provider hospital affiliation
prvdr_hosp_affilDefinition
ISO-11179 Definition
The association between an individual healthcare provider and a hospital or health system at which the provider holds clinical privileges to admit and treat patients. Hospital affiliations are a key credentialing data element verified during provider network onboarding, as they confirm the provider has met the hospital medical staff standards for clinical competency. Providers may hold affiliations at multiple hospitals.
Health plan provider directories display hospital affiliations to help members identify which hospitals their physicians are associated with for inpatient care planning. Healthcare data teams maintain provider hospital affiliation records linking individual provider NPIs to facility NPIs with affiliation effective dates, privilege types, and active status, using affiliation data in network adequacy analysis to map inpatient care access and in member communications to help members navigate hospital-based care.
Standard Abbreviation
prvdr_hosp_affil
Category
Production DDL — DIM_PROVIDER
CREATE OR REPLACE TABLE DIM_PROVIDER (
prvdr_key INTEGER NOT NULL -- surrogate key,
prvdr_npi VARCHAR(10) -- NPI number,
prvdr_tin VARCHAR(10) -- tax ID number,
prvdr_first_nm VARCHAR(100) -- first name,
prvdr_last_nm VARCHAR(100) -- last name,
prvdr_org_nm VARCHAR(255) -- organization name,
prvdr_typ_cd VARCHAR(20) -- provider type code,
prvdr_spclty_cd VARCHAR(10) -- specialty code,
prvdr_tax VARCHAR(10) -- taxonomy code,
prvdr_state_cd CHAR(2) -- state code,
prvdr_zip_cd VARCHAR(10) -- zip code,
prvdr_ntwk_sts VARCHAR(10) -- network status,
prvdr_accpt_pt_ind CHAR(1) -- accepting patients,
prvdr_excl_ind CHAR(1) -- exclusion indicator,
load_dt TIMESTAMP_NTZ NOT NULL -- load timestamp
);
Standard Snowflake DDL for the canonical provider table. Convert to BigQuery or Databricks →
Why This Term Matters
Provider data management is one of the most operationally complex data domains in healthcare because providers move, merge, and update their credentials continuously. A data engineer who understands provider terminology can build NPI validation, credentialing, and network adequacy pipelines that keep provider directories accurate and prevent claim rejections. Stale or incorrect provider data is a leading cause of prior authorization delays and CMS compliance findings.
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