External Address Mailing Code name of the Report the mailing state address of PV 26 11/8/12 External Code char[2] All 98% A0 State Code Source 2 Provider / Entity the Provider / Entity in PV002. Source 2 - States - Text External Address Country Mailing Report the three-character country Code External Code Country name of the PV 27 Country 12/1/10 char[3] code as defined by ISO 3166-1, All 98% C Source 1 Source 1 - Provider / Entity Code Alpha 3. - Text Countries External Address Zip Report the 5 or 9 digit Zip Code as Mailing Zip Code External Code Zip code of the defined by the United States Postal PV 28 11/8/12 varchar[9] All 98% A0 Code Source 2 Source 2 - Zip Provider Service. When submitting the 9-digit - Text Zip Code do not include hyphen. Report the Provider Type code associated with the individual provider or facility. The carrier/submitter must provide the MA APCD with Reference tables. This element distinguishes clinicians, facilities, and other. Clinicians are physicians and other practitioners Carrier Carrier Defined who can perform an E&M service Provider Defined PV 29 6/24/10 - Provider Provider Type Code (thereby start an episode of care). All 98% A1 Type Code Table - Type Code Facilities can sometimes start Text episodes (i.e. patient goes to ER at onset of symptoms). Providers classified as 'other' never start episodes. The MA APCD may use this element to perform further clinical and analytic grouping. Entities not seeing patients should have a classification of 'Other'. Required External Primary External Code when Code Report the standard Primary PV 30 Specialty 11/8/12 Source 4 - varchar [3] Specialty Code PV034 = 0, 98% A2 Source 4 Specialty code of the Provider here. Code Specialties 1, 2, 3, 4, - Integer or 5
PV 26 Mailing State Code 11/8/12 External Code Source 2 - Text Address External Code Source 2 - States char[2] name of the Provider / Entity Report the mailing state address of the Provider / Entity in PV002. All 98% A0 PV 27 Mailing Country Code 12/1/10 External Code Source 1 - Text Address Country External Code Source 1 - Countries char[3] Country name of the Provider / Entity Report the three-character country code as defined by ISO 3166-1, Alpha 3. All 98% C PV 28 Mailing Zip Code 11/8/12 External Code Source 2 - Text Address Zip External Code Source 2 - Zip varchar[9] Zip code of the Provider Report the 5 or 9 digit Zip Code as defined by the United States Postal Service. When submitting the 9-digit Zip Code do not include hyphen. All 98% A0 PV 29 Provider Type Code 6/24/10 Carrier Defined Table - Text Carrier Defined - Provider Type Code Provider Type Code Report the Provider Type code associated with the individual provider or facility. The carrier/submitter must provide the MA APCD with Reference tables. This element distinguishes clinicians, facilities, and other. Clinicians are physicians and other practitioners who can perform an E&M service (thereby start an episode of care). Facilities can sometimes start episodes (i.e. patient goes to ER at onset of symptoms). Providers classified as 'other' never start episodes. The MA APCD may use this element to perform further clinical and analytic grouping. Entities not seeing patients should have a classification of 'Other'. All 98% A1 PV 30 Primary Specialty Code 11/8/12 External Code Source 4 - Integer External Code Source 4 - Specialties varchar [3] Specialty Code Report the standard Primary Specialty code of the Provider here. Required when PV034 = 0, 1, 2, 3, 4, or 5 98% A2
v6-apcd-provider-file-submission-guide-FINAL.docx