Report the amount that defines a preset, fixed amount for this claim line service Amount of that the patient is responsible to pay. deductible Report 0 if no Deductible applies to Deductible member/patient PC 44 6/24/10 Integer Currency service. Do not code decimal or round up All 99% A1 Amount is responsible to / down to whole dollars, code zero cents pay on the (00) when applicable. EXAMPLE: line 150.00 is reported as 15000; 150.70 is reported as 15070 Report the number of the prescribing Prescribing provider here. This in this element PC 45 11/8/12 Text ID Link to PV002 Provider All 98% A0 must have corresponding Provider ID ProviderID Number (PV002) in the Provider File. First name of Name First Report the first name of the prescribing PC 46 Physician 6/24/10 Text Prescribing All 50% B Provider physician here. First Physician Name Middle initial of Name Middle Report the middle name of the prescribing PC 47 Physician 6/24/10 Text Prescribing All 2% C Provider physician here. Middle Physician Name Last name of Name Last Report the last name of the prescribing PC 48 Physician 6/24/10 Text Prescribing All 50% B Provider physician here. Last Physician Name Prescribing Report the Primary DEA number for the PC 49 Physician 6/24/10 Text ID DEA char[9] All 80% B DEA prescribing physician DEA Number National Report the Primary National Provider ID National External Provider (NPI) of the Prescribing Provider in Provider Code External Code Identification PC043. This ID should be found on the PC 50 ID - Source Source 3 - National int[10] All 95% A2 (NPI) of the Provider File in the NPI element (PV039). 3 - Provider ID Prescribing This element is looking to capture the NPI Integer Provider of an individual physician, not a group
PC 44 Deductible Amount 6/24/10 Integer Currency Amount of deductible member/patient is responsible to pay on the line Report the amount that defines a preset, fixed amount for this claim line service that the patient is responsible to pay. Report 0 if no Deductible applies to service. Do not code decimal or round up / down to whole dollars, code zero cents (00) when applicable. EXAMPLE: 150.00 is reported as 15000; 150.70 is reported as 15070 All 99% A1 PC 45 ProviderID 11/8/12 Text ID Link to PV002 Prescribing Provider Number Report the number of the prescribing provider here. This in this element must have corresponding Provider ID (PV002) in the Provider File. All 98% A0 PC 46 Physician First Name 6/24/10 Text Name First Provider First name of Prescribing Physician Report the first name of the prescribing physician here. All 50% B PC 47 Physician Middle Name 6/24/10 Text Name Middle Provider Middle initial of Prescribing Physician Report the middle name of the prescribing physician here. All 2% C PC 48 Physician Last Name 6/24/10 Text Name Last Provider Last name of Prescribing Physician Report the last name of the prescribing physician here. All 50% B PC 49 Physician DEA Number 6/24/10 Text ID DEA char[9] Prescribing DEA Report the Primary DEA number for the prescribing physician All 80% B PC 50 National Provider ID - External Code Source 3 - Integer External Code Source 3 - National Provider ID int[10] National Provider Identification (NPI) of the Prescribing Provider Report the Primary National Provider ID (NPI) of the Prescribing Provider in PC043. This ID should be found on the Provider File in the NPI element (PV039). This element is looking to capture the NPI of an individual physician, not a group All 95% A2