Domain
Provider
NPI, credentialing, taxonomy and provider networks
1,236 provider terms
Standardized NUCC taxonomy code classifying an inpatient facility by specialty type, ownership, and service category. Used in provider directories, claims routing, and credentialing systems to distinguish acute care, critical access, psychiatric, and specialty hospitals.
Recorded body temperature measurement for a patient during an inpatient hospital stay, expressed in Fahrenheit or Celsius. Captured in clinical documentation to monitor patient condition, detect infection or fever, and support nursing assessments and physician decision-making.
Date on which a hospital's participation in a health plan network, contract agreement, or facility certification officially ended. Used in claims adjudication, network management, and eligibility validation to determine whether services were rendered within an active contract period.
Specific time of day associated with a clinical event, admission, discharge, or procedure performed during a hospital inpatient encounter. Used in clinical documentation and claims processing to sequence care events and calculate duration of services rendered.
Combined date and time value marking when a specific clinical event, transaction, or record update occurred during a hospital encounter. Used in audit logging, claims processing, and clinical workflows to establish precise sequencing of inpatient care activities.
Official registered name or formal designation of an inpatient care facility as recognized by state licensing authorities, CMS certification records, and health plan contracts. Used in provider directories, claims submissions, and remittance documents to accurately identify the facility.
Aggregate financial or utilization sum associated with inpatient hospital claims, such as total billed charges, allowed amounts, or total covered days. Used in claims adjudication, cost reporting, and healthcare analytics to summarize inpatient expenditure or service volume.
Cumulative count of inpatient events, admissions, claims, procedures, or records associated with a hospital facility. Used in utilization management, quality reporting, and population health analytics to measure hospital service volume over a defined reporting period.
Classification of an inpatient facility by its primary service category, such as acute care, critical access, long-term acute care, psychiatric, rehabilitation, or specialty hospital. Used in claims processing, network management, and regulatory reporting to apply appropriate reimbursement rules.
Specific clinical department or ward within an inpatient facility where a patient received care, such as ICU, telemetry, medical-surgical, labor and delivery, or emergency unit. Used in clinical documentation and utilization reporting to track resource allocation and patient placement.
Date when a hospital facility's record was most recently modified in a health plan, provider directory, or credentialing system. Used in data governance and network management workflows to confirm that facility demographics, contract terms, and certification details reflect current information.
Classification indicating the clinical urgency level of an inpatient hospital admission or service request, such as elective, urgent, or emergent. Used in utilization management, prior authorization, and claims adjudication to apply appropriate review criteria and reimbursement policies.
Specific quantitative or coded data point captured for a hospital facility or inpatient encounter, such as a reimbursement rate, quality score, or clinical measurement. Used in analytics, contract performance evaluation, and value-based care reporting to assess hospital-level outcomes.
Sequential version number identifying a specific iteration of a hospital facility record, contract document, or data submission. Used in data management and audit tracking to distinguish between historical and current versions of facility information maintained in healthcare information systems.
Five- or nine-digit USPS postal code for the physical location of an inpatient care facility. Used in provider directory maintenance, claims geographic pricing, network adequacy analysis, and health equity reporting to associate hospital services with a specific geographic area.
National Provider Identifier erroneously associated with an ICD diagnosis or procedure code record. ICD codes are standardized clinical classification codes, not providers, and do not carry NPIs. This field likely reflects a data model error and should be reviewed for correct field mapping.
Ten-digit National Provider Identifier assigned to a radiologist, imaging center, or diagnostic facility performing imaging services such as MRI, CT, or X-ray. Used in claims submission and provider credentialing to uniquely identify the rendering or ordering imaging provider.
Ten-digit National Provider Identifier assigned to the provider or clinic administering vaccination services. Used in immunization claims submissions, registry reporting, and provider credentialing to uniquely identify the entity responsible for delivering immunization services to patients.
Ten-digit National Provider Identifier associated with the surgeon or facility responsible for placing a medical implant device during a procedure. Used in claims adjudication and provider credentialing to identify the rendering provider accountable for surgically implanted device services.
Ten-digit National Provider Identifier linked to a provider associated with a specific quality or performance indicator measurement. Used in quality reporting programs and value-based contracting to attribute clinical performance metrics to the correct rendering or responsible provider.