The NPI data element and its use are described in Final Rule for the Standard Unique Health Identifier for Health Care Providers (69 FR 3434). Usage of the NPI data element in electronic transactions covered under the HIPAA ruling is required as of January 1, 2006.
This section describes the support provided in Sybase HIPAA Accelerator maps, specifically the locations of the NPI data element in the HIPAA transaction maps.
Map rules have been added to the Sybase HIPAA Accelerator maps to test for NPI elements as defined in the HIPAA Implementation Guides (IGs). When an element is found that should contain an NPI value, that element is copied to a string and passed to the NPI test rules.
NPI testing is disabled as delivered in the product. Enable testing by setting Parameter 9 to 'Y' in ECMAP. See the ECMAP User’s Guide for details on setting parameters.
Table 2-1 illustrates the National Provider Identifier data elements.
There are no NPI data elements in the 820 compliance
map
Compliance map |
Loop |
HIPAA IG page |
|---|---|---|
270 |
2100A |
46 |
2100B |
52 |
|
2100B |
55 |
|
2100B |
65 |
|
2100C |
80 - 82 |
|
2100D |
121 |
|
271 |
2100A |
165 |
2100B |
179 |
|
2100B |
183 |
|
2120C |
251 |
|
2120C |
261-263 |
|
2120D |
329 |
|
2120D |
340 |
|
276 |
2100B |
63 |
2100C |
68 |
|
277 |
2100B |
143 |
2100C |
148 |
|
278RQ |
2010A |
71 |
2010B |
75 |
|
2010E |
154 |
|
278RP |
2010A |
267 |
2010B |
277 |
|
2010CB |
325 |
|
2010DB |
377 |
|
2010E |
389 |
|
2010F |
482 |
|
834 |
2310 |
141-143 |
835 |
1000B |
73 |
2000 |
80 |
|
2100 |
113 |
|
2110 |
157 |
|
837D |
2010AA |
76 |
2010AB |
86 |
|
2310A |
182 |
|
2310B |
189 |
|
2310C |
195 |
|
2310D |
201 |
|
2420A |
291 |
|
2420C |
303 |
|
837I |
2010AA |
77 |
2010AB |
92 |
|
2310A |
330 |
|
2310B |
337 |
|
2310C |
342 |
|
2310E |
346 |
|
2420A |
466 |
|
2420B |
470 |
|
2420C |
476 |
|
837P |
2010AA |
83 |
2010AB |
97 |
|
2310A |
271 |
|
2310B |
278 |
|
2310C |
284 |
|
2310D |
290 |
|
2310E |
298 |
|
2420A |
488 |
|
2420B |
494 |
|
2420C |
499 |
|
2420D |
508 |
|
2420E |
513 |
|
2420F |
524 |
|
275 4050 |
1000C |
51 |
277 RQ for additional info |
2100B |
58 |
2100C |
62 |
