CIP.002.300

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TMSIS Dataguide

Medicaid.gov

Version:

BILLING-PROV-CITY

Data Element

DE Number

CIP300

System DE Number

CIP.002.300

File Name

CIP - CLAIM INPATIENT

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-IP

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	Billing provider address city name from X12 837I loop 2010AA.
Size	X(28)
FLF Start Position	1490
FLF Stop Position	1517
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must not be more than 28 characters long 2. Mandatory

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

RULE ID	RULE Definition
RULE-8930	if a claim is a non-denied claim from a IP file, then the billing provider city value reported must be compatible with the specified T-MSIS picture format: X(28).
RULE-9158	if the CLAIM-HEADER-RECORD-IP segment is populated from a CIP file, then the BILLING-PROV-CITY must be populated for non-denied claims.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CLT246	CLT.002.246	BILLING-PROV-CITY	CLT00002	CLAIM-HEADER-RECORD-LT
COT238	COT.002.238	BILLING-PROV-CITY	COT00002	CLAIM-HEADER-RECORD-OT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/16/2024	4.0.0	CIP.002.300	UPDATE	File segment	None	25
09/16/2024	4.0.0	CIP.002.300	ADD	N/A		Created