C.M.R. 90, 590, ch. 120, app 590-120-C
Current through 2024-51, December 18, 2024
C. 1. Group ID Data Elements - Level I, II and III APCD data requests may include the following additional Group ID Data Element:
Payer Assigned Group ID NumberC. 2. Practitioner Identifiable Data Elements
Level I, II and III APCD data requests may include the following additional Practitioner Identifiable Data Elements:
Provider First Name Provider Middle Initial or Name Provider Last Name Service Provider Suffix Provider NPI Billing Provider Last/Organization Name Billing Provider NPILevel I, II and III Inpatient, Outpatient and Emergency Department Hospital Encounter data requests may include the following additional Practitioner Identifiable Data Elements:
Attending Practitioner First Name Attending Practitioner Middle Initial Attending Practitioner Last Name Attending Provider NPI Operating Practitioner First Name Operating Practitioner Middle Initial Operating Practitioner Last Name Operating Practitioner NPIC.M.R. 90, 590, ch. 120, app 590-120-C