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TMSIS Dataguide Medicaid.gov

Version:

BILLING-PROV-ADDR-LN-2

Data Element

DE Number

CIP299

System DE Number

CIP.002.299

File Segment Number

CIP00002

File Segment Name

CLAIM-HEADER-RECORD-IP

Last updated

Definition Billing provider address line 2 from X12 837I loop 2010AA.
Size X(60)
FLF Start Position 1430
FLF Stop Position 1489
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must not be more than 60 characters long
2. Conditional
3. Value must not be equal to associated Address Line 1
4. Value must not contain a pipe or asterisk symbols
5. There must be an Address Line 1 in order to have an Address Line 2
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
CLT245 CLT.002.245 BILLING-PROV-ADDR-LN-2 CLT00002 CLAIM-HEADER-RECORD-LT
COT237 COT.002.237 BILLING-PROV-ADDR-LN-2 COT00002 CLAIM-HEADER-RECORD-OT