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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

SERVICE-FACILITY-LOCATION-ZIP-CODE

Data Element

DE Number

CLT254

System DE Number

CLT.002.254

File Name

CLT - CLAIM LONG-TERM CARE

File Segment Number

CLT00002

File Segment Name

CLAIM-HEADER-RECORD-LT

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 1503
FLF Stop Position 1511
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
CIP308 CIP.002.308 SERVICE-FACILITY-LOCATION-ZIP-CODE CIP00002 CLAIM-HEADER-RECORD-IP
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