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Pharmacy Service Providers File Submission

Maine

Versions: Pharmacy Service Providers File Submission• Pharmacy Service Providers File SubmissionCompare Versions


Name:Pharmacy Service Providers File Submission
State:Maine
Definition:Not Provided
Versionv1.1

File Specification for Pharmacy Service Providers File Submission

Data Element ID Data Element Description Type Format Length
Multiple versionsPCSP901 Payer This field contains the MHDO submitter code for the payer submitting payments. The first character of the submitter code indicates the type of submitter. This field is primarily used for tracking compliance by payer. It is derived from PC001 in the pharmacy claims data. CHAR 6
Multiple versionsPCSP902 Data Processing Center Code This field contains the unique pharmacy identifier that crosses all payers. This field is the link to the Pharmacy Master file (PM901). NUMBER 12
Multiple versionsPCSP903 Pharmacy Number This is the pharmacy number assigned by the payer. This field is derived from PC018 in the pharmacy claims data. CHAR 30
Multiple versionsPCSP904 Pharmacy Tax ID Number This field should contain the pharmacy''s tax identification number. This field is derived from PC019 in the pharmacy claims data. CHAR 10
Multiple versionsPCSP905 Pharmacy Name This field contains the name of the pharmacy filling the prescription. This field is derived from PC020 in the pharmacy claims data. CHAR 100
Multiple versionsPCSP906 National Pharmacy ID Number This field is derived from PC021 in the pharmacy claims data. CHAR 20
Multiple versionsPCSP907 Pharmacy City Name This field contains the city name of the pharmacy. This field is derived from PC022 in the pharmacy claims data. CHAR 30
Multiple versionsPCSP908 Pharmacy State or Province This is the two character abbreviation for city as defined by the US Postal Service. This field is derived from PC023 in the pharmacy claims data. CHAR 2
Multiple versionsPCSP909 Pharmacy Zip Code This field contains the zip code of the pharmacy location. It may contain non US codes. This field is derived from PC024 in the pharmacy claims data. VARCHAR 11
Multiple versionsPCSP910 Pharmacy ID # This field is used to link to the pharmacy claims data (PC913). It is the primary identification number for each Pharmacy Detail record. Number 12

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Data Element ID Data Element Code Value
PCSP901 Payer C Commercial carrier
T Third Party Administrator
U Unlicensed entity
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