PRV.003.047

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TMSIS Dataguide

Medicaid.gov

Version 3.36.0

ADDR-LN1

Data Element

DE Number

PRV047

System DE Number

PRV.003.047

File Name

File Segment Number

File Segment Name

PROV-LOCATION-AND-CONTACT-INFO

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The first line of a potentially multi-line physical street or mailing address for a given entity (e.g. person, organization, agency, etc.).
Size	X(60)
FLF Start Position	74
FLF Stop Position	133
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 60 characters or less 2. Value must not be equal to associated Address Line 2 or Address Line 3 value(s) 3. Value must not contain a pipe or asterisk symbols 4. Mandatory 5. When populated, the associated Address Type is required

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date

RULE ID	RULE Definition
RULE-6971	If a segment is a provider location and contact information segment from a PRV file, then the address line 1 value reported must be compatible with the specified T-MSIS picture format: X(60).
RULE-7137	If at least two of the first, second, and third address lines are populated on a provider location and contact information segment from a PRV file, then the address line values reported must be unique.
RULE-7729	If a value has been submitted for SUBMITTING-STATE-PROV-ID on a provider location and contact info segment, then the address line 1 must be populated.

Measure ID	Measure Name
MIS-11-015-15	% distinct SUBMITTING-STATE-PROV-IDs with only missing values in any active segment: ADDR-LN1 (PRV00003)
RULE-7729	% of Provider Location and Contact Info segments with a missing Address Line 1
RULE-7731	% of Provider Location and Contact Info segments with a non-missing Address Line 1 that have a missing Address City
RULE-7732	% of Provider Location and Contact Info segments with a non-missing Address Line 1 that have a missing Address State
RULE-7733	% of Provider Location and Contact Info segments with a non-missing Address Line 1 that have a missing Address Zip Code
RULE-7734	% of Provider Location and Contact Info segments with a non-missing Address Line 1 that have a missing Address County

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

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
08/14/2023	3.12.0	PRV.003.047	UPDATE	Coding requirement	1. Value must be 60 characters or less2. Value must not be equal to associated Address Line 2 (CE) or Address Line 3 (CE) value(s)3. Value must not contain a pipe or asterisk symbols4. Mandatory5. When populated, the associated Address Type is required	1. Value must be 60 characters or less2. Value must not be equal to associated Address Line 2 or Address Line 3 value(s)3. Value must not contain a pipe or asterisk symbols4. Mandatory5. When populated, the associated Address Type is required