PLA

PCP Change Reason

Pos: 395

Max: 1

Detail - Optional

Loop: 2310

Elements: 4

User Option (Usage): Situational

To indicate action to be taken for the location specified and to qualify the location specified

Element Summary:

	Ref	Id	Element Name	Req	Type	Min/Max	Usage
	PLA01	306	Action Code Description: Code indicating type of action	M	ID	1/2	Required

	Code	Name
	2	Change (Update)

PLA02

Entity Identifier Code
Description: Code identifying an organizational entity, a physical location, property or an individual

2/3

Required

	Code	Name
	1P	Provider

	PLA03	373	Date Description: Date expressed as CCYYMMDD Industry: Provider Effective Date This is the effective date of the change of PCP.	M	DT	8/8	Required
	PLA05	1203	Maintenance Reason Code Description: Code identifying the reason for the maintenance change If none of the specific Maintenance Reasons apply, send ’AI’, No Reason Given.	O	ID	2/3	Required

	Code	Name
	14	Voluntary Withdrawal
	22	Plan Change
	46	Current Customer Information File in Error
	AA	Dissatisfaction with Office Staff
	AB	Dissatisfaction with Medical Care/Services Rendered
	AC	Inconvenient Office Location
	AD	Dissatisfaction with Office Hours
	AE	Unable to Schedule Appointments in a Timely Manner
	AF	Dissatisfaction with Physician's Referral Policy
	AG	Less Respect and Attention Time Given than to Other Patients
	AH	Patient Moved to a New Location
	AI	No Reason Given
	AJ	Appointment Times not Met in a Timely Manner

Semantics:

1.	PLA03 is the effective date for the action identified in PLA01.
2.	When used, PLA04 is the effective time for the action identified in PLA01.

Notes:

1. This segment should be used to report the reason and the effective date that a member changes primary care provider.

Example:

PLA*2*1P*19970628**AI~

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