Provider Board Certification File Data Elements

 

The Extract Identifier code for this file is PRB.

 

Refer to Appendix B, “Provider Board Certification Data-Map Process,” for details on how Provider records are added or updated in the Healthx database.

 

Field #

Field Name

Req.

Len

Type

Notes

1

VersionNumber

K

10

AN

Spec Version Number: 3.04

2

OrgProviderID

K

100

AN

This is a value that uniquely identifies the provider and is used in the HealthPlan Provider Portal to tie all provider data together. It can be an NPI, UPIN, or any other value that uniquely identifies the provider for your organization.

3

BoardCertName

R

255

AN

Name of the Board that issued the Certification

4

BoardCertExpDate

R

8

DT

Date this board certification expires

5

RecordType

K

1

AN

Type of record being sent

P = Practitioner

All others = Facility

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