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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

DATA-MAPPING-DOCUMENT-VERSION

Data Element

DE Number

PRV005

System DE Number

PRV.001.005

File Name

PRV - PROVIDER

File Segment Number

PRV00001

File Segment Name

FILE-HEADER-RECORD-PROVIDER

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition Identifies the version of the T-MSIS data mapping document used to build a state submission file.
Size X(9)
FLF Start Position 23
FLF Stop Position 31
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be 9 characters or less
2. Mandatory
Valid Value Code Set Valid Value Code Valid Value Name Valid Value Description Effective Start Date Effective End Date
DE Number System DE Number DE Name File Segment Number File Segment Name
CIP005 CIP.001.005 DATA-MAPPING-DOCUMENT-VERSION CIP00001 FILE-HEADER-RECORD-IP
CLT005 CLT.001.005 DATA-MAPPING-DOCUMENT-VERSION CLT00001 FILE-HEADER-RECORD-LT
COT005 COT.001.005 DATA-MAPPING-DOCUMENT-VERSION COT00001 FILE-HEADER-RECORD-OT
CRX005 CRX.001.005 DATA-MAPPING-DOCUMENT-VERSION CRX00001 FILE-HEADER-RECORD-RX
ELG005 ELG.001.005 DATA-MAPPING-DOCUMENT-VERSION ELG00001 FILE-HEADER-RECORD-ELIGIBILITY
FTX005 FTX.001.005 DATA-MAPPING-DOCUMENT-VERSION FTX00001 FILE-HEADER-RECORD-FTX
MCR005 MCR.001.005 DATA-MAPPING-DOCUMENT-VERSION MCR00001 FILE-HEADER-RECORD-MANAGED-CARE
TPL005 TPL.001.005 DATA-MAPPING-DOCUMENT-VERSION TPL00001 FILE-HEADER-RECORD-TPL