United States Health Information Knowledgebase

 

All Payer Claims: Data Element Comparison

Data Element: Practitioner National Provider Identifier (NPI) number used for Billing 49 - February 20, 2013
(Maryland)
Practitioner National Provider Identifier (NPI) number used for Billing 49 - September 13, 2013
(Maryland)
Practitioner National Provider Identifier (NPI) number used for Billing 49 - January 9, 2014
(Maryland)
[Shared]Data Element ID 49 49 49
[Shared]Definition Federal identifier assigned by the federal government for use in all HIPAA transactions to an individual practitioner or an organization for billing purposes. Federal identifier assigned by the federal government for use in all HIPAA transactions to an individual practitioner or an organization for billing purposes. Federal identifier assigned by the federal government for use in all HIPAA transactions to an individual practitioner or an organization for billing purposes.
[Shared] State / Source Maryland
Maryland
Maryland
[Shared]Data Type alphanumeric alphanumeric alphanumeric
[Shared]Length 10 10 10
[Shared]Threshold 95% 95% 95%
[Unshared]COMAR 10.25.06.06.D.(48) Not Supplied Not Supplied
[Unshared]End 279 309 309
[Unshared]Field Contents Ten (10) digits www.cms.hhs.gov/NationalProvIdentStand/downloads/NPIfinalrule.pdf Not Supplied Ten (10) digits www.cms.hhs.gov/NationalProvIdentStand/downloads/NPIfinalrule.pdf
[Unshared]Start 270 300 300
Data Element: Practitioner National Provider Identifier (NPI) number used for Billing 49 - February 20, 2013
(Maryland)
Practitioner National Provider Identifier (NPI) number used for Billing 49 - September 13, 2013
(Maryland)
Practitioner National Provider Identifier (NPI) number used for Billing 49 - January 9, 2014
(Maryland)
There are no enumerated permissible values for these data elements.
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