Files > PERSON CLASS

name

PERSON CLASS

number

8932.1

location

^USC(8932.1,

description

This file holds the CMS (HCFA) provider type data. In 2001, ANSI ASC X12N asked the National Uniform Claim Committee (NUCC) to become the official maintainer of the Health Care Provider Taxonomy List (provider type). PERSON CLASS is to be used for identifying provider types for roll-ups. Patches need to review the technical description on field 90002.

Fields

#	Name	Location	Type	Details	Index	Description
.001	number		11			This is a number field to allow adding new entries by number.
.01	provider type(+)	0;1	FREE TEXT		B	This is Level I of NUCC's structure of the Provider Taxonomy.
.011	provider type code		COMPUTED			This is Level I, Provider Type - 2 byte alphanumeric consisting of the 1st and 2nd characters of X12 CODE: A code that identifies a major grouping of service(s) or occupation(s) of health care providers.
1	classification	0;2	FREE TEXT			This is the CMS (X12) Classification (Level II).
1.1	classification code		COMPUTED			This is Level II, Classification Code - 2 byte alphanumeric consisting of the 3rd and 4th characters of the X12 CODE: A code that identifies more specific services(s) or occupation(s) within the health care provider type. The coding is based on licensed provider classifications.
2	area of specialization	0;3	FREE TEXT			This is Level III in NUCC's structure of the Provider Taxonomy. It is the most specific, but sometimes defines a "sub-category" of Classification.
2.1	area of specialization code		COMPUTED			This is Level III, Area of Specialization - a 5 byte alphanumeric consisting of the 5th through 9th characters of the X12 CODE: A code that identifies the provider's specialization, a segment of the population that a health care provider chooses to service, a specific medical service, a specialization in treating a specific disease, or any other descriptive characteristic about the providers practice relating to the services rendered.
3	status	0;4	SET OF CODES	a:Active i:Inactive		This field will allow old entries to be disabled without removing them from the table.
4	date inactivated	0;5	DATE-TIME			This field holds the date that this Class was inactivated.
5	va code	0;6	FREE TEXT		F	This field holds the 7 character VA assigned code for national roll-up.
6	x12 code	0;7	FREE TEXT		G	This is the code assigned by X12N. X12 published the joint X12N and CMS Health Care Provider Taxonomy following the June 1997 X12 meeting.
7	reserved	0;8	FREE TEXT			This field is only to help a conversion routine for updates to the file. Any data is used only be a update routine.
8	specialty code	0;9	FREE TEXT			This field holds the specialty code associated with the classification
11	definition	11;0	WORD-PROCESSING
90002	individual/non	90002;2	SET OF CODES	I:INDIVIDUAL N:NON-INDIVIDUAL		This field indicates whether the entry is for an Individual or for a Non-Individual, and was added at the request of IHS in their namespace, until the file supporting Non-Individuals can be defined. Note that the current definition of the X12 CODE does not explicitly indicate whether an entry is for an Individual or for a Non-Individual, either in value or structure definition.