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TMSIS Dataguide Medicaid.gov

Version:

FILE-HEADER-RECORD-PROVIDER

File Segment

File Segment Number

PRV00001

File Name

PRV - PROVIDER

Last updated

DE Number System DE Number Data Element Definition Valid Values
PRV001 PRV.001.001 RECORD-ID The Record ID represents the type of segment being reported. The Record ID communicates how the contents of a given row of data should be interpreted depending on which segment type the Record ID represents. Each type of segment collects different data elements so each segment type has a distinct layout. The first 3 characters identify the relevant file (e.g., ELG, PRV, CIP, etc.). The last 5 digits are the segment identifier padded with leading zeros (e.g., 00001, 00002, 00003, etc.). PRV001 Values
PRV002 PRV.001.002 DATA-DICTIONARY-VERSION A data element to capture the version of the T-MSIS data dictionary that was used to build the file. PRV002 Values
PRV003 PRV.001.003 SUBMISSION-TRANSACTION-TYPE A data element to identify the whether the transactions in the file are original submissions of the data, a resubmission of a previously submitted file, or corrections of edit rejects. PRV003 Values
PRV004 PRV.001.004 FILE-ENCODING-SPECIFICATION Denotes which supported file encoding standard was used to create the file. PRV004 Values
PRV005 PRV.001.005 DATA-MAPPING-DOCUMENT-VERSION Identifies the version of the T-MSIS data mapping document used to build a state submission file. N/A
PRV006 PRV.001.006 FILE-NAME A code to identify the subject area to which the records in its file relate. Each T-MSIS submission file should only contain records for one subject area (i.e., Eligible, Third-party liability, Provider, Managed Care Plan Information, Inpatient, Long-Term Care, Other, Pharmacy Claim, and Financial Transactions). N/A
PRV007 PRV.001.007 SUBMITTING-STATE A code that uniquely identifies the U.S. State or Territory from which T-MSIS system data resources were received. PRV007 Values
PRV008 PRV.001.008 DATE-FILE-CREATED The date on which the file was created. N/A
PRV009 PRV.001.009 START-OF-TIME-PERIOD This value must be the first day of the reporting month, regardless of the actual date span of the data in the file. N/A
PRV010 PRV.001.010 END-OF-TIME-PERIOD This value must be the last day of the reporting month, regardless of the actual date span. N/A
PRV011 PRV.001.011 FILE-STATUS-INDICATOR A code to indicate whether the records in the file are test or production records. PRV011 Values
PRV013 PRV.001.013 TOT-REC-CNT A count of all records in the file except for the file header record. This count will be used as a control total to help assure that the file did not become corrupted during transmission. N/A
PRV139 PRV.001.139 FILE-SUBMISSION-METHOD The file submission method (e.g., TFFR, RHFR, IT, or CSO) used by the state to build and submit the file. This should correspond with the state's declared file submission method for the same file type and time period. PRV139 Values
PRV138 PRV.001.138 SEQUENCE-NUMBER To enable states to sequentially number files, when related, follow-on files are necessary (i.e., update files, replacement files). This should begin with 1 for the original Create submission type and be incremented by one for each Replacement or Update submission for the same reporting period and file type (subject area). N/A
PRV014 PRV.001.014 STATE-NOTATION A free text field for the submitting state to enter whatever information it chooses. N/A
Definition
A record segment containing metadata necessary to identify the file itself, when it was created and the number of records it contains.

File Segment Length
1100