| Definition |
The code values from the categorization schema identified in the Provider Classification Type data element. Note: States should apply these classification schemas consistently across all providers. |
| Size |
X(20) |
| FLF Start Position |
53 |
| FLF Stop Position |
72 |
| Segment Key Field Identifier |
4 |
| Coding Requirements |
1. If associated Provider Classification Type equals 1, value must be in Provider Taxonomy List (VVL)
2. If associated Provider Classification Type equals 2, value must be in Provider Specialty List (VVL)
3. If associated Provider Classification Type equals 3, value must be in Provider Type Code List (VVL)
4. If associated Provider Classification Type equals 4, value must be in Provider Authorized Category of Service Code List (VVL)
5. Value must be 20 characters or less
6. Mandatory |
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.
*Valid values for PROV-CLASSIFICATION-CODE depend on the value submitted for PROV-CLASSIFICATION-TYPE. All four valid value sets are shown here below.
If PROV-CLASSIFICATION-TYPE = 1 then refer to the Provider Taxonomy Code List
If PROV-CLASSIFICATION-TYPE = 2 then you should submit a valid value from the PROV-SPECIALTY valid value set.
If PROV-CLASSIFICATION-TYPE = 3 then you should submit a valid value from the PROV-TYPE valid value set.
If PROV-CLASSIFICATION-TYPE = 4 then you should submit a valid value from the PROV-CLASSIFICATION-CODE-TYPE-4 valid value set.
|
Valid Value Code Set
|
Valid Value Code
|
Valid Value Name
|
Valid Value Description
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Effective Start Date
|
Effective End Date
|
|
DE Number
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System DE Number
|
DE Name
|
File Segment Number
|
File Segment Name
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