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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

SERVICE-FACILITY-LOCATION-ADDR-LN-2

Data Element

DE Number

CIP305

System DE Number

CIP.002.305

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 Service facility location address line 2 from X12 837I loop 2310E.
Size X(60)
FLF Start Position 1599
FLF Stop Position 1658
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. There must be an Address Line 1 in order to have an Address Line 2
5. Value must not contain a pipe or asterisk symbols
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
CLT251 CLT.002.251 SERVICE-FACILITY-LOCATION-ADDR-LN-2 CLT00002 CLAIM-HEADER-RECORD-LT
COT243 COT.002.243 SERVICE-FACILITY-LOCATION-ADDR-LN-2 COT00002 CLAIM-HEADER-RECORD-OT
COT260 COT.003.260 SERVICE-FACILITY-LOCATION-ADDR-LN-2 COT00003 CLAIM-LINE-RECORD-OT