COT.003.193

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TMSIS Dataguide

Medicaid.gov

Version 3.38.0

SERVICING-PROV-SPECIALTY

Data Element

DE Number

COT193

System DE Number

COT.003.193

File Name

COT - CLAIM OTHER

File Segment Number

File Segment Name

CLAIM-LINE-RECORD-OT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	This code describes the area of specialty for the provider being reported.
Size	X(2)
FLF Start Position	385
FLF Stop Position	386
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be in Provider Specialty List (VVL) 2. Value must be 2 characters 3. Conditional

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date

RULE ID	RULE Definition
RULE-1672	If the servicing provider specialty is populated on a non-denied claim line from an OT file, then the servicing provider specialty value reported must be in the list of valid values for 'provider specialty'.
RULE-6132	If a claim is a non-denied claim from an OT file, then the servicing provider specialty value reported must be compatible with specified T-MSIS picture format: X(2)

Measure ID	Measure Name
FFS-18-003-1	% of physician claim lines with Servicing Provider Specialty
FFS-22-003-1	% of physician claim lines with Servicing Provider Specialty
MCR-21-004-1	% of physician claim lines with Servicing Provider Specialty
MCR-24-004-1	% of physician claim lines with Servicing Provider Specialty
MIS-7-028-28	% missing: SERVICING-PROV-SPECIALTY (COT00003)
MIS-26-028-28	% missing: SERVICING-PROV-SPECIALTY (COT00003)
MIS-84-027-27	% missing: SERVICING-PROV-SPECIALTY (COT00003)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP264	CIP.003.264	SERVICING-PROV-SPECIALTY	CIP00003	CLAIM-LINE-RECORD-IP
CLT216	CLT.003.216	SERVICING-PROV-SPECIALTY	CLT00003	CLAIM-LINE-RECORD-LT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/12/2024	3.29.0	COT.003.193	UPDATE	Coding requirement	1. Value must be in Provider Specialty List (VVL).2. Value must be 2 characters3. Conditional	1. Value must be in Provider Specialty List (VVL)2. Value must be 2 characters3. Conditional