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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

BILLING-PROV-ZIP-CODE

Data Element

DE Number

CIP302

System DE Number

CIP.002.302

File Name

CIP - CLAIM INPATIENT

File Segment Number

CIP00002

File Segment Name

CLAIM-HEADER-RECORD-IP

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition Billing provider address ZIP code from X12 837I loop 2010AA.
Size X(9)
FLF Start Position 1520
FLF Stop Position 1528
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value may only be 5 digits (0-9) (Example: 91320) or 9 digits (0-9) (Example: 913200011)
2. Value must be in ZIP Code List (VVL)
3. Mandatory
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
CLT248 CLT.002.248 BILLING-PROV-ZIP-CODE CLT00002 CLAIM-HEADER-RECORD-LT
COT240 COT.002.240 BILLING-PROV-ZIP-CODE COT00002 CLAIM-HEADER-RECORD-OT