Back to Glossary

Domain

Provider

NPI, taxonomy, credentialing, and provider network schemas.

567 provider terms

Billing Provider NPIbill_prov_npi

The 10-digit National Provider Identifier for the entity receiving payment (Loop 2010AA).

Computerized Physician Order EntryCPOE

CPOE - A process of electronic entry of medical practitioner instructions for the treatment of patients under their care.

Consumer Assessment of Healthcare Providers and SystemsCAHPS
Exclusive Provider OrganizationEPO
Facility NPIfac_npi

The NPI of the hospital or location where the service occurred.

National Provider IdentifierNPI

Standard US identifier for healthcare providers

Physician-Hospital OrganizationPHO
Preferred Provider OrganizationPPO
Primary Care PhysicianPCP

PCP - doctor who provides ongoing primary healthcare and coordinates specialist referrals.

Providerprov
Provider Adjustment Identifierprov_adj_id

Identifier for adjustments made at the provider level rather than the claim level (PLB segment).

Provider Fiscal Year Endprov_fisc_yr_end

Used for institutional cost settlement reconciliations.

Provider Lifecycle ManagementPLM
Provider StatusProvider_Status

The current state value for a healthcare professional delivering care. Used to quantify provider status in healthcare data systems.

Provider Transaction Access NumberPTAN
Rendering Provider NPIrend_prov_npi

The NPI of the specific clinician who performed the service (Loop 2310B or 2420A).

acuity npi numberacu_npi

The national provider identifier for a condition severity level. Used as a unique reference to identify and track the acuity across healthcare systems. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for acuity management and reporting.

address npi numberaddr_npi

The national provider identifier for a physical location identifier. Used as a unique reference to identify and track the address across healthcare systems. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for address management and reporting.

adjustment npi numberadj_npi

The national provider identifier for a financial modification. Used as a unique reference to identify and track the adjustment across healthcare systems. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for adjustment management and reporting.

admission npi numberadmn_npi

The national provider identifier for a hospital inpatient entry. Used as a unique reference to identify and track the admission across healthcare systems. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for admission management and reporting.

Page 1 of 29Next