COT.002.238

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TMSIS Dataguide

Medicaid.gov

Version:

BILLING-PROV-CITY

Data Element

DE Number

COT238

System DE Number

COT.002.238

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	Billing provider address city name from X12 837I, 837P, and 837D loop 2010AA.
Size	X(28)
FLF Start Position	1181
FLF Stop Position	1208
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must not be more than 28 characters long 2. Mandatory

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

RULE ID	RULE Definition
RULE-8969	if a claim is a non-denied claim from an OT file, then the billing provider city value reported must be compatible with the specified T-MSIS picture format: X(28).
RULE-9194	if the CLAIM-HEADER-RECORD-OT segment is populated from a COT file, then the BILLING-PROV-CITY must be populated for non-denied claims.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP300	CIP.002.300	BILLING-PROV-CITY	CIP00002	CLAIM-HEADER-RECORD-IP
CLT246	CLT.002.246	BILLING-PROV-CITY	CLT00002	CLAIM-HEADER-RECORD-LT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/16/2024	4.0.0	COT.002.238	UPDATE	File segment	None	35
09/16/2024	4.0.0	COT.002.238	ADD	N/A		Created