United States Health Information Knowledgebase

 

All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Prescribing Provider Plan ID PC048A February 2014 - v1.1 Rhode Island
Prescribing Provider Plan ID PC048A June 2014 - v1.3 Rhode Island
Data Element: Prescribing Provider Plan ID PC048A - February 2014 - v1.1
(Rhode Island)
Prescribing Provider Plan ID PC048A - June 2014 - v1.3
(Rhode Island)
[Shared]Data Element ID PC048A PC048A
[Shared]Definition Use this field to report the payer-supplied ID for the prescribing provider. Note: The provider data reported in the eligibility, claims, and provider files are used to create a Provider Master Index that is used to match the data across all file types. It is expected that a provider's identifiers (e.g., plan-assigned ID, NPI, etc.) will be reported consistently by a submitter across file types as this is the payer-assigned provider ID (ME051, MC024, PC048A, PV006). Use this field to report the payer-supplied ID for the prescribing provider. Note: The provider data reported in the eligibility, claims, and provider files are used to create a Provider Master Index that is used to match the data across all file types. It is expected that a provider's identifiers (e.g., plan-assigned ID, NPI, etc.) will be reported consistently by a submitter across file types as this is the payer-assigned provider ID (ME051, MC024, PC048A, PV006).
[Shared] State / Source Rhode Island
Rhode Island
[Shared]Data Type Text Text
[Shared]Length 15 15
[Shared]Column 59 59
[Shared]Threshold 98% 98%
[Shared]Denominator All All
[Shared]HASHED? N N
[Shared]NCPDP REFERENCE 411-DB 411-DB
Data Element: Prescribing Provider Plan ID PC048A - February 2014 - v1.1
(Rhode Island)
Prescribing Provider Plan ID PC048A - June 2014 - v1.3
(Rhode Island)
There are no enumerated permissible values for these data elements.
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