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TMSIS Dataguide Medicaid.gov

Version:

SERVICE-FACILITY-LOCATION-ADDR-LN-1

Data Element

DE Number

COT242

System DE Number

COT.002.242

File Name

COT - CLAIM OTHER

File Segment Number

COT00002

File Segment Name

CLAIM-HEADER-RECORD-OT

Last updated

Definition Service facility location address line 1 from X12 837I loop 2310E or 837P and 837D loop 2310C.
Size X(60)
FLF Start Position 1230
FLF Stop Position 1289
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must not be more than 60 characters long
2. Conditional
3. Value must not contain a pipe or asterisk symbols
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
CIP304 CIP.002.304 SERVICE-FACILITY-LOCATION-ADDR-LN-1 CIP00002 CLAIM-HEADER-RECORD-IP
CLT250 CLT.002.250 SERVICE-FACILITY-LOCATION-ADDR-LN-1 CLT00002 CLAIM-HEADER-RECORD-LT
COT259 COT.003.259 SERVICE-FACILITY-LOCATION-ADDR-LN-1 COT00003 CLAIM-LINE-RECORD-OT