ST_ID


Field Summary

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Property

Specification

Data System

OASIS

Data Spec Version

1.60 Correction 1

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.

2. ST_ID should match M0012_MEDICAID_ID on the body record.

Version Notes


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Generated: 10/30/2007 10:48:40 AM