PRV Provider Information
To specify the identifying characteristics of a provider
Code indentifying the type of provider
Code Qualifying the Reference Identification
Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier
Code (Standard State/Province) as defined by appropriate government agency
PRV-05Provider Specialty InformationComposite (composite)Optional
Provider Specialty Information
Code indicating the primary specialty of the provider, as defined by the receiver
Code identifying the agency assigning the code values
C035-02 qualifies C035-01.
Code indicating a Yes or No condition or response
C035-03 is the provider specialty certification indicator. A "Y" value indicates the provider is certified in the specialty indicated. An "N" value indicates the provider is not certified in the specialty indicated. A "U" value indicates that it is unknown whether the provider is certified in the specialty indicated.
Code identifying the organizational structure of a provider