Member Date MEMB_DOB 8 86-93 of Birth Member M/F 1 94-94 Gender Facility NPI FACIL_NPI 10-digit INT 10 95-104 Provider NPI number Facility Tax ID 9-digit Tax INT 105-113 ID Facility Name FACIL_NAME 50 114-163 Field Common Field File Field Notes Type Data Columns Name Name Description Length Facility FACIL_ADD1 50 164-213 Address 1 Facility FACIL_ADD2 50 214-263 Address 2 Facility City FACIL_CITY 25 264-288 Facility State 4 289-292 Facility Zip 1 FACIL_ZIP1 INT 5 293-297 Facility Zip 2 FACIL_ZIP2 INT 4 298-301 Facility In/Out FACIL_NET INN/OON 3 302-304 Network Status Provider NPI PROVID_NPI 10-digit INT 10 305-314 Provider NPI number Provider Tax 9-digit Tax INT 9 315-323 ID ID Provider Name 50 324-373 Provider 50 374-423 Address 1 Provider 50 424-473 Address 2 Provider City 25 474-498 Provider State 4 499-502 Provider Zip 1 PROVID_ZIP1 INT 5 503-507 Provider Zip 2 PROVID_ZIP2 INT 4 508-511 Provider In/Out PROVID_NET INN/OON 3 512-514 Network Statue Primary ICD9/10 10 515-524 Diagnosis X Code Secondary ICD9/10 10 525-534 Diagnosis Code Tertiary ICD9/10 10 535-544 Diagnosis Code
Member Date of Birth MEMB_DOB 8 86-93 Member Gender M/F 1 94-94 Facility NPI FACIL_NPI 10-digit Provider NPI number INT 10 95-104 Facility Tax ID 9-digit Tax ID INT 105-113 Facility Name FACIL_NAME 50 114-163 Field Common Name Field File Name Field Description Notes Type Data Length Columns Facility Address 1 FACIL_ADD1 50 164-213 Facility Address 2 FACIL_ADD2 50 214-263 Facility City FACIL_CITY 25 264-288 Facility State 4 289-292 Facility Zip 1 FACIL_ZIP1 INT 5 293-297 Facility Zip 2 FACIL_ZIP2 INT 4 298-301 Facility In/Out Network Status FACIL_NET INN/OON 3 302-304 Provider NPI PROVID_NPI 10-digit Provider NPI number INT 10 305-314 Provider Tax ID 9-digit Tax ID INT 9 315-323 Provider Name 50 324-373 Provider Address 1 50 374-423 Provider Address 2 50 424-473 Provider City 25 474-498 Provider State 4 499-502 Provider Zip 1 PROVID_ZIP1 INT 5 503-507 Provider Zip 2 PROVID_ZIP2 INT 4 508-511 Provider In/Out Network Statue PROVID_NET INN/OON 3 512-514 Primary Diagnosis ICD9/10 Code 10 515-524 Secondary Diagnosis ICD9/10 Code 10 525-534 Tertiary Diagnosis ICD9/10 Code 10 535-544 X