Family Care � Provider Outpatient Rate Extract
Field
Data Type
Max Length*
Description
County Code
Character
10
County code used to identify a geographical/political area in the state.
County Name
12
Name of the specific county.
Provider ID
Provider identification number.
Provider ID Type
3
Identifies type of provider ID value, either NPI for National Provider Identifier or MCD for a proprietary provider ID if no NPI is on file for provider.
Proprietary� Provider ID
9
Proprietary provider ID.
Provider Name
50
Provider's business or personal name.� Personal names will be in format of LASTNAME (25 characters) FIRSTNAME (13 characters) MIDDLEINITIAL (1 character).
Rate Amount
Number
Rate amount. Format is 9999999.99.
Effective Date
Date
8
First date of service the rate is effective.� Format is CCYYMMDD.
End Date
Last date of service the rate is effective.� Format is CCYYMMDD.
* Max Data Length including special characters such as decimals.
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