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Data Element
PRV115
PRV.009.115
Definition | The Record ID represents the type of segment being reported. The Record ID communicates how the contents of a given row of data should be interpreted depending on which segment type the Record ID represents. Each type of segment collects different data elements so each segment type has a distinct layout. The first 3 characters identify the relevant file (e.g., ELG, PRV, CIP, etc.). The last 5 digits are the segment identifier padded with leading zeros (e.g., 00001, 00002, 00003, etc.). |
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Size | X(8) |
FLF Start Position | 1 |
FLF Stop Position | 8 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Mandatory 2. Value must be 8 characters 3. Value must be in Record ID List (VVL) 4. Value must equal "PRV00009" |
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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CIP001 | CIP.001.001 | RECORD-ID | CIP00001 | FILE-HEADER-RECORD-IP |
CIP016 | CIP.002.016 | RECORD-ID | CIP00002 | CLAIM-HEADER-RECORD-IP |
CIP231 | CIP.003.231 | RECORD-ID | CIP00003 | CLAIM-LINE-RECORD-IP |
CLT001 | CLT.001.001 | RECORD-ID | CLT00001 | FILE-HEADER-RECORD-LT |
CLT016 | CLT.002.016 | RECORD-ID | CLT00002 | CLAIM-HEADER-RECORD-LT |
CLT184 | CLT.003.184 | RECORD-ID | CLT00003 | CLAIM-LINE-RECORD-LT |
COT001 | COT.001.001 | RECORD-ID | COT00001 | FILE-HEADER-RECORD-OT |
COT016 | COT.002.016 | RECORD-ID | COT00002 | CLAIM-HEADER-RECORD-OT |
COT154 | COT.003.154 | RECORD-ID | COT00003 | CLAIM-LINE-RECORD-OT |
CRX001 | CRX.001.001 | RECORD-ID | CRX00001 | FILE-HEADER-RECORD-RX |
CRX016 | CRX.002.016 | RECORD-ID | CRX00002 | CLAIM-HEADER-RECORD-RX |
CRX108 | CRX.003.108 | RECORD-ID | CRX00003 | CLAIM-LINE-RECORD-RX |
ELG001 | ELG.001.001 | RECORD-ID | ELG00001 | FILE-HEADER-RECORD-ELIGIBILITY |
ELG016 | ELG.002.016 | RECORD-ID | ELG00002 | PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG030 | ELG.003.030 | RECORD-ID | ELG00003 | VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG061 | ELG.004.061 | RECORD-ID | ELG00004 | ELIGIBLE-CONTACT-INFORMATION |
ELG079 | ELG.005.079 | RECORD-ID | ELG00005 | ELIGIBILITY-DETERMINANTS |
ELG103 | ELG.006.103 | RECORD-ID | ELG00006 | HEALTH-HOME-SPA-PARTICIPATION-INFORMATION |
ELG114 | ELG.007.114 | RECORD-ID | ELG00007 | HEALTH-HOME-SPA-PROVIDERS |
ELG126 | ELG.008.126 | RECORD-ID | ELG00008 | HEALTH-HOME-CHRONIC-CONDITIONS |
ELG136 | ELG.009.136 | RECORD-ID | ELG00009 | LOCK-IN-INFORMATION |
ELG146 | ELG.010.146 | RECORD-ID | ELG00010 | MFP-INFORMATION |
ELG159 | ELG.011.159 | RECORD-ID | ELG00011 | STATE-PLAN-OPTION-PARTICIPATION |
ELG168 | ELG.012.168 | RECORD-ID | ELG00012 | WAIVER-PARTICIPATION |
ELG178 | ELG.013.178 | RECORD-ID | ELG00013 | LTSS-PARTICIPATION |
ELG188 | ELG.014.188 | RECORD-ID | ELG00014 | MANAGED-CARE-PARTICIPATION |
ELG200 | ELG.015.200 | RECORD-ID | ELG00015 | ETHNICITY-INFORMATION |
ELG209 | ELG.016.209 | RECORD-ID | ELG00016 | RACE-INFORMATION |
ELG220 | ELG.017.220 | RECORD-ID | ELG00017 | DISABILITY-INFORMATION |
ELG229 | ELG.018.229 | RECORD-ID | ELG00018 | 1115A-DEMONSTRATION-INFORMATION |
ELG238 | ELG.020.238 | RECORD-ID | ELG00020 | HCBS-CHRONIC-CONDITIONS-NON-HEALTH-HOME |
ELG248 | ELG.021.248 | RECORD-ID | ELG00021 | ENROLLMENT-TIME-SPAN-SEGMENT |
ELG257 | ELG.022.257 | RECORD-ID | ELG00022 | ELG-IDENTIFIERS |
MCR001 | MCR.001.001 | RECORD-ID | MCR00001 | FILE-HEADER-RECORD-MANAGED-CARE |
MCR016 | MCR.002.016 | RECORD-ID | MCR00002 | MANAGED-CARE-MAIN |
MCR034 | MCR.003.034 | RECORD-ID | MCR00003 | MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR054 | MCR.004.054 | RECORD-ID | MCR00004 | MANAGED-CARE-SERVICE-AREA |
MCR063 | MCR.005.063 | RECORD-ID | MCR00005 | MANAGED-CARE-OPERATING-AUTHORITY |
MCR073 | MCR.006.073 | RECORD-ID | MCR00006 | MANAGED-CARE-PLAN-POPULATION-ENROLLED |
MCR082 | MCR.007.082 | RECORD-ID | MCR00007 | MANAGED-CARE-ACCREDITATION-ORGANIZATION |
PRV001 | PRV.001.001 | RECORD-ID | PRV00001 | FILE-HEADER-RECORD-PROVIDER |
PRV016 | PRV.002.016 | RECORD-ID | PRV00002 | PROV-ATTRIBUTES-MAIN |
PRV039 | PRV.003.039 | RECORD-ID | PRV00003 | PROV-LOCATION-AND-CONTACT-INFO |
PRV060 | PRV.004.060 | RECORD-ID | PRV00004 | PROV-LICENSING-INFO |
PRV072 | PRV.005.072 | RECORD-ID | PRV00005 | PROV-IDENTIFIERS |
PRV084 | PRV.006.084 | RECORD-ID | PRV00006 | PROV-TAXONOMY-CLASSIFICATION |
PRV094 | PRV.007.094 | RECORD-ID | PRV00007 | PROV-MEDICAID-ENROLLMENT |
PRV106 | PRV.008.106 | RECORD-ID | PRV00008 | PROV-AFFILIATED-GROUPS |
PRV125 | PRV.010.125 | RECORD-ID | PRV00010 | PROV-BED-TYPE-INFO |
TPL001 | TPL.001.001 | RECORD-ID | TPL00001 | FILE-HEADER-RECORD-TPL |
TPL016 | TPL.002.016 | RECORD-ID | TPL00002 | TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL029 | TPL.003.029 | RECORD-ID | TPL00003 | TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL052 | TPL.004.052 | RECORD-ID | TPL00004 | TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES |
TPL063 | TPL.005.063 | RECORD-ID | TPL00005 | TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION |
TPL072 | TPL.006.072 | RECORD-ID | TPL00006 | TPL-ENTITY-CONTACT-INFORMATION |