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Data Element
PRV056
PRV.003.056
No Updates
Definition | A code identify an out of state provider enrolled with the state (The provider location is out of state, but for payment purposes the provider is treated as an in-state provider.) |
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Size | X(1) |
FLF Start Position | 373 |
FLF Stop Position | 373 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must be in Address Border State Indicator List (VVL) 2. 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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