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TMSIS Dataguide Medicaid.gov

Version:

SERVICE-FACILITY-LOCATION-ADDR-LN-2

Data Element

DE Number

COT243

System DE Number

COT.002.243

File Name

COT - CLAIM OTHER

File Segment Number

COT00002

File Segment Name

CLAIM-HEADER-RECORD-OT

Last updated

Definition Service facility location address line 2 from X12 837I loop 2310E or 837P and 837D loop 2310C.
Size X(60)
FLF Start Position 1290
FLF Stop Position 1349
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must not be more than 60 characters long
2. Conditional
3. Value must not be equal to associated Address Line 1
4. There must be an Address Line 1 in order to have an Address Line 2
5. 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
CIP305 CIP.002.305 SERVICE-FACILITY-LOCATION-ADDR-LN-2 CIP00002 CLAIM-HEADER-RECORD-IP
CLT251 CLT.002.251 SERVICE-FACILITY-LOCATION-ADDR-LN-2 CLT00002 CLAIM-HEADER-RECORD-LT
COT260 COT.003.260 SERVICE-FACILITY-LOCATION-ADDR-LN-2 COT00003 CLAIM-LINE-RECORD-OT