COT.002.127

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TMSIS Dataguide

Medicaid.gov

Version:

DAILY-RATE

Data Element

DE Number

COT127

System DE Number

COT.002.127

File Name

COT - CLAIM OTHER

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-OT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The amount a policy will pay per day for a covered service. In some cases for OT claims this is referred to as a flat rate.
Size	S9(5)V99
FLF Start Position	804
FLF Stop Position	810
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be between 0.00 and 99999.99 2. Situational 3. Value must be expressed as a number with 2-digit precision (e.g. 100.50)

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

RULE ID	RULE Definition
RULE-1564	If a claim is a non-denied claim from an OT file, then the daily rate value reported must be compatible with specified T-MSIS picture format: S9(5)V99.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
07/17/2025	4.0.14	COT.002.127	UPDATE	Necessity	Conditional	Situational
07/17/2025	4.0.14	COT.002.127	UPDATE	Coding requirement	1. Value must be between 0.00 and 99999.992. Conditional3. Value must be expressed as a number with 2-digit precision (e.g. 100.50)	1. Value must be between 0.00 and 99999.992. Situational3. Value must be expressed as a number with 2-digit precision (e.g. 100.50)
09/16/2024	4.0.0	COT.002.127	UPDATE	File segment	None	35
09/16/2024	4.0.0	COT.002.127	ADD	N/A		Created