COT.002.240

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TMSIS Dataguide

Medicaid.gov

Version:

BILLING-PROV-ZIP-CODE

Data Element

DE Number

COT240

System DE Number

COT.002.240

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 ZIP code from X12 837I, 837P, and 837D loop 2010AA.
Size	X(9)
FLF Start Position	1211
FLF Stop Position	1219
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. 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-8971	if a claim is a non-denied claim from an OT file, then the billing provider zip code value reported must be compatible with the specified T-MSIS picture format: X(9).
RULE-9196	if the CLAIM-HEADER-RECORD-OT segment is populated from a COT file, then the BILLING-PROV-ZIP-CODE must be populated for non-denied claims.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP302	CIP.002.302	BILLING-PROV-ZIP-CODE	CIP00002	CLAIM-HEADER-RECORD-IP
CLT248	CLT.002.248	BILLING-PROV-ZIP-CODE	CLT00002	CLAIM-HEADER-RECORD-LT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/16/2024	4.0.0	COT.002.240	UPDATE	File segment	None	35
09/16/2024	4.0.0	COT.002.240	ADD	N/A		Created