United States Health Information Knowledgebase

 

All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Prescribing Physician NPI PC048 December 1, 2010 - v2.1 Massachusetts
National Provider ID - Prescribing PC048 June 7, 2013 - v3.1 Massachusetts
National Provider ID - Prescribing PC048 October 1, 2014 - v4.0 Massachusetts
Data Element: Prescribing Physician NPI PC048 - December 1, 2010 - v2.1
(Massachusetts)
National Provider ID - Prescribing PC048 - June 7, 2013 - v3.1
(Massachusetts)
National Provider ID - Prescribing PC048 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]Data Element ID PC048 PC048 PC048
[Unshared]Definition National Provider Identification (NPI) of the Prescribing Physician National Provider Identification (NPI) of the Prescribing Provider National Provider Identification (NPI) of the Prescribing Provider
[Shared] State / Source Massachusetts
Massachusetts
Massachusetts
[Unshared]Data Type Text External Code Source 3 - Integer External Code Source 3 - Integer
[Unshared]Data Type Description NPI PV002 External Code Source 3 - National Provider ID External Code Source 3 - National Provider ID
[Unshared]Format External Code Source 4 int[10] int[10]
[Unshared]Length 20 10 10
[Shared]Column 50 50 50
[Shared]Threshold 1 1 1
[Unshared]Encrypted No
[Unshared]Required All
[Unshared]APCD - GIC Carrier Threshold 1 Not Supplied Not Supplied
[Unshared]Cat Not Supplied C A2
[Unshared]Condition Not Supplied All All
[Unshared]Date Active (version) '6/24/2010 Not Supplied Not Supplied
[Unshared]Element Submission Guideline Primary NPI number for prescribing physician. This should be an individual that is in the PV002 field. This field is looking to capture the NPI of an individual physician, not a group. If the individual NPI is not available, PC044 through PC046 are mandatory. Report the Primary National Provider ID (NPI) of the Prescribing Provider in PC043. This ID should be found on the Provider File in the NPI element (PV039). This element is looking to capture the NPI of an individual physician, not a group Report the Primary National Provider ID (NPI) of the Prescribing Provider in PC043. This ID should be found on the Provider File in the NPI element (PV039). This element is looking to capture the NPI of an individual physician, not a group
[Shared]File PC PC PC
[Unshared]Old Length 20 Not Supplied Not Supplied
Data Element: Prescribing Physician NPI PC048 - December 1, 2010 - v2.1
(Massachusetts)
National Provider ID - Prescribing PC048 - June 7, 2013 - v3.1
(Massachusetts)
National Provider ID - Prescribing PC048 - October 1, 2014 - v4.0
(Massachusetts)
There are no enumerated permissible values for these data elements.
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