| 09/12/2024 |
3.29.0 |
CIP.002.180 |
UPDATE |
Coding requirement |
1.Value must be 10 digits2. Value must have an associated Provider Identifier Type equal to '2'3. Value must exist in the NPPES NPI data file4. Conditional5. When populated, value must match Provider Identifier (PRV.005.081) and Facility Group Individual Code (PRV.002.028) must equal '01'6. When Type of Claim is in ['1','3','A','C'], then value must be populated7. NPPES Entity Type Code associated with this NPI must equal ‘2’ (Organization) |
1. Value must be 10 digits2. Value must have an associated Provider Identifier Type equal to "2"3. Value must exist in the NPPES NPI data file4. Conditional5. When populated, value must match Provider Identifier (PRV.005.081) and Facility Group Individual Code (PRV.002.028) must equal "01"6. When Type of Claim is in [1,3,A,C], then value must be populated7. NPPES Entity Type Code associated with this NPI must equal "2" (Organization) |
| 08/16/2023 |
3.12.0 |
CIP.002.180 |
UPDATE |
Coding requirement |
Value must be 10 digits2. Value must have an associated Provider Identifier Type equal to '2'3. Value must exist in the NPPES NPI data file 4. Conditional5. When populated, value must match Provider Identifier (PRV.005.081) and Facility Group Individual Code (PRV.002.028) must equal '01'6. When Type of Claim is in ['1','3','A','C'], then value must be populated 7. NPPES Entity Type Code associated with this NPI must equal ‘2’ (Organization) |
1.Value must be 10 digits2. Value must have an associated Provider Identifier Type equal to '2'3. Value must exist in the NPPES NPI data file4. Conditional5. When populated, value must match Provider Identifier (PRV.005.081) and Facility Group Individual Code (PRV.002.028) must equal '01'6. When Type of Claim is in ['1','3','A','C'], then value must be populated7. NPPES Entity Type Code associated with this NPI must equal ‘2’ (Organization) |
| 08/16/2023 |
3.12.0 |
CIP.002.180 |
UPDATE |
Coding requirement |
1. Value must be 10 digits, consisting of 9 numeric digits followed by one check digit calculated using the Luhn formula (algorithm)2. Value must have an associated Provider Identifier Type equal to '2'3. Conditional4. When populated, value must match Provider Identifier (PRV.005.081) and Facility Group Individual Code (PRV.002.028) must equal '01' |
Value must be 10 digits2. Value must have an associated Provider Identifier Type equal to '2'3. Value must exist in the NPPES NPI data file 4. Conditional5. When populated, value must match Provider Identifier (PRV.005.081) and Facility Group Individual Code (PRV.002.028) must equal '01'6. When Type of Claim is in ['1','3','A','C'], then value must be populated 7. NPPES Entity Type Code associated with this NPI must equal ‘2’ (Organization) |
|
06/24/2022
|
3.0.0 |
BILLING-PROV-NPI-NUM
|
UPDATE |
Data Dictionary |
|DE No|Data Element Name|Definition|
|CIP180|BILLING-PROV-NPI-NUM|A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by CMS. Healthcare providers acquire their unique 10-digit NPIs to identify themselves in a standard way throughout their industry. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).| |
|DE No|Data Element Name|Definition|
|CIP180|BILLING-PROV-NPI-NUM|The National Provider ID (NPI) of the billing entity responsible for billing a patient for healthcare services. The billing provider can also be servicing, referring, or prescribing provider. Can be admitting provider except for Long Term Care.| |
|
06/24/2022
|
3.0.0 |
BILLING-PROV-NPI-NUM
|
UPDATE |
Data Dictionary |
|DE No|Data Element Name|Definition|
|CLT131|BILLING-PROV-NPI-NUM|A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by CMS. Healthcare providers acquire their unique 10-digit NPIs to identify themselves in a standard way throughout their industry. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).| |
|DE No|Data Element Name|Definition|
|CLT131|BILLING-PROV-NPI-NUM|The National Provider ID (NPI) of the billing entity responsible for billing a patient for healthcare services. The billing provider can also be servicing, referring, or prescribing provider. Can be admitting provider except for Long Term Care.| |
|
06/24/2022
|
3.0.0 |
BILLING-PROV-NPI-NUM
|
UPDATE |
Data Dictionary |
|DE No|Data Element Name|Definition|
|COT113|BILLING-PROV-NPI-NUM|A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by CMS. Healthcare providers acquire their unique 10-digit NPIs to identify themselves in a standard way throughout their industry. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).| |
|DE No|Data Element Name|Definition|
|COT113|BILLING-PROV-NPI-NUM|The National Provider ID (NPI) of the billing entity responsible for billing a patient for healthcare services. The billing provider can also be servicing, referring, or prescribing provider. Can be admitting provider except for Long Term Care.| |
|
06/24/2022
|
3.0.0 |
BILLING-PROV-NPI-NUM
|
UPDATE |
Data Dictionary |
|DE No|Data Element Name|Definition|
|CRX071|BILLING-PROV-NPI-NUM|A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by CMS. Healthcare providers acquire their unique 10-digit NPIs to identify themselves in a standard way throughout their industry. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).| |
|DE No|Data Element Name|Definition|
|CRX071|BILLING-PROV-NPI-NUM|The National Provider ID (NPI) of the billing entity responsible for billing a patient for healthcare services. The billing provider can also be servicing, referring, or prescribing provider. Can be admitting provider except for Long Term Care.| |
An official website of the United States government
