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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

SERVICE-FACILITY-LOCATION-CITY

Data Element

DE Number

CIP306

System DE Number

CIP.002.306

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 city name from X12 837I loop 2310E.
Size X(28)
FLF Start Position 1659
FLF Stop Position 1686
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must not be more than 28 characters
2. Situational
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
CLT252 CLT.002.252 SERVICE-FACILITY-LOCATION-CITY CLT00002 CLAIM-HEADER-RECORD-LT
COT244 COT.002.244 SERVICE-FACILITY-LOCATION-CITY COT00002 CLAIM-HEADER-RECORD-OT
COT261 COT.003.261 SERVICE-FACILITY-LOCATION-CITY COT00003 CLAIM-LINE-RECORD-OT