City R All UPPERCASE US Postal Standard County R All UPPERCASE R All UPPERCASE US Postal Standard 2 Letter Code Zip Code R 5 Numbers US Postal Standard Digits from 0 to 9 Country R All UPPERCASE Use HL7 Country Code table Line 1 (Street Number, R All UPPERCASE US Postal Standard Street Name) Digits from 0 to 9 Episode of Care Facility Phone Number Phone Number Business R Numeric – Phone Number Fax C Numeric – Email Address Business O Alphanumeric – Insurance Company ID R Numeric Insurance Company Name R Alphanumeric R B, H, L, M, O, P Use HL7 Address Type table: Insurance Provider Firm/Business, Home, Legal Address, (Payer) Address Mailing, Office Permanent Line 1 (Street Number, R All UPPERCASE US Postal Standard Street Name) Digits from 0 to 9 Line 2 (Apt. No or Unit O All UPPERCASE US Postal Standard No) Digits from 0 to 9 City R All UPPERCASE US Postal Standard County R All UPPERCASE State/Province R All UPPERCASE US Postal Standard 2 Letter Code Zip Code R 5 Numbers US Postal Standard Digits from 0 to 9 Country R All UPPERCASE Use HL7 Country Code table Insurance Company R Contact Name, Prefix O Text Name, Last R Text Name, Suffix C Alphanumeric Name, First R Alphanumeric Name, Middle C Text Insurance Company Number Business Phone Number Business R Numeric – Number Fax C Numeric – Email Address Business O Alphanumeric – Payer Type R Numeric Guarantor Number C Numeric Guarantor Name R Text Name, Prefix O Text
City R All UPPERCASE US Postal Standard County R All UPPERCASE R All UPPERCASE 2 Letter Code US Postal Standard Zip Code R 5 Numbers Digits from 0 to 9 US Postal Standard Country R All UPPERCASE Use HL7 Country Code table Line 1 (Street Number, Street Name) R All UPPERCASE Digits from 0 to 9 US Postal Standard Episode of Care Facility Phone Number Phone Number – Business R Numeric Phone Number – Fax C Numeric Email Address – Business O Alphanumeric Insurance Company ID R Numeric Insurance Company Name R Alphanumeric Insurance Provider (Payer) Address R B, H, L, M, O, P Use HL7 Address Type table: Firm/Business, Home, Legal Address, Mailing, Office Permanent Line 1 (Street Number, Street Name) R All UPPERCASE Digits from 0 to 9 US Postal Standard Line 2 (Apt. No or Unit No) O All UPPERCASE Digits from 0 to 9 US Postal Standard City R All UPPERCASE US Postal Standard County R All UPPERCASE State/Province R All UPPERCASE 2 Letter Code US Postal Standard Zip Code R 5 Numbers Digits from 0 to 9 US Postal Standard Country R All UPPERCASE Use HL7 Country Code table Insurance Company Contact R Name, Prefix O Text Name, Last R Text Name, Suffix C Alphanumeric Name, First R Alphanumeric Name, Middle C Text Insurance Company Number Business Phone Number – Business R Numeric Number – Fax C Numeric Email Address – Business O Alphanumeric Payer Type R Numeric Guarantor Number C Numeric Guarantor Name R Text Name, Prefix O Text
AHIMAPtRegistrationDataTables-04-26-17.docx