An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock () or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

TMSIS Dataguide Medicaid.gov

Version:

4.0.20

SERVICING-PROV-TYPE

Data Element

DE Number

COT192

System DE Number

COT.003.192

File Name

COT - CLAIM OTHER

File Segment Number

COT00003

File Segment Name

CLAIM-LINE-RECORD-OT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition A code to describe the type of provider being reported.
Size X(2)
FLF Start Position 383
FLF Stop Position 384
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be in Provider Type Code 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
DE Number System DE Number DE Name File Segment Number File Segment Name
CIP263 CIP.003.263 SERVICING-PROV-TYPE CIP00003 CLAIM-LINE-RECORD-IP
CLT215 CLT.003.215 SERVICING-PROV-TYPE CLT00003 CLAIM-LINE-RECORD-LT