Code of Maine Rules
90 - INDEPENDENT AGENCIES
590 - MAINE HEALTH DATA ORGANIZATION
Chapter 120 - RELEASE OF DATA TO THE PUBLIC
Appendix 590-120-C - SUPPLEMENTAL DATA ELEMENTS FOR LEVEL I, II AND III DATA REQUESTS
Universal Citation: 90 ME Code Rules ยง 590-120-C
Current through 2024-38, September 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 NPI
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