28 Pa. Code § 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.

Field Number		Data Element Name
FRM	PRM
1	3	Uniform Patient I. D.
2	4	Patient Birthdate (MDY of MY)
4	—	Patient Zip Code (6 through 9 digits)
5	6	Date of Admission (MDY)
6	7	Date of Discharge (MDY)
8a, b	8	Principle Procedure Date
9a1-9c2	—	Secondary Procedure Date
23	17	Patient Control Number
29a-c	20	Certificate/Social Security Number/Health Insurance Claim/I. D. Number

FRM—Facility Reporting Manual

PRM—Payor Reporting Manual

APPENDIX ANONDISCLOSABLE DATA

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 BPROTECTED DATA

Field Number		Data Element Name
FRM	PRM
(2*)	(4*)	Year of Birth/Age
3	5	Patient Sex
4	—	Patient Zip Code (first 5 digits)
14e 1-4	—	Estimated Responsibility
14f 1-4	—	Prior Payments—Payor and Patient
14g 1-4	—	Estimated Amount Due
19	16	Payor Group Number
21e	21	Reserve Field
28a-c	19	Patients’ Relationship to Insured
32	—	Employer Name
35	—	Patient Race
—	14	Primary Payor Payments
—	15	Other 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 CNONPROTECTED DATA

Field Number		Data Element Name
FRM	PRM
(5/6*)	—	Length of Stay
(5/6*)	—	Day of Week, Admit
(5/6*)	—	Day of Week, Dchg.
7a	—	Principal Diagnosis Code
7b-e	—	Secondary Diagnosis Codes
(8*)	—	Day of Week of Procedure
(8*)	—	Pre-operative LOS
8a, b	8	Principal Procedure Code
9a1-9c2	—	Secondary Procedure Code
10	9	Uniform Identifier for Health Care Facility
11	10	Attending Physician ID
12	10	Operating Physician ID
13a1-13w1	—	Revenue Description
13a2-13w2	—	Revenue Code
13a3-13w3	12	Units of Service
13a4-13w4	13	Total Charges (by Revenue Code Category)
13a5-13w5	—	Noncovered Charges (by Revenue Category)
14b1-3	—	Payor Identification
14c1-3	—	Deductible Amount
14d1-3	—	Co-Insurance Amount
17	—	Uniform Identifier of Primary Payor
18	—	Zip code of Facility
20	—	Patient Discharge Status
21a	—	Patient Severity upon Admission
21b	—	Patient Morbidity
21c	—	Unusual Occurrence— Nosocomial Infections
21d	—	Unusual Occurrence— Readmission
22	—	Type of Bill
24	—	Diagnosis Related Group
25	18	Procedure Coding Method Used
26	—	Type of Admission
27	—	Source of Admission
30	—	Principal and other Diagnoses Descriptions
31	—	Principal and other Procedure Descriptions
33a, b	—	Employment Information
34a, b	—	Employment Status Code
—	2	Place of Service
—	11	Type 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).