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Tier | 1.1 |
---|---|
Tier Description | Value Error |
Error Category | E1102 |
Error Category Message | Value does not match specification |
Rule Type | One Record Type (Single Record) |
File Segment Number | PRV00005 |
Data Element Name | PROV-IDENTIFIERS.PROV-IDENTIFIER |
Validation Logic | 'if PROV-IDENTIFIERS has a non-null value for PROV-IDENTIFIER and PROV-IDENTIFIERS.PROV-IDENTIFIER-TYPE equals '2', then PROV-IDENTIFIERS.PROV-IDENTIFIER is a valid National Provider Identifier (NPI) number that exists in the NPPES NPI data file' |
Rule Definition | If the provider identifier is populated on a provider identifiers segment from a PRV file, and the PROV-IDENTIFIERS.PROV-IDENTIFIER-TYPE is '2' (NPI), then provider identifier is a valid NPI number that exists in the NPPES NPI data file. |
Denominator Logic | # of PROV-IDENTIFIERS segments with PROV-IDENTIFIERS has a non-null value for PROV-IDENTIFIER and with PROV-IDENTIFIERS.PROV-IDENTIFIER-TYPE equals '2' |