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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

SERVICE-FACILITY-LOCATION-STATE

Data Element

DE Number

COT245

System DE Number

COT.002.245

File Name

COT - CLAIM OTHER

File Segment Number

COT00002

File Segment Name

CLAIM-HEADER-RECORD-OT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition Service facility location address state code from X12 837I loop 2310E or 837P and 837D loop 2310C.
Size X(2)
FLF Start Position 1378
FLF Stop Position 1379
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. 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
CIP307 CIP.002.307 SERVICE-FACILITY-LOCATION-STATE CIP00002 CLAIM-HEADER-RECORD-IP
CLT253 CLT.002.253 SERVICE-FACILITY-LOCATION-STATE CLT00002 CLAIM-HEADER-RECORD-LT
COT262 COT.003.262 SERVICE-FACILITY-LOCATION-STATE COT00003 CLAIM-LINE-RECORD-OT