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TMSIS Dataguide Medicaid.gov

Version:

TYPE-OF-SERVICE

Data Element

DE Number

COT186

System DE Number

COT.003.186

File Name

COT - CLAIM OTHER

File Segment Number

COT00003

File Segment Name

CLAIM-LINE-RECORD-OT

Last updated

Definition A code to categorize the services provided to a Medicaid or CHIP enrollee.
Size X(3)
FLF Start Position 320
FLF Stop Position 322
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be 3 characters.
2. Mandatory
3. Value must be in Type of Service OT List (VVL)
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
CIP257 CIP.003.257 TYPE-OF-SERVICE CIP00003 CLAIM-LINE-RECORD-IP
CLT211 CLT.003.211 TYPE-OF-SERVICE CLT00003 CLAIM-LINE-RECORD-LT
CRX134 CRX.003.134 TYPE-OF-SERVICE CRX00003 CLAIM-LINE-RECORD-RX