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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

SERVICE-FACILITY-LOCATION-ZIP-CODE

Data Element

DE Number

CIP308

System DE Number

CIP.002.308

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 ZIP code from X12 837I loop 2310E.
Size X(9)
FLF Start Position 1689
FLF Stop Position 1697
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. 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
CLT254 CLT.002.254 SERVICE-FACILITY-LOCATION-ZIP-CODE CLT00002 CLAIM-HEADER-RECORD-LT
COT246 COT.002.246 SERVICE-FACILITY-LOCATION-ZIP-CODE COT00002 CLAIM-HEADER-RECORD-OT
COT263 COT.003.263 SERVICE-FACILITY-LOCATION-ZIP-CODE COT00003 CLAIM-LINE-RECORD-OT