PRV.002.140

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TMSIS Dataguide

Medicaid.gov

Version:

ATYPICAL-PROV-IND

Data Element

DE Number

PRV140

System DE Number

PRV.002.140

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 indicator to identify whether the provider is an atypical provider and therefore not eligible for an NPI.
Size	X(1)
FLF Start Position	514
FLF Stop Position	514
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 1 character 2. Value must be in Atypical Provider Indicator code list (VVL) 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-8825	If a segment is a provider attributes main segment from a PRV file, then the atypical provider indicator value reported must be compatible with the specified T-MSIS picture format: X(1).
RULE-8826	If the atypical provider indicator is populated on the Provider Attribute Main segment from a PRV file, then the atypical provider indicator reported must be found in the list of valid values.

Measure ID	Measure Name

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

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/16/2024	4.0.0	PRV.002.140	UPDATE	File segment	None	88
09/16/2024	4.0.0	PRV.002.140	ADD	N/A		Created