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TMSIS Dataguide Medicaid.gov
Version 3.27.0

HEALTH-HOME-PROVIDER-NPI

Data Element

DE Number

CIP221

System DE Number

CIP.002.221

File Name

CIP - CLAIM INPATIENT

File Segment Number

CIP00002

File Segment Name

CLAIM-HEADER-RECORD-IP

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition

The National Provider ID (NPI) of the health home provider.
Size X(10)
FLF Start Position 1368
FLF Stop Position 1377
Segment Key Field Identifier Not Applicable
Coding Requirements

1. Value must be 10 digits
2. Value must have an associated Provider Identifier Type (PRV.005.007) equal to '2'
3. Value must exist in the NPPES NPI data file
4. Conditional
Valid Value Code Set Valid Value Code Valid Value Name Valid Value Description Effective Start Date Effective End Date
DE Number System DE Number DE Name File Segment Number File Segment Name
CLT167 CLT.002.167 HEALTH-HOME-PROVIDER-NPI CLT00002 CLAIM-HEADER-RECORD-LT
COT146 COT.002.146 HEALTH-HOME-PROVIDER-NPI COT00002 CLAIM-HEADER-RECORD-OT
CRX104 CRX.002.104 HEALTH-HOME-PROVIDER-NPI CRX00002 CLAIM-HEADER-RECORD-RX