsPV007 Medicaid Id MassHealth-assigned Provider ID Text varchar[25] 25
Multiple versionsPV008 Last Name Last name of the Provider in PV002 Text varchar[50] 50
Multiple versionsPV009 First Name First name of the Provider in PV002 Text varchar[50] 50
Multiple versionsPV010 Middle Initial Middle initial of the Provider in PV002 Text char[1] 1
Multiple versionsPV011 Suffix Suffix of the Provider in PV002 Lookup Table - Integer int[1] 1
Multiple versionsPV012 Entity Name Group / Facility name Text varchar[100] 100
Multiple versionsPV013 Entity Code Provider entity code Lookup Table - Text char[2] 2
Multiple versionsPV014 Gender Code Gender of Provider identified in PV002 Lookup Table - Text char[1] 1
Multiple versionsPV015 DOB Date Provider's date of birth Full Date - Integer int[8] CCYYMMDD 8
Multiple versionsPV016 Provider Street Address 1 Street address of the Provider Text varchar[50] 50
Multiple versionsPV017 Provider Street Address 2 Street Address 2 of the Provider Text varchar[50] 50
Multiple versionsPV018 City Name City of the Provider Text varchar[35] 35
Multiple versionsPV019 State Code State of the Provider External Code Source 2 - Text char[2] 2
Multiple versionsPV020 Country Code Country Code of the Provider External Code Source 1 - Text char[3] 3
Multiple versionsPV021 Zip Code Zip code of the Provider External Code Source 2 - Text varchar[9] 9
Multiple versionsPV022 Taxonomy Taxonomy Code External Code Source 5 - Text char[10] 10
Multiple versionsPV023 Mailing Street Address1 Name Street address of the Provider / Entity Text varchar[50] 50
Multiple versionsPV024 Mailing Street Address2 Name Secondary Street address of the Provider / Entity Text varchar[50] 50
Multiple versionsPV025 Mailing City Name City name of the Provider / Entity Text varchar[35] 35
Multiple versionsPV026 Mailing State Code State name of the Provider / Entity External Code Source 2 - Text char[2] 2
Multiple versionsPV027 Mailing Country Code Country name of the Provider / Entity External Code Source 1 - Text char[3] 3
Multiple versionsPV028 Mailing Zip Code Zip code of the Provider External Code Source 2 - Text varchar[9] 9
Multiple versionsPV029 Provider Type Code Provider Type Code Carrier Defined Table - Text varchar[10] 10
Multiple versionsPV030 Primary Specialty Code Specialty Code External Code Source 4 - Integer varchar [3] 3
Multiple versionsPV031 Provider Organization ID CHIA defined and maintained Org ID for Providers Integer varchar[6] 6
Multiple versionsPV032 Registered Provider Organization ID (RPO) Registered Provider Organization ID Text Char[30] 30
Multiple versionsPV033 Filler Filler Filler char[0] 0
Multiple versionsPV034 Provider ID Code Provider Identification Code Lookup Table - Integer int[1] 1
Multiple versionsPV035 SSN Id Provider's Social Security Number Numeric char[9] 9
Multiple versionsPV036 Medicare ID Provider's Medicare Number, other than UPIN Text varchar[30] 30
Multiple versionsPV037 Begin Date Provider Start Date Full Date - Integer int[8] CCYYMMDD 8
Multiple versionsPV038 End Date Provider End Date Full Date - Integer int[8] CCYYMMDD 8
Multiple versionsPV039 National Provider ID National Provider Identification (NPI) of the Provider External Code Source 3 - Integer int[10] 10
Multiple versionsPV040 National Provider ID 2 National Provider Identification (NPI) of the Provider External Code Source 3 - Integer int[10] 10
Multiple versionsPV041 GIC Provider Link ID GIC Provider Link ID for GIC Carriers only Text varchar[25] 25
Multiple versionsPV042 Proprietary Specialty Code Specialty Code Carrier Defined Table - Text varchar[10] 10
Multiple versionsPV043 Other Specialty Code 2 Specialty Code Carrier Defined Table - OR - External Code Source 4 - Integer - OR - Carrier Defined Table varchar[10] 10
Multiple versionsPV044 Other Specialty Code 3 Specialty Code Carrier Defined Table - OR - External Code Source 4 - Integer - OR - Carrier Defined Table varchar[10] 10
Multiple versionsPV045 Pay for Performance Flag Indicator - Provider Contract Payment Lookup Table - Integer int[1] 1
Multiple versionsPV046 NonClaims Flag Indicator - Provider Contract Payment Lookup Table - Integer int[1] 1
Multiple versionsPV047 Filler Filler filler Char[1] 1
Multiple versionsPV048 Filler Filler Filler Char[40] 40
Multiple versionsPV049 Accepting New Patients Indicator - New Patients Accepted Lookup Table - Integer int[1] 1
Multiple versionsPV050 Filler Indicator - eVisit Option Filler char[1] 1
Multiple versionsPV051 Filler Filler Filler char[0] 0
Multiple versionsPV052 Has multiple offices Indicator - Multiple Office Provider Lookup Table - Integer int[1] 1
Multiple versionsPV053 Filler Filler Text char[0] 0
Multiple versionsPV054 Medical / Healthcare Home ID Medical Home Identification Number Text varchar[15] 15
Multiple versionsPV055 PCP Flag Indicator - Provider is a PCP Lookup Table - Integer int[1] 1
Multiple versionsPV056 Provider Affiliation Provider Affiliation Code Text varchar[30] 30
Multiple versionsPV057 Provider Telephone Telephone number associated with the provider identified in PV002 Numeric varchar[10] 10
Multiple versionsPV058 Delegated Provider Record Flag Indicator - Delegated Record Lookup Table - Integer int[1] 1
Multiple versionsPV059 Filler Filler Filler char[0] 0
Multiple versionsPV060 Office Type Office Type Code Lookup Table - Integer int[1] 1
Multiple versionsPV061 Prescribing Provider Indicator - Prescribing Authority Lookup Table - Integer int[1] 1
Multiple versionsPV062 Provider Affiliation Start Date Provider Start Date Full Date - Integer int[8] CCYYMMDD 8
Multiple versionsPV063 Provider Affiliation End Date Provider End Date Full Date - Integer int[8] CCYYMMDD 8
Multiple versionsPV064 PPO Indicator Indicator - Provider PPO Contract Lookup Table - Integer int[1] 1
Multiple versionsPV065 Disbursement Code MassHealth Disbursement Method Code Lookup Table - Integer int[1] 1
Multiple versionsPV066 Filler Filler Filler char[0] 0
Multiple versionsPV067 Filler Filler Filler char[0] 0
Multiple versionsPV068 Filler Filler Filler char[0] 0
Multiple versionsPV069 Filler Filler Filler char[0] 0
Multiple versionsPV070 Filler Filler Filler char[0] 0
Multiple versionsPV899 Record Type File Type Identifier Text char[2] 2
Multiple versionsTR001 Record Type Trailer Record Identifier Text char[2] 2
Multiple versionsTR002 Submitter Trailer Submitter / Carrier ID defined by CHIA Integer varchar[6] 6
Multiple versionsTR003 National Plan ID CMS National Plan Identification Number (PlanID) Integer int[10] 10
Multiple versionsTR004 Type of File Validates the file type defined in HD004. Text char[2] 2
Multiple versionsTR005 Period Beginning Date Trailer Period Start Date Date Period - Integer int[6] CCYYMM 6
Multiple versionsTR006 Period Ending Date Trailer Period Ending Date Date Period - Integer int[6] CCYYMM 6
Multiple versionsTR007 Date Processed Trailer Processed Date Full Date - Integer int[8] CCYYMMDD 8

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