COT.002.150

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TMSIS Dataguide

Medicaid.gov

Version:

UNDER-SUPERVISION-OF-PROV-NPI

Data Element

DE Number

COT150

System DE Number

COT.002.150

File Name

COT - CLAIM OTHER

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-OT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	[No longer essential - Both data element and associated requirement(s); preserved for file submission integrity. See Data Dictionary v2.3 for specific definition and coding requirement description(s).]
Size	X(10)
FLF Start Position	1024
FLF Stop Position	1033
Segment Key Field Identifier	Not Applicable
Coding Requirements

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

RULE ID	RULE Definition
RULE-1596	If the under supervision of provider NPI is populated on a non-denied claim from an OT file, then the under supervision of provider NPI reported must be found in the list of valid values.
RULE-1597	If a claim is a non-denied claim from an OT file, then the under supervision of provider NPI value reported must be compatible with specified T-MSIS picture format: X(10).
RULE-1598	If the type of service is for a premium payment on a non-denied claim line from an OT file, then the under-supervision-of NPI value must not be populated.
RULE-7494	If a claim is a non-denied, non-void claim from an OT file and the under supervision of provider NPI is populated then claim header under supervision of provider NPI exists in the NPPES NPI data file.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/12/2024	3.29.0	COT.002.150	UPDATE	Coding requirement	Not Applicable