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provider network termination date

prvdr_ntwk_term_dt
provider·Updated Jun 12, 2026

Definition

ISO-11179 Definition

The date on which a healthcare provider network participation agreement ends, marking the close of the contracted relationship between the provider and health plan. Network termination may occur voluntarily when a provider chooses to leave the network, involuntarily when a plan terminates a provider contract for cause, or through mutual agreement at contract expiration. CMS and state regulations require health plans to provide advance notice to members when their provider is leaving the network, typically 30 to 60 days before the termination date.

Healthcare data teams use prvdr_ntwk_term_dt as the end boundary in point-in-time network status queries and in network continuity of care workflows to identify members in active treatment with terminating providers who qualify for transition of care protections.

Standard Abbreviation

prvdr_ntwk_term_dt

Category

provider

Production DDL — DIM_PROVIDER

DIM_PROVIDER.sql
CREATE OR REPLACE TABLE DIM_PROVIDER (
    prvdr_key           INTEGER        NOT NULL  -- surrogate key,
    prvdr_npi           VARCHAR(10)              -- NPI number,
    prvdr_tin           VARCHAR(10)              -- tax ID number,
    prvdr_first_nm      VARCHAR(100)             -- first name,
    prvdr_last_nm       VARCHAR(100)             -- last name,
    prvdr_org_nm        VARCHAR(255)             -- organization name,
    prvdr_typ_cd        VARCHAR(20)              -- provider type code,
    prvdr_spclty_cd     VARCHAR(10)              -- specialty code,
    prvdr_tax           VARCHAR(10)              -- taxonomy code,
    prvdr_state_cd      CHAR(2)                  -- state code,
    prvdr_zip_cd        VARCHAR(10)              -- zip code,
    prvdr_ntwk_sts      VARCHAR(10)              -- network status,
    prvdr_accpt_pt_ind  CHAR(1)                  -- accepting patients,
    prvdr_excl_ind      CHAR(1)                  -- exclusion indicator,
    load_dt             TIMESTAMP_NTZ  NOT NULL  -- load timestamp
);

Standard Snowflake DDL for the canonical provider table. Convert to BigQuery or Databricks →

Why This Term Matters

Provider data management is one of the most operationally complex data domains in healthcare because providers move, merge, and update their credentials continuously. A data engineer who understands provider terminology can build NPI validation, credentialing, and network adequacy pipelines that keep provider directories accurate and prevent claim rejections. Stale or incorrect provider data is a leading cause of prior authorization delays and CMS compliance findings.

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