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TMSIS Dataguide Medicaid.gov
Version 3.27.0

PROV-ORGANIZATION-NAME

Data Element

DE Number

PRV024

System DE Number

PRV.002.024

File Name

PRV - PROVIDER

File Segment Number

PRV00002

File Segment Name

PROV-ATTRIBUTES-MAIN

Last updated

Definition

The name of the provider when the provider is an organization. If the provider organization name exceeds 60 characters submit only the first 60 characters of the name. Provider Organization Name should be same as provider last name when provider is an individual.

Size X(60)
FLF Start Position 268
FLF Stop Position 327
Segment Key Field Identifier Not Applicable
Coding Requirements

1. Value must not contain a pipe or asterisk symbol
2. Value must be 60 characters or less
3. Conditional

Valid Value Code Set Valid Value Code Valid Value Name Valid Value Description Effective Start Date Effective End Date
DE Number System DE Number DE Name File Segment Number File Segment Name