| Data Element: | Provider Affiliation PV056 - December 1, 2010 - v2.1
(Massachusetts) |
Provider Affiliation PV056 - June 7, 2013 - v3.1
(Massachusetts) |
Provider Affiliation PV056 - October 1, 2014 - v4.0
(Massachusetts) |
|---|---|---|---|
![[Shared]](/images/icons/button-tick_16.png){kind=icon} Data Element ID |
PV056 | PV056 | PV056 |
|
Definition |
Provider Affiliation Code | Provider Affiliation Code | Provider Affiliation Code |
|
State / Source
|
Massachusetts |
Massachusetts |
Massachusetts |
| Data Type |
Text | Text | Text |
![[Unshared]](/images/icons/red_16.png){kind=icon} Data Type Description |
ID PV002 | ID Link to PV002 | ID Link to PV002 |
| Format |
varchar[30] | varchar[30] | |
| Length |
30 | 30 | 30 |
| Column |
56 | 56 | 56 |
| Threshold |
1 | 1 | 1 |
| Encrypted |
No | ||
| Required |
All | ||
| APCD - GIC Carrier Threshold |
1 | Not Supplied | Not Supplied |
| Cat |
Not Supplied | B | B |
| Condition |
Not Supplied | All | All |
| Date Active (version) |
'6/24/2010 | Not Supplied | Not Supplied |
| Element Submission Guideline |
The Provider ID for any affiliation the provider has with another entity or parent company. If the provider is associated only with self, record the same value here as PV002 | Report the Provider ID for any affiliation the provider has with another entity or parent company. If the provider is associated only with self, record the same value here as PV002. | Report the Provider ID for any affiliation the provider has with another entity or parent company. If the provider is associated only with self, record the same value here as PV002. |
| File |
PV | PV | PV |
| Old Length |
30 | Not Supplied | Not Supplied |
| Data Element: | Provider Affiliation PV056 - December 1, 2010 - v2.1
(Massachusetts) |
Provider Affiliation PV056 - June 7, 2013 - v3.1
(Massachusetts) |
Provider Affiliation PV056 - October 1, 2014 - v4.0
(Massachusetts) |
|---|---|---|---|
| There are no enumerated permissible values for these data elements. | |||
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