Report the city name where provider sees plan members. If only mailing address is available, please send the mailing address in this element in Address City addition to putting it in the mailing PV 18 City Name 6/24/10 Text City of the Provider All 98% A1 Provider address element. If the provider sees members at two locations the provider should have a unique record for each to capture each site where the provider practices. Report the of the site in which the provider sees plan members. When only a mailing address is External Address State available, populate with mailing state Code PV 19 State Code 11/8/12 External Code char[2] State of the Provider here as well as PV026. When a All 98% A0 Source 2 Source 2 - States provider sees patients at two or more - Text locations, the provider should have a unique record for each location to capture all possible practice sites. External Address Country Report the country Country Code External Code Country Code of the PV 20 12/1/10 char[3] code as defined by ISO 3166-1, All 98% C Code Source 1 Source 1 - Provider Alpha 3. - Text Countries External Address Zip Report the 5 or 9 digit Zip Code as Code External Code Zip code of the defined by the United States Postal PV 21 Zip Code 11/8/12 varchar[9] All 98% A0 Source 2 Source 2 - Zip Provider Service. When submitting the 9-digit - Text Codes Zip Code do not include hyphen. Report the standard code that defines this provider for this line of Required External service. Taxonomy values allow for External Code when Code the reporting of many types of PV 22 Taxonomy 11/8/12 Source 5 - char[10] Taxonomy Code PV034 = 0, 75% C Source 5 clinicians, assistants and Taxonomy 1, 2, 3, 4, - Text technicians, where applicable, as or 5 well as Physicians, Nurses, Groups, Facilities, etc.
PV 18 City Name 6/24/10 Text Address City Provider City of the Provider Report the city name where provider sees plan members. If only mailing address is available, please send the mailing address in this element in addition to putting it in the mailing address element. If the provider sees members at two locations the provider should have a unique record for each to capture each site where the provider practices. All 98% A1 PV 19 State Code 11/8/12 External Code Source 2 - Text Address State External Code Source 2 - States char[2] State of the Provider Report the of the site in which the provider sees plan members. When only a mailing address is available, populate with mailing state here as well as PV026. When a provider sees patients at two or more locations, the provider should have a unique record for each location to capture all possible practice sites. All 98% A0 PV 20 Country Code 12/1/10 External Code Source 1 - Text Address Country External Code Source 1 - Countries char[3] Country Code of the Provider Report the country code as defined by ISO 3166-1, Alpha 3. All 98% C PV 21 Zip Code 11/8/12 External Code Source 2 - Text Address Zip External Code Source 2 - Zip Codes 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 22 Taxonomy 11/8/12 External Code Source 5 - Text External Code Source 5 - Taxonomy char[10] Taxonomy Code Report the standard code that defines this provider for this line of service. Taxonomy values allow for the reporting of many types of clinicians, assistants and technicians, where applicable, as well as Physicians, Nurses, Groups, Facilities, etc. Required when PV034 = 0, 1, 2, 3, 4, or 5 75% C
apcd-provider-file-submission-guide.docx