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Data Element
PRV023
PRV.002.023
No Updates
Definition | The name as it appears on the provider agreement between the state and the entity. Both persons and other entities can have a legal name. |
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Size | X(100) |
FLF Start Position | 168 |
FLF Stop Position | 267 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must not contain a pipe or asterisk symbol 2. Value must be 100 characters or less 3. 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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