CIP.002.303

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TMSIS Dataguide

Medicaid.gov

Version:

SERVICE-FACILITY-LOCATION-ORG-NPI

Data Element

DE Number

CIP303

System DE Number

CIP.002.303

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	Service facility location organization NPI from X12 837I loop 2310E.
Size	X(10)
FLF Start Position	1529
FLF Stop Position	1538
Segment Key Field Identifier	Not Applicable
Coding Requirements	1.Value must be 10 digits 2. Value must have an associated Provider Identifier Type equal to "2" 3. Value must exist in the NPPES NPI data file 4. Conditional 5. When populated, value must match Provider Identifier (PRV.005.081) and Facility Group Individual Code (PRV.002.026) must equal "01" 6. NPPES Entity Type Code associated with this NPI must equal "2" (Organization)

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

RULE ID	RULE Definition
RULE-8933	if a claim is a non-denied claim from a IP file, then the service facility location organization NPI value reported must be compatible with the specified T-MSIS picture format: X(10).

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CLT249	CLT.002.249	SERVICE-FACILITY-LOCATION-ORG-NPI	CLT00002	CLAIM-HEADER-RECORD-LT
COT241	COT.002.241	SERVICE-FACILITY-LOCATION-ORG-NPI	COT00002	CLAIM-HEADER-RECORD-OT
COT258	COT.003.258	SERVICE-FACILITY-LOCATION-ORG-NPI	COT00003	CLAIM-LINE-RECORD-OT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
12/19/2024	4.0.1	CIP.002.303	UPDATE	Coding requirement	1.Value must be 10 digits2. Value must have an associated Provider Identifier Type equal to "2"3. Value must exist in the NPPES NPI data file4. Conditional5. When populated, value must match Provider Identifier (PRV.005.081) and Facility Group Individual Code (PRV.002.028) must equal "01"6. NPPES Entity Type Code associated with this NPI must equal "2" (Organization)	1.Value must be 10 digits2. Value must have an associated Provider Identifier Type equal to "2"3. Value must exist in the NPPES NPI data file4. Conditional5. When populated, value must match Provider Identifier (PRV.005.081) and Facility Group Individual Code (PRV.002.026) must equal "01"6. NPPES Entity Type Code associated with this NPI must equal "2" (Organization)
09/16/2024	4.0.0	CIP.002.303	UPDATE	File segment	None	25
09/16/2024	4.0.0	CIP.002.303	ADD	N/A		Created