Required Lookup Report the value that defines the when PV 60 Office Type 11/8/12 Table - tlkpOfficeType int[1] Office Type Code provider's service setting. PV034 = 0, 98% A0 Integer EXAMPLE: 1 = Facility 1, 2, 3, 4, or 5 Code Description 1 Facility 2 Doctors office 3 Clinic 4 Walk in Clinic 5 Laboratory 0 Report the value that defines the Lookup Prescribing Indicator - element. EXAMPLE: 1 = Yes, PV 61 11/8/12 Table - int[1] All 100% A2 Provider Prescribing Authority provider has prescribing privileges Integer for pharmaceuticals or DME. Value Description 1 Yes 2 No 3 Unknown 4 Other 5 Not Applicable Report the date of provider's relationship with parent entity / group Provider Century Year in PV056 (Provider Affiliation) in Full Date PV 62 Affiliation 11/8/12 Month Day - int[8] Provider Start Date CCYYMMDD Format. Providers that All 98% A0 - Integer Start Date CCYYMMDD are self-affiliated (or no affiliation) should have the same value reported here as in PV037.
PV 60 Office Type 11/8/12 Lookup Table - Integer tlkpOfficeType int[1] Office Type Code Report the value that defines the provider's service setting. EXAMPLE: 1 = Facility Required when PV034 = 0, 1, 2, 3, 4, or 5 98% A0 Code Description 1 Facility 2 Doctors office 3 Clinic 4 Walk in Clinic 5 Laboratory 0 PV 61 Prescribing Provider 11/8/12 Lookup Table - Integer int[1] Indicator - Prescribing Authority Report the value that defines the element. EXAMPLE: 1 = Yes, provider has prescribing privileges for pharmaceuticals or DME. All 100% A2 Value Description 1 Yes 2 No 3 Unknown 4 Other 5 Not Applicable PV 62 Provider Affiliation Start Date 11/8/12 Full Date - Integer Century Year Month Day - CCYYMMDD int[8] Provider Start Date Report the date of provider's relationship with parent entity / group in PV056 (Provider Affiliation) in CCYYMMDD Format. Providers that are self-affiliated (or no affiliation) should have the same value reported here as in PV037. All 98% A0
v3-1-apcd-provider-file-submission-guide-2013-06.docx