Official websites use .gov
A
.gov website belongs to an official government
organization in the United States.
Secure .gov websites use HTTPS
A
lock () or https:// means you've safely connected to
the .gov website. Share sensitive information only on official,
secure websites.
Tier | 2.1 |
---|---|
Tier Description | Relational error |
Error Category | E2101 |
Error Category Message | Missing parent record (single file) |
Rule Type | Two Record Type (1 to 1) |
File Segment Number | PRV00002 |
Data Element Name | PROV-ATTRIBUTES-MAIN.SUBMITTING-STATE • PROV-ATTRIBUTES-MAIN.SUBMITTING-STATE-PROV-ID • PROV-IDENTIFIERS.PROV-IDENTIFIER-TYPE • PROV-IDENTIFIERS.PROV-IDENTIFIER • PROV-ATTRIBUTES-MAIN.FACILITY-GROUP-INDIVIDUAL-CODE |
Validation Logic | if PROV-ATTRIBUTES-MAIN has a non-null value for SUBMITTING-STATE-PROV-ID and PROV-ATTRIBUTES-MAIN.FACILITY-GROUP-INDIVIDUAL-CODE equals '03', then for every record of type PROV-ATTRIBUTES-MAIN, there must be a valid record of type PROV-IDENTIFIERS that matches on the join keys and Entity Type Code is equal to '1' in the NPPES NPI data file, and PROV-IDENTIFIERS.PROV-IDENTIFIER-TYPE equals '2' and PROV-IDENTIFIERS.PROV-IDENTIFIER is a valid National Provider Identifier (NPI) number that exists in the NPPES NPI data file |
Rule Definition | If submitting state provider ID is populated on a provider attributes main segment from an PRV file, and facility group individual code is equal to '03' (individual), and the provider identifier type = '2' and the submitting state provider ID is a valid NPI in the NPPES file, then the entity type code is equal to '1' (individual) in the NPPES NPI data file. |
Denominator Logic | # of PROV-ATTRIBUTES-MAIN segments with PROV-ATTRIBUTES-MAIN.SUBMITTING-STATE-PROV-ID equal to a non-null value and with PROV-ATTRIBUTES-MAIN.FACILITY-GROUP-INDIVIDUAL-CODE is equal to '03' |