NPI HCP Match Rules
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