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TMSIS Dataguide Medicaid.gov

Version:

SERVICE-FACILITY-LOCATION-CITY

Data Element

DE Number

COT244

System DE Number

COT.002.244

File Name

COT - CLAIM OTHER

File Segment Number

COT00002

File Segment Name

CLAIM-HEADER-RECORD-OT

Last updated

Definition Service facility location address city name from X12 837I loop 2310E or 837P and 837D loop 2310C.
Size X(28)
FLF Start Position 1350
FLF Stop Position 1377
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must not be more than 28 characters long
2. Conditional
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
CIP306 CIP.002.306 SERVICE-FACILITY-LOCATION-CITY CIP00002 CLAIM-HEADER-RECORD-IP
CLT252 CLT.002.252 SERVICE-FACILITY-LOCATION-CITY CLT00002 CLAIM-HEADER-RECORD-LT
COT261 COT.003.261 SERVICE-FACILITY-LOCATION-CITY COT00003 CLAIM-LINE-RECORD-OT