| Data Element | ProviderLastName |
|---|
| Description | Provider’s last name. Set to blank if provider is a facility or an organization. Place facility or organization name in PV057. |
|---|
| Type | Text |
|---|
| Format | varchar |
|---|
| Length | 60 |
|---|
| Threshold | 100% |
|---|
| Required | Required |
|---|
| Tip / Notes |
|
|---|
| Rank | 010 |
|---|
|
