PRV.003.052

ADDR-ZIP-CODE

Data Element

DE Number

PRV052

System DE Number

PRV.003.052

File Name

PRV - PROVIDER

File Segment Number

PRV00003

File Segment Name

PROV-LOCATION-AND-CONTACT-INFO

Last updated

09/12/2024

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	U.S. ZIP Code component of an address associated with a given entity (e.g. person, organization, agency, etc.)
Size	X(9)
FLF Start Position	284
FLF Stop Position	292
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value may only be 5 digits (0-9) (Example: 91320) or 9 digits (0-9) (Example: 913200011) 2. Mandatory 3. Value must be in ZIP Code List (VVL)

This data element's valid value code set is maintained by a Code Set Maintenance Organization (CSMO), the official licensing organization for specific valid value code sets. The CSMO is the system of record for those specific valid value code sets. While T-MSIS endeavors to be in-sync with CMSO's updates, minor delays may occur but that shouldn't block T-MSIS data submissions using the CSMO's latest version.

Zip Code List

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date
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RULE ID	RULE Definition
RULE-2857	If a segment is a provider location and contact information segment, then the address zip-code value reported must submitted as 9(5) or 9(9).
RULE-6731	If a segment is a provider location and contact information segment from a PRV file, the iaddress zip code value reported must be compatible with the specified T-MSIS picture format: X(9).
RULE-7733	If a value has been submitted for address line 1 on a provider location and contact info segment, then the address zip code must be populated.

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Measure ID	Measure Name
MIS-11-018-18	% distinct SUBMITTING-STATE-PROV-IDs with only missing values in any active segment: ADDR-ZIP-CODE (PRV00003)
RULE-7733	% of Provider Location and Contact Info segments with a non-missing Address Line 1 that have a missing Address Zip Code

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DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
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Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/12/2024	3.29.0	PRV.003.052	UPDATE	Coding requirement	1. Value may only be 5 digits (0-9) (Example: 91320) or 9 digits (0-9) (Example: 913200011)2. Mandatory	1. Value may only be 5 digits (0-9) (Example: 91320) or 9 digits (0-9) (Example: 913200011)2. Mandatory3. Value must be in ZIP Code List (VVL)
09/21/2023	3.13.0	PRV.003.052	UPDATE	Medicaid valid value info		Zip Code List