ST_ID


Field Summary

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Property

Specification

Data System

OASIS

Data Spec Version

2.00 Revision 3

Record Type

Submission header record

Description

Agency Medicaid Provider Number

Length

15

Start

13

End

27

Picture

X(15)

Type

CODE

*Range if Active

Valid code, sp(15)

Format Info

Left justified; no embedded dashes or spaces; any letters must be upper case.

Consistency Required

1. If the HHA has a Medicaid ID, it must be entered in this field. Otherwise enter spaces.

Version Notes

[R3] - Removed edit # 2.


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NOTICE: These materials are in the public domain and cannot be copyrighted.
Generated: 10/06/2009 10:35:12 AM