PRV.002.023

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TMSIS Dataguide

Medicaid.gov

Version:

PROV-LEGAL-NAME

Data Element

DE Number

PRV023

System DE Number

PRV.002.023

File Name

File Segment Number

File Segment Name

PROV-ATTRIBUTES-MAIN

Last updated

No Updates

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The name as it appears on the provider agreement between the state and the entity. Both persons and other entities can have a legal name.
Size	X(100)
FLF Start Position	168
FLF Stop Position	267
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must not contain a pipe or asterisk symbol 2. Value must be 100 characters or less 3. Mandatory

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date

RULE ID	RULE Definition
RULE-2799	If the provider legal name is populated on the provider attributes main file, then the provider legal name reported must not contain any pipe or asterisk characters.
RULE-6754	If a segment is a provider attributes main segment, then the provider legal name value reported must be compatible with the specified T-MSIS picture format: X(100).

Measure ID	Measure Name
MIS-11-009-9	% distinct SUBMITTING-STATE-PROV-IDs with only missing values in any active segment: PROV-LEGAL-NAME (PRV00002)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name

Published Date	Data Guide Version	Data Element	Action	Field	Before	After