| Data Element: | Entity Code PV013 - December 1, 2010 - v2.1
(Massachusetts) |
Entity Code PV013 - June 7, 2013 - v3.1
(Massachusetts) |
Entity Code PV013 - October 1, 2014 - v4.0
(Massachusetts) |
|---|---|---|---|
![[Shared]](/images/icons/button-tick_16.png){kind=icon} Data Element ID |
PV013 | PV013 | PV013 |
![[Unshared]](/images/icons/red_16.png){kind=icon} Definition |
Provider facility code | Provider entity code | Provider entity code |
|
State / Source
|
Massachusetts |
Massachusetts |
Massachusetts |
| Data Type |
Text | Lookup Table - Text | Lookup Table - Text |
| Data Type Description |
Lookup Table | tlkpEntityCode | tlkpEntityCode |
| Format |
tlkpEntityCode | char[2] | char[2] |
| Length |
10 | 2 | 2 |
| Column |
13 | 13 | 13 |
| Threshold |
1 | 1 | 1 |
| Encrypted |
No | ||
| Required |
If ProviderIDCode not = 1 | ||
| APCD - GIC Carrier Threshold |
1 | Not Supplied | Not Supplied |
| Cat |
Not Supplied | A0 | A0 |
| Condition |
Not Supplied | Required when PV034 does not = 1 | Required when PV034 does not = 1 |
| Date Active (version) |
'6/24/2010 | Not Supplied | Not Supplied |
| Element Submission Guideline |
DHCFP will provide lookup values in the carrier submission guide which will allow DHCFP to understand if the entity is a facility, a group, a provider business entity or some other type of pay to provider. | Report the value that defines the entity provider type. EXAMPLE: 12 = Acute Hospital | Report the value that defines the entity provider type. EXAMPLE: 12 = Acute Hospital |
| File |
PV | PV | PV |
| Old Length |
10 | Not Supplied | Not Supplied |
| Data Element: | Entity Code PV013 - December 1, 2010 - v2.1
(Massachusetts) |
Entity Code PV013 - June 7, 2013 - v3.1
(Massachusetts) |
Entity Code PV013 - October 1, 2014 - v4.0
(Massachusetts) |
|---|---|---|---|
|
01
|
Academic Institution | Academic Institution | Academic Institution |
|
02
|
Adult Foster Care | Adult Foster Care | Adult Foster Care |
|
03
|
Ambulance Services | Ambulance Services | Ambulance Services |
|
04
|
Hospital Based Clinic | Hospital Based Clinic | Hospital Based Clinic |
|
05
|
Stand-Alone, Walk-In/Urgent Care Clinic | Stand-Alone, Walk-In/Urgent Care Clinic | Stand-Alone, Walk-In/Urgent Care Clinic |
|
06
|
Other Clinic | Other Clinic | Other Clinic |
|
07
|
Community Health Center - General | Community Health Center - General | Community Health Center - General |
|
08
|
Community Health Center - Urgent Care | Community Health Center - Urgent Care | Community Health Center - Urgent Care |
|
09
|
Government Agency | Government Agency | Government Agency |
|
10
|
Health Care Corporation | Health Care Corporation | Health Care Corporation |
|
11
|
Home Health Agency | Home Health Agency | Home Health Agency |
|
12
|
Acute Hospital | Acute Hospital | Acute Hospital |
|
13
|
Chronic Hospital | Chronic Hospital | Chronic Hospital |
|
14
|
Rehabilitation Hospital | Rehabilitation Hospital | Rehabilitation Hospital |
|
15
|
Psychiatric Hospital | Psychiatric Hospital | Psychiatric Hospital |
|
16
|
DPH Hospital | DPH Hospital | DPH Hospital |
|
17
|
State Hospital | State Hospital | State Hospital |
|
18
|
Veterans Hospital | Veterans Hospital | Veterans Hospital |
|
19
|
DMH Hospital | DMH Hospital | DMH Hospital |
|
20
|
Sub-Acute Hospital | Sub-Acute Hospital | Sub-Acute Hospital |
|
21
|
Licensed Hospital Satellite Emergency Facility | Licensed Hospital Satellite Emergency Facility | Licensed Hospital Satellite Emergency Facility |
|
22
|
Hospital Emergency Center | Hospital Emergency Center | Hospital Emergency Center |
|
23
|
Nursing Home | Nursing Home | Nursing Home |
|
24
|
Freestanding Ambulatory Surgery Center | Freestanding Ambulatory Surgery Center | Freestanding Ambulatory Surgery Center |
|
25
|
Hospital Licensed Ambulatory Surgery Center | Hospital Licensed Ambulatory Surgery Center | Hospital Licensed Ambulatory Surgery Center |
|
26
|
Non-Health Corporations | Non-Health Corporations | Non-Health Corporations |
|
27
|
School Based Health Center | School Based Health Center | School Based Health Center |
|
28
|
Rest Home | Rest Home | Rest Home |
|
29
|
Licensed Hospital Satellite Facility | Licensed Hospital Satellite Facility | Licensed Hospital Satellite Facility |
|
30
|
Hospital Licensed Health Center | Hospital Licensed Health Center | Hospital Licensed Health Center |
|
31
|
Other | Other Facility | Other Facility |
|
40
|
Not Utilized | Physician (PV034 = 1) | Physician (PV034 = 1) |
|
50
|
Not Utilized | Physician Group (PV034 = 3) | Physician Group (PV034 = 3) |
|
60
|
Not Utilized | Nurse (PV034 = 1) | Nurse (PV034 = 1) |
|
70
|
Not Utilized | Clinician (PV034 = 1) | Clinician (PV034 = 1) |
|
80
|
Not Utilized | Technician (PV034 = 1) | Technician (PV034 = 1) |
|
90
|
Not Utilized | Pharmacy / Site or Mail Order (PV034 = 4 or 5) | Pharmacy / Site or Mail Order (PV034 = 4 or 5) |
|
99
|
Not Utilized | Other Individual or Group (PV034 = 1 or 3) | Other Individual or Group (PV034 = 1 or 3) |
Agency for Healthcare Research and Quality • 5600 Fishers Lane, Rockville, MD 20857 • Telephone: (301) 427-1364
