Provider Information

Provider Information (PRV) defines 6 elements and 1 syntax rule. Sign up free or login to view the full segment and download it in Markdown or console (text) formats.

Elements

1221 PRV-01

Provider Code

Identifier (ID) R Required 1/3

128 PRV-02

Reference Identification Qualifier

Identifier (ID) O Optional 2/3

127 PRV-03

Reference Identification

Alphanumeric (AN) O Optional 1/80

156 PRV-04

State or Province Code

Identifier (ID) O Optional 2/2

C035 PRV-05

Provider Specialty Information

N/A O Optional -/-

1223 PRV-06

Provider Organization Code

Identifier (ID) O Optional 3/3

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See every element, syntax rule, and semantic note for Provider Information. Download it as a diagram or Markdown, or use the tedi CLI to access the full X12 reference from your terminal.