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Data Element
PRV102
PRV.007.102
No Updates
Definition | Process by which a provider was enrolled in Medicaid or CHIP. |
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Size | X(1) |
FLF Start Position | 71 |
FLF Stop Position | 71 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must be in Provider Enrollment Method List (VVL) 2. Value must be 1 character 3. 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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