Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 53 Pa.B. 8238 (December 30, 2023).

28 Pa. Code § 915.52. Fees charged for Council data and special reports.

§ 915.52. Fees charged for Council data and special reports.

 (a)  The Council will charge requesters an amount sufficient to cover the costs associated with providing access to Council data, including computer-to-computer access, including, but not limited to, computer time, cost of materials and staff time. Subsequent requests for the same information will require a fee sufficient to cover only the costs of duplicating the original access. Fee quotes will be provided to requesters in advance of the special request being processed. Special requests will be completed only upon an agreement by the requester to pay the quoted fee.

 (b)  The Council will charge requesters an amount sufficient to cover preparation and provision of special reports, including, but not limited to, computer time, staff time, cost of materials, and the like. Subsequent requests for the same information will pay a fee only to cover the provision of the report. The Council may waive the fee if the Council determines that the special report is of great public interest. The Council will not charge a fee for reports to be provided under the act.

APPENDIX A
NONDISCLOSABLE DATA




Field NumberData Element Name
FRMPRM
13Uniform Patient I. D.
24Patient Birthdate (MDY of MY)
4Patient Zip Code (6 through 9 digits)
56Date of Admission (MDY)
67Date of Discharge (MDY)
8a, b8Principle Procedure Date
9a1-9c2Secondary Procedure Date
2317Patient Control Number
29a-c20Certificate/Social Security Number/Health Insurance Claim/I. D. Number

 FRM—Facility Reporting Manual

 PRM—Payor Reporting Manual

Cross References

   This appendix cited in 28 Pa. Code §  915.3 (relating to definitions); 28 Pa. Code §  915.21 (relating to classes of data collected by the Council); and 28 Pa. Code §  915.22 (relating to release of nondisclosable data).

APPENDIX B
PROTECTED DATA




Field NumberData Element Name
FRMPRM
(2*)(4*)Year of Birth/Age
35Patient Sex
4Patient Zip Code (first 5 digits)
14e 1-4Estimated Responsibility
14f 1-4Prior Payments—Payor and Patient
14g 1-4Estimated Amount Due
1916Payor Group Number
21e21Reserve Field
28a-c19Patients’ Relationship to Insured
32Employer Name
35Patient Race
14Primary Payor Payments
15Other Payments
**Proxy Patient Identifier

 * constructed data element using submitted data elements

 FRM—Facility Reporting Manual

 PRM—Payor Reporting Manual

Cross References

   This appendix cited in 28 Pa. Code §  915.3 (relating to definitions); 28 Pa. Code §  915.21 (relating to classes of data collected by the Council); and 28 Pa. Code §  915.23 (relating to release of protected data).

APPENDIX C
NONPROTECTED DATA




Field NumberData Element Name
FRMPRM
(5/6*)Length of Stay
(5/6*)Day of Week, Admit
(5/6*)Day of Week, Dchg.
7aPrincipal Diagnosis Code
7b-eSecondary Diagnosis Codes
(8*)Day of Week of Procedure
(8*)Pre-operative LOS
8a, b8Principal Procedure Code
9a1-9c2Secondary Procedure Code
109Uniform Identifier for Health Care Facility
1110Attending Physician ID
1210Operating Physician ID
13a1-13w1Revenue Description
13a2-13w2Revenue Code
13a3-13w312Units of Service
13a4-13w413Total Charges (by Revenue Code Category)
13a5-13w5Noncovered Charges (by Revenue Category)
14b1-3Payor Identification
14c1-3Deductible Amount
14d1-3Co-Insurance Amount
17Uniform Identifier of Primary Payor
18Zip code of Facility
20Patient Discharge Status
21aPatient Severity upon Admission
21bPatient Morbidity
21cUnusual Occurrence— Nosocomial Infections
21dUnusual Occurrence— Readmission
22Type of Bill
24Diagnosis Related Group
2518Procedure Coding Method Used
26Type of Admission
27Source of Admission
30Principal and other Diagnoses Descriptions
31Principal and other Procedure Descriptions
33a, bEmployment Information
34a, bEmployment Status Code
2Place of Service
11Type of Professional Service

 * constructed data element using submitted data elements

 FRM—Facility Reporting Manual

 PRM—Payor Reporting Manual

Cross References

   This appendix cited in 28 Pa. Code §  915.3 (relating to definitions); 28 Pa. Code §  915.21 (relating to classes of data collected by the Council); and 28 Pa. Code §  915.24 (relating to release of nonprotected data).



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