| Data Element: | Entity Name PV012 - December 1, 2010 - v2.1
(Massachusetts) |
Entity Name PV012 - June 7, 2013 - v3.1
(Massachusetts) |
Entity Name PV012 - October 1, 2014 - v4.0
(Massachusetts) |
|---|---|---|---|
![[Shared]](/images/icons/button-tick_16.png){kind=icon} Data Element ID |
PV012 | PV012 | PV012 |
|
Definition |
Group / Facility name | Group / Facility name | Group / Facility name |
|
State / Source
|
Massachusetts |
Massachusetts |
Massachusetts |
| Data Type |
Text | Text | Text |
![[Unshared]](/images/icons/red_16.png){kind=icon} Data Type Description |
Name Entity | Name Provider Entity | Name Provider Entity |
| Format |
Free Text Name | varchar[100] | varchar[100] |
| Length |
100 | 100 | 100 |
| Column |
12 | 12 | 12 |
| Threshold |
1 | 1 | 1 |
| Encrypted |
No | ||
| Required |
If ProviderIDCode=2 | ||
| APCD - GIC Carrier Threshold |
1 | Not Supplied | Not Supplied |
| Cat |
Not Supplied | A1 | A1 |
| Condition |
Not Supplied | Required when PV034 = 2, 3, 4, 5, 6, 7, or 0 | Required when PV034 = 2, 3, 4, 5, 6, 7, or 0 |
| Date Active (version) |
'6/24/2010 | Not Supplied | Not Supplied |
| Element Submission Guideline |
Punctuation may be included. This should only be populated for facilities or groups. | Report the Provider Entity Name when Punctuation may be included. This should only be populated for facilities or groups. | Report the Provider Entity Name when Provider ID does not equal 1 (person). . This should only be populated for facilities or groups. Limited punctuation may be included. |
| File |
PV | PV | PV |
| Old Length |
100 | Not Supplied | Not Supplied |
| Data Element: | Entity Name PV012 - December 1, 2010 - v2.1
(Massachusetts) |
Entity Name PV012 - June 7, 2013 - v3.1
(Massachusetts) |
Entity Name PV012 - October 1, 2014 - v4.0
(Massachusetts) |
|---|---|---|---|
| There are no enumerated permissible values for these data elements. | |||
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