PRV.002.034

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TMSIS Dataguide

Medicaid.gov

Version:

DATE-OF-BIRTH

Data Element

DE Number

PRV034

System DE Number

PRV.002.034

File Name

File Segment Number

File Segment Name

PROV-ATTRIBUTES-MAIN

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	An individual's date of birth.
Size	9(8)
FLF Start Position	497
FLF Stop Position	504
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. The date must be a valid calendar date in the form "CCYYMMDD" 2. Value must be less than or equal to associated End of Time Period (PRV.001.010) 3. Conditional 4. The difference between current value and Start of Time Period (PRV.001.009) must be between 18 and 85 years

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

RULE ID	RULE Definition
RULE-2817	If the facility group individual code on a provider attributes main segment from a PRV file is for an individual provider, then the provider date of birth must be a valid, non-null value.
RULE-2818	If the date of birth on a provider attributes main segment is populated, and the end of time period on the provider file header is populated, the the provider attributes main segment date of birth is less than or equal to the file header end of time period.
RULE-2820	If the provider attributes main segment has a value populated for date of birth and the provider file header segment has a value populated for start of time period, and the date of death is not populated in the provider attributes main segment and the provider Medicaid enrollment status is not terminated then the difference between the date of birth and start of time period values is less than or equal to 85 years and greater than or equal to 18 years.
RULE-2821	If a provider attributes main segment has values populated for date of death and date of birth, then the difference between the values must be equal to or greater that 18 years.
RULE-6965	If a segment is a provider attributes main segment from a PRV file, then the date of birth value reported must be a valid date of the form CCYYMMDD.

Measure ID	Measure Name
MIS-11-001-1	% distinct SUBMITTING-STATE-PROV-IDs with only missing values in any active segment: DATE-OF-BIRTH (PRV00002)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP175	CIP.002.175	DATE-OF-BIRTH	CIP00002	CLAIM-HEADER-RECORD-IP
CLT126	CLT.002.126	DATE-OF-BIRTH	CLT00002	CLAIM-HEADER-RECORD-LT
COT108	COT.002.108	DATE-OF-BIRTH	COT00002	CLAIM-HEADER-RECORD-OT
CRX066	CRX.002.066	DATE-OF-BIRTH	CRX00002	CLAIM-HEADER-RECORD-RX
ELG024	ELG.002.024	DATE-OF-BIRTH	ELG00002	PRIMARY-DEMOGRAPHICS-ELIGIBILITY

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/16/2024	4.0.0	PRV.002.034	UPDATE	File segment	None	88
09/16/2024	4.0.0	PRV.002.034	ADD	N/A		Created