Required when Report the Local Practice Group Provider CHIA defined and submitter is OrgID number as assigned / PV 31 11/8/12 Integer ID OrgID varchar[6] maintained Org ID identified 100% A2 maintained by CHIA for Total ID for Providers as a Medical Expense (TME) reporting. TME/RP Submitter Report the Health Policy Commission-assigned unique Registered Health Policy identifier for service provider Assigned Provider Commission Registered Provider (persons, facilities or other entities PV 32 4/5/13 Text Char[30] submitters 0% Z OrgID Organization ID involved in claims transactions) that only ID (RPO) Placeholder it has in its system(s). This information is required for TME/RP reporting and analysis. The APCD reserves this element for PV 33 Filler 11/8/12 Filler Filler char[0] Filler future use. Do not populate with any All 0% Z data. Report the that defines type of entity associated with PV002. The Lookup Provider ID Provider value reported here drives intake PV 34 11/8/12 - int[1] All 100% A0 Code Identification Code edits for quality purposes. Integer EXAMPLE: 1 = Person; Physician, Clinician, Orthodontist, etc. Value Description Person; physician, clinician, orthodontist, and any individual that 1 is licensed/certified to perform health care services. hospital, health center, long Facility; term care, rehabilitation and any 2 building that is licensed to transact health care services. Professional Group; collection of licensed/certified health care professionals that are practicing 3 health care services under the same entity name and Federal Tax Identification Number.
PV 31 Provider ID 11/8/12 Integer ID OrgID varchar[6] CHIA defined and maintained Org ID for Providers Report the Local Practice Group OrgID number as assigned / maintained by CHIA for Total Medical Expense (TME) reporting. Required when submitter is identified as a TME/RP Submitter 100% A2 PV 32 Registered Provider ID (RPO) 4/5/13 Text Health Policy Commission OrgID Placeholder Char[30] Registered Provider Organization ID Report the Health Policy Commission-assigned unique identifier for service provider (persons, facilities or other entities involved in claims transactions) that it has in its system(s). This information is required for TME/RP reporting and analysis. Assigned submitters only 0% Z PV 33 Filler 11/8/12 Filler Filler char[0] Filler The APCD reserves this element for future use. Do not populate with any data. All 0% Z PV 34 Provider ID Code 11/8/12 Lookup - Integer int[1] Provider Identification Code Report the that defines type of entity associated with PV002. The value reported here drives intake edits for quality purposes. EXAMPLE: 1 = Person; Physician, Clinician, Orthodontist, etc. All 100% A0 Value Description 1 Person; physician, clinician, orthodontist, and any individual that is licensed/certified to perform health care services. 2 Facility; hospital, health center, long term care, rehabilitation and any building that is licensed to transact health care services. 3 Professional Group; collection of licensed/certified health care professionals that are practicing health care services under the same entity name and Federal Tax Identification Number.