CLT.002.174

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Definition	The National Provider ID (NPI) of the doctor responsible for admitting a patient to a hospital or other inpatient health facility.
Size	X(10)
FLF Start Position	1133
FLF Stop Position	1142
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 10 digits 2. Value must have an associated Provider Identifier Type equal to "2" 3. Conditional 4. Value must exist in the NPPES data file

RULE ID	RULE Definition
RULE-1188	If a claim is a non-denied claim from an LT file, then the admitting provider NPI value reported must be compatible with specified T-MSIS picture format: X(10).
RULE-1189	If the admitting provider NPI number is populated on a non-denied claim from an LT file, then the admitting provider NPI number reported must be found in the list of valid values.
RULE-7484	If a claim is a non-denied, non-void claim from an LT file and the admitting provider NPI num is populated then claim header admitting provider NPI num exists in the NPPES NPI data file.

Measure ID	Measure Name
MIS-4-002-2	% missing: ADMITTING-PROV-NPI-NUM (CLT00002)
MIS-23-002-2	% missing: ADMITTING-PROV-NPI-NUM (CLT00002)
MIS-81-002-2	% missing: ADMITTING-PROV-NPI-NUM (CLT00002)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP184	CIP.002.184	ADMITTING-PROV-NPI-NUM	CIP00002	CLAIM-HEADER-RECORD-IP

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/12/2024	3.29.0	CLT.002.174	UPDATE	Coding requirement	1. Value must be 10 digits2. Value must have an associated Provider Identifier Type equal to '2'3. Conditional4. Value must exist in the NPPES data file	1. Value must be 10 digits2. Value must have an associated Provider Identifier Type equal to "2"3. Conditional4. Value must exist in the NPPES data file
08/15/2023	3.12.0	CLT.002.174	UPDATE	Coding requirement	1. Value must be 10 digits, consisting of 9 numeric digits followed by one check digit calculated using the Luhn formula (algorithm)2. Value must have an associated Provider Identifier Type equal to '2'3. Conditional	1. Value must be 10 digits2. Value must have an associated Provider Identifier Type equal to '2'3. Conditional4. Value must exist in the NPPES data file
06/24/2022	3.0.0	ADMITTING-PROV-NPI-NUM	UPDATE	Data Dictionary	\|DE No\|Data Element Name\|Definition\| \|CLT174\|ADMITTING-PROV-NPI-NUM\|A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by CMS. Healthcare providers acquire their unique 10-digit NPIs to identify themselves in a standard way throughout their industry. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).\|	\|DE No\|Data Element Name\|Definition\| \|CLT174\|ADMITTING-PROV-NPI-NUM\|The National Provider ID (NPI) of the doctor responsible for admitting a patient to a hospital or other inpatient health facility.\|
06/24/2022	3.0.0	ADMITTING-PROV-NPI-NUM	UPDATE	Data Dictionary	\|DE No\|Data Element Name\|Definition\| \|CIP184\|ADMITTING-PROV-NPI-NUM\|A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by CMS. Healthcare providers acquire their unique 10-digit NPIs to identify themselves in a standard way throughout their industry. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).\|	\|DE No\|Data Element Name\|Definition\| \|CIP184\|ADMITTING-PROV-NPI-NUM\|The National Provider ID (NPI) of the doctor responsible for admitting a patient to a hospital or other inpatient health facility.\|

ADMITTING-PROV-NPI-NUM