PRV Provider Information
To specify the identifying characteristics of a provider
Sequence
Element
Name
Type
Requirement
Min
Max
Repeat
Code identifying the type of provider
Codes (26)
Code identifying the Reference Identification
P0203: If either PRV-02 or PRV-03 is present, then the other is required
Codes (1904)
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
Code specifying the Standard State/Province as defined by appropriate
government agency
Code indicating the primary specialty of the provider, as defined by the
receiver
Codes (11)
Code identifying the agency assigning the code values
C035-02 qualifies C035-01.
Codes (206)
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.
Codes (9)
Code identifying the organizational structure of a provider
Codes (8)