PRV.002.025

An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock () or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

TMSIS Dataguide

Medicaid.gov

Version 3.27.0

PROV-TAX-NAME

Data Element

DE Number

PRV025

System DE Number

PRV.002.025

File Name

File Segment Number

File Segment Name

PROV-ATTRIBUTES-MAIN

Last updated

No Updates

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The name that the provider entity uses on IRS filings.
Size	X(100)
FLF Start Position	328
FLF Stop Position	427
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

RULE ID	RULE Definition
RULE-2802	If the provider tax name is populated on the provider attributes main file, then the provider tax name reported must not contain any pipe or asterisk characters.
RULE-7051	If a segment is a provider attributes main segment from a PRV file, then the provider tax name value reported must be compatible with the specified T-MSIS picture format: X(100).

Measure ID	Measure Name

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

Published Date	Data Guide Version	Data Element	Action	Field	Before	After