COT.002.239

An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock () or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

TMSIS Dataguide

Medicaid.gov

Version:

BILLING-PROV-STATE

Data Element

DE Number

COT239

System DE Number

COT.002.239

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 state code from X12 837I, 837P, and 837D loop 2010AA.
Size	X(2)
FLF Start Position	1209
FLF Stop Position	1210
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must not be more than 2 characters 2. Value must be in State Code List (VVL) 3. 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-8970	if a claim is a non-denied claim from an OT file, then the billing provider state value reported must be compatible with the specified T-MSIS picture format: X(2).
RULE-9101	if the billing provider state is populated on a non-denied claim header from a OT file, then the billing provider state value reported must be found in the list of valid values for 'STATE'.
RULE-9195	if the CLAIM-HEADER-RECORD-OT segment is populated from a COT file, then the BILLING-PROV-STATE must be populated for non-denied claims.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP301	CIP.002.301	BILLING-PROV-STATE	CIP00002	CLAIM-HEADER-RECORD-IP
CLT247	CLT.002.247	BILLING-PROV-STATE	CLT00002	CLAIM-HEADER-RECORD-LT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/16/2024	4.0.0	COT.002.239	UPDATE	File segment	None	35
09/16/2024	4.0.0	COT.002.239	ADD	N/A		Created