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Data Element
PRV089
PRV.006.089
Definition | The code values from the categorization schema identified in the Provider Classification Type data element. Note: States should apply these classification schemas consistently across all providers. |
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Size | X(20) |
FLF Start Position | 53 |
FLF Stop Position | 72 |
Segment Key Field Identifier | 4 |
Coding Requirements | 1. Value must be 20 characters or less 2. If associated Provider Classification Type equals "1", value must be in Provider Taxonomy List (VVL) 3. If associated Provider Classification Type equals "2", value must be in Provider Specialty List (VVL) 4. If associated Provider Classification Type equals "3", value must be in Provider Type Code List (VVL) 5. If associated Provider Classification Type equals "4", value must be in Provider Classification Code Type 4 List (VVL) 6. Mandatory |
Valid Value Code Set | Valid Value Code | Valid Value Name | Valid Value Description | Effective Start Date | Effective End Date |
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DE Number | System DE Number | DE Name | File Segment Number | File Segment Name |
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