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TMSIS Dataguide Medicaid.gov
Version 3.27.0

HEALTH-HOME-PROVIDER-NPI

Data Element

DE Number

CRX104

System DE Number

CRX.002.104

File Name

CRX - CLAIM PHARMACY

File Segment Number

CRX00002

File Segment Name

CLAIM-HEADER-RECORD-RX

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 798
FLF Stop Position 807
Segment Key Field Identifier Not Applicable
Coding Requirements

1. Value must be 10 digits
2. Value must have an associated Provider Identifier Type equal to '2'
3. Conditional
4. Value must exist in the NPPES NPI data file
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
CIP221 CIP.002.221 HEALTH-HOME-PROVIDER-NPI CIP00002 CLAIM-HEADER-RECORD-IP
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