CRX.002.074

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

PRESCRIBING-PROV-NUM

Data Element

DE Number

CRX074

System DE Number

CRX.002.074

File Name

CRX - CLAIM PHARMACY

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-RX

Last updated

No Updates

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	A unique identification number assigned by the state to the provider who prescribed the drug, device, or supply. This must be the individual's ID number, not a group identification number. If the prescribing physician provider ID is not available, but the physician's Drug Enforcement Agency (DEA) ID is on the state file, then the State should use the DEA ID for this data element
Size	X(30)
FLF Start Position	531
FLF Stop Position	560
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 30 characters or less 2. 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-6273	If a claim is a non-denied claim from an RX file, then the prescribing provider number value reported must be compatible with specified T-MSIS picture format: X(30).

Measure ID	Measure Name
MIS-8-022-22	% missing: PRESCRIBING-PROV-NUM (CRX00002)
MIS-27-022-22	% missing: PRESCRIBING-PROV-NUM (CRX00002)
MIS-85-022-22	% missing: PRESCRIBING-PROV-NUM (CRX00002)

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

Published Date	Data Guide Version	Data Element	Action	Field	Before	After