Encore Health Network
Provider Data Download Export format
Produced by Encore Health Network
Version 3.4.0


Overview:

  The Provider Data Download contains a complete set of critical provider
  demographic information.  Contents include basic demographics, location
  and billing addresses, and valid Tax ID numbers.  The file will not
  include providers that do not have one or more TINs with a status of
  VALID.  Provider Data Downloads include active providers plus terminated
  providers who terminated within the prior 12 month period.

  This format is recommended for clients who need to perform provider 
  lookups or accomplish similar functions.  Fee schedule information is 
  not included in this extract; therefore, this format is not recommended 
  for clients who perform claims repricing or other functions involving 
  fee schedules.

  The PDD is prepared in a non-relational, fixed length ASCII format and
  includes files for facilities and professionals.  This format includes
  a total of two (2) files.  A unique provider ID (assigned by ppoONE)
  is included in all files.

  This readme file contains format information for the following files:

    File Name     File Type/contents              
    ------------  --------------------------------
    fac_pdd.txt   Facility Provider Data Download  
    phy_pdd.txt   Physician Provider Data Download 
                                                      
    Please note:  All fields noted with ** are for
                  identification and support purposes.
                  You may disregard these fields when
                  designing your import routines.


File Layouts:

  File:  fac_pdd.txt (Facility Provider Data Download)

                                             Start     Stop  Field 
  Field name                 Format       Position Position Length 
  -------------------------  -----------  -------- -------- ------
  Provider ID                Character           1      8        8 
  Provider Name              Character           9     58       50   
  Address                    Character          59    124       66   
  City                       Character         125    149       25   
  State                      Character         150    151        2   
  ZIP Code                   Character         152    156        5   
  County Name                Character         157    186       30   
  MSA ID                     Character         187    190        4   
  Facility Type Abbrev       Character         191    200       10   
  Phone Number               Character         201    210       10   
  Provider Eff Date          mm/dd/yyyy        211    220       10   
  Plan Benefit Level**       99                221    222        2   
  Virtual Network ID**       Character         223    228        6   
  DC Flag**                  Character         229    229        1   
  Federal Tax ID             Character         230    246       17
  Directory Heading          Character         247    281       35
  Publish Flag**             Character         282    282        1
  Address Type (01=Location, Character         283    284        2
                02=Billing)
  Provider Status            Character         285    285        1
  Provider Term Date         mm/dd/yyyy        286    295       10
  Contact ID                 Character         296    305       10
  Tax ID Effective Date      mm/dd/yyyy        306    315       10
  Facility NPI Number        Character         316    330       15


  File:  phy_pdd.txt (Physician Provider Data Download)

                                             Start     Stop  Field 
  Field name                 Notes        Position Position Length
  -------------------------  -----------  -------- -------- ------
  Provider ID                Character           1      8        8  
  First Name                 Character           9     33       25  
  Middle Name                Character          34     58       25  
  Last Name                  Character          59     83       25  
  Medical Title              Character          84     93       10    
  Address                    Character          94    159       66  
  City                       Character         160    184       25  
  State                      Character         185    186        2  
  ZIP Code                   Character         187    191        5  
  County Name                Character         192    221       30  
  MSA ID                     Character         222    225        4  
  Federal Tax ID             Character         226    240       15  
  Virtual Network ID**       Character         241    246        6  
  Provider Status            Character         247    247        1  
  Phone Number               Character         248    257       10  
  Provider Eff Date          mm/dd/yyyy        258    267       10  
  Primary Specialty          Character         268    342       75
  Publish Flag**             Character         343    343        1
  Address Type (01=Location, Character         344    345        2
                02=Billing)           
  Provider Term Date         mm/dd/yyyy        346    355       10
  Contact ID                 Character         356    365       10
  Tax ID Effective Date      mm/dd/yyyy        366    375       10
  Primary Specialty ID       Character         376    378        3
  Secondary Specialty ID     Character         379    381        3
  Any Other Specialties      Character         382    456       75
  Provider NPI Number        Character         457    471       15


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Confidentiality

The data contained herein is confidential and proprietary information of
Encore Health Network and is solely for the internal use of the recipient
client or provider and may not be used for any other purpose.  
Except as specifically set forth in the foregoing statement or with 
Encore Health Network's prior written authorization, no one is authorized
to, directly or indirectly, intentionally or inadvertently, through its
agents, representatives, employees or otherwise (a) disclose to any other
person, use or exploit the data contained herein, (b) copy, photograph,
photocopy, reduce to writing or otherwise reproduce or duplicate the data
contained herein or (c) take any other actions which would be detrimental
to Encore Health Network.

Disclaimers

The data contained herein has been prepared based on the best information
available at the time of publication.  Encore Health Network makes every effort to
maintain accurate, up-to-date information but cannot be responsible for
errors or omissions.  Encore Health Network disclaims all representations and warranties
of every kind relating to the data contained herein.

