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Property | Specification
Data System

IRF-PAI
Data Specs V5.00.0 DRAFT
Description Patient Medicare Number
XML Tag R2
Group Asmt
Type Text
Length 12
Fixed Start-End 601-612
Version Notes

Item Values
Value | LOINC | Text
Nonblank Text |  | Patient Medicare number
^ |  | No Information

Item Edits
Edit ID | Type | Severity | Edit Text
-1031 | Consistency | Warning | Patient Information Updated: Submitted value(s) for the item(s) listed are not the same as the values in the QIES ASAP database. The database has been updated. Note that the Death Date in the QIES ASAP database will be updated with the value in Item 40 (Discharge Date) when item 44C (Was the patient discharged alive) is equal to No (0).
-1109 | Consistency | Fatal | Inconsistent 2/20A/20B values: If Medicare is a payor (20A = [02, 51] or 20B = [02, 51], then the Patient Medicare number (2) cannot be skipped with value of "No information" [^].
-1006 | Format | Fatal | Invalid Format: If the value submitted is not equal to one of the values listed in the Item Values, then the value must only contain the following alphanumeric characters: [0] - [9], [A] - [Z], [a] - [z].
-1130 | Format | Fatal | Incorrect Medicare Number or Medicare Beneficiary Identifier (MBI): This item must conform to one of two possible formats, as defined below: 1) MBI format: The MBI shall be eleven characters in length. The first character must be numeric, excluding zero (0). The second, fifth, eighth and ninth characters must be alphabetic, excluding the following letters: S, L, O, I, B, and Z. The fourth, seventh, tenth and eleventh characters must be numeric. The third and sixth characters must be alphabetic (excluding S, L, O, I, B, and Z) or numeric. 2) Medicare Number format: If the first character is numeric [0 through 9] (SSN), then the first 9 characters must be digits [0 through 9]. If the first character is alphabetic (RR insurance number), then there must be 1, 2, or 3 alphabetic characters followed by 6 or 9 numbers.
-1131 | Format | Fatal | Incorrect Medicare Number or Medicare Beneficiary Identifier (MBI): This item must conform to one of two possible formats, as defined below: 1) MBI format: The MBI shall be eleven characters in length. The first character must be numeric, excluding zero (0). The second, fifth, eighth and ninth characters must be alphabetic, excluding the following letters: S, L, O, I, B, and Z. The fourth, seventh, tenth and eleventh characters must be numeric. The third and sixth characters must be alphabetic (excluding S, L, O, I, B, and Z) or numeric. 2) Medicare Number format: If the first character is numeric [0 through 9] (SSN), then the first 9 characters must be digits [0 through 9]. If the first character is alphabetic (RR insurance number), then there must be 1, 2, or 3 alphabetic characters followed by 6 or 9 numbers.

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Generated: 03/16/2020 09:31:12 AM