Learn about identifying duplicate healthcare professional records.

NPI HCP match rules help in identifying duplicate healthcare professional records. It lists duplicate records as suspect matches. The match rule names must match in the DTSS subscription.

Reltio has defined the following NPI HCP match rules for matching the healthcare professionals profiles.

• PersonByNPI

  The PersonByNPI rule indicates that all healthcare professionals that have the exact Identifier Type that is NPI and exactly the same Identifier Value that is State License Number, are suspect matches/potential records/duplicate records.

  Table 1. Attributes

  Attribute Name	Value
  First Name
  Last Name
  Credentials
  Address Line 1
  Premise
  Street
  Zip5
  Identifier ID	Exact
  State License Number	EE(NPI)
  State License State

• PersonByExactNameAddressLine1Zip5

  The PersonByExactNameAddressLine1Zip5 rule indicates that all healthcare professionals that have the exact First Name, Last Name, Address Line 1, and Zip5, are suspect matches/potential records/duplicate records.

  Table 2. Attributes

  Attribute Name	Value
  First Name	Exact
  Last Name	Exact
  Credentials
  Address Line 1	Exact
  Premise
  Street
  Zip5	Exact
  Identifier ID
  State License Number
  State License State

• PersonbyExactNameNestedAddressLine1Zip5

  The PersonbyExactNameNestedAddressLine1Zip5 rule indicates that all healthcare professionals that have the exact First Name, Last Name, Address Type, Address Line 1, and Zip5, are suspect matches/potential records/duplicate records.

  In this match rule, the address attributes are from nested address that is "Addresses".

  Table 3. Attributes

  Attribute Name	Value
  First Name	Exact
  Last Name	Exact
  Credentials
  Address Type	Exact
  Address Line 1	Exact
  Premise
  Street
  Zip5	Exact
  Identifier ID
  State License Number
  State License State

• PersonByExactNameAndExactPremiseStreetZip5Credentials

  The PersonByExactNameAndExactPremiseStreetZip5Credentials rule indicates that all healthcare professionals that have the exact First Name, Last Name, Premise, Street, and Zip5, and either exact or null (EON) Credentials, are suspect matches/potential records/duplicate records.

  Table 4. Attributes

  Attribute Name	Value
  First Name	Exact
  Last Name	Exact
  Credentials	EON
  Address Line 1
  Premise	Exact
  Street	Exact
  Zip5	Exact
  Identifier ID
  State License Number
  State License State

• PersonbyExactNameAndExactPremiseStreetNestedZip5Credentials

  The PersonbyExactNameAndExactPremiseStreetNestedZip5Credentials rule indicates that all healthcare professionals that have the exact First Name, Last Name, Premise, Street, Address Type, and Zip5, and either exact or null (EON) Credentials, are suspect matches/potential records/duplicate records.

  In this match rule, the address attributes are from nested address that is "Addresses".

  Table 5. Attributes

  Attribute Name	Value
  First Name	Exact
  Last Name	Exact
  Credentials	EON
  Address Type	Exact
  Address Line 1
  Premise	Exact
  Street	Exact
  Zip5	Exact
  Identifier ID
  State License Number
  State License State

• PersonByFuzzyNameAndNPI

  The PersonByFuzzyNameAndNPI rule indicates that all healthcare professionals that have the fuzzy First Name and Last Name, but exact Identifier Type that is NPI, and exactly the same Identifier Value that is State License Number, are suspect matches/potential records/duplicate records.

  Table 6. Attributes

  Attribute Name	Value
  First Name	Fuzzy
  Last Name	Fuzzy
  Credentials
  Address Line 1
  Premise
  Street
  Zip5
  Identifier ID	Exact
  State License Number	EE(NPI)
  State License State

• PersonByFuzzyNameAddressAndExactZip

  The PersonByFuzzyNameAddressAndExactZip rule indicates that all healthcare professionals that have the fuzzy First Name, Last Name, and Address Line, but exact Zip5, are suspect matches/potential records/duplicate records.

  Table 7. Attributes

  Attribute Name	Value
  First Name	Fuzzy
  Last Name	Fuzzy
  Credentials
  Address Line 1	Fuzzy
  Premise
  Street
  Zip5	Exact
  Identifier ID
  State License Number
  State License State

• PersonByFuzzyNameNestedAddressAndExactZip

  The PersonByFuzzyNameNestedAddressAndExactZip rule indicates that all healthcare professionals that have the fuzzy First Name, Last Name, and Address Line, but exact Zip5, and Address Type are suspect matches/potential records/duplicate records.

  In this match rule, the address attributes are from nested address that is "Addresses".

  Table 8. Attributes

  Attribute Name	Value
  First Name	Fuzzy
  Last Name	Fuzzy
  Credentials
  Address Type	Exact
  Address Line 1	Fuzzy
  Premise
  Street
  Zip5	Exact
  Identifier ID
  State License Number
  State License State

• PersonByStateLicense

  The PersonByStateLicense rule indicates that all healthcare professionals that have the fuzzy First Name and Last Name, but exact State License Number and State License State, are suspect matches/potential records/duplicate records.

  Table 9. Attributes

  Attribute Name	Value
  First Name	Fuzzy
  Last Name	Fuzzy
  Credentials
  Address Line 1
  Premise
  Street
  Zip5
  Identifier ID
  State License Number	Exact
  State License State	Exact