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Data Element Name:  SPARCS Identification Number
Format-Length:  N - 5 Required For:  AS, ED, IP
Effective Date:  1/1/94 Revision Date:  September 2003

National Standard Mapping:

Electronic - 837I

X12 Loop

Ref. Des.

Data Element

Code

Description
Version 4050R 2010AA REF01 128 1J Reference Identification Qualifier (Facility ID Number)
REF02 127 Reference Identification (Facility ID Number)

Paper Form Locator Code Qualifier Description State Reporting Purposes
Institutional - UB-04 N/A N/A SPARCS Specific Data Element SPARCS Requires

Definition:

The number composed of the Department of Health's four-digit Permanent Facility Identifier (PFI) followed by a check digit (for SPARCS control purposes).

Department regulations state that services must be reported under the physical location where they are provided. Common ownership of different facilities does not change this requirement.

Codes and Values:

  1. A five-digit number.

  2. Must be a valid number in accordance with the SPARCS Hospital Profile Reference File maintained by the SPARCS Administrative Unit.

Edit Applications:

  1. Must be a valid entry.

  2. Files submitted via the Health Provider Network (HPN) must have data for only one PFI.
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