5 Not Applicable Report the value that defines the Required Lookup Offers Indicator - eVisit element. EXAMPLE: 1 = Yes, when PV 50 11/8/12 Table - int[1] 100% A2 Option provider has capacity to perform PV034 = 1, Integer eVisits. 2, 3, or 4 Value Description 1 Yes 2 No 3 Unknown 4 Other 5 Not Applicable The APCD reserves this element for PV 51 Filler 11/8/12 Filler Filler char[0] Filler future use. Do not populate with any All 0% Z data. Required Has Lookup Report the value that defines the Indicator - Multiple when PV 52 multiple 11/8/12 Table - int[1] element. EXAMPLE: 1 = Yes, 100% A0 Office Provider PV034 = 1, offices Integer provider has multiple offices. 2, or 3 Value Description 1 Yes 2 No 3 Unknown 4 Other 5 Not Applicable The APCD reserves this element for PV 53 Filler 11/8/12 Text Filler char[0] Filler future use. Do not populate with any All 0% Z data. Report the identifier of the medical home the provider Medical / Medical Home Require is linked-to here. The value in this PV 54 Healthcare 6/24/10 Text ID Link to PV002 Identification when 0% B element must have a corresponding Home ID Number = 1, 2, or 3 Provider ID (PV002) in this or a previously submitted provider file.
5 Not Applicable PV 50 Offers 11/8/12 Lookup Table - Integer int[1] Indicator - eVisit Option Report the value that defines the element. EXAMPLE: 1 = Yes, provider has capacity to perform eVisits. Required when PV034 = 1, 2, 3, or 4 100% A2 Value Description 1 Yes 2 No 3 Unknown 4 Other 5 Not Applicable PV 51 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 52 Has multiple offices 11/8/12 Lookup Table - Integer int[1] Indicator - Multiple Office Provider Report the value that defines the element. EXAMPLE: 1 = Yes, provider has multiple offices. Required when PV034 = 1, 2, or 3 100% A0 Value Description 1 Yes 2 No 3 Unknown 4 Other 5 Not Applicable PV 53 Filler 11/8/12 Text Filler char[0] Filler The APCD reserves this element for future use. Do not populate with any data. All 0% Z PV 54 Medical / Healthcare Home ID 6/24/10 Text ID Link to PV002 Medical Home Identification Number Report the identifier of the medical home the provider is linked-to here. The value in this element must have a corresponding Provider ID (PV002) in this or a previously submitted provider file. Require when = 1, 2, or 3 0% B
v3-1-apcd-provider-file-submission-guide-2013-06.docx