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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

IHS-SERVICE-IND

Data Element

DE Number

COT234

System DE Number

COT.003.234

File Name

COT - CLAIM OTHER

File Segment Number

COT00003

File Segment Name

CLAIM-LINE-RECORD-OT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition To indicate Services received by Medicaid-eligible individuals who are American Indian or Alaska Native (AI/AN) through facilities of the Indian Health Service (IHS), whether operated by IHS or by Tribes.
Size X(1)
FLF Start Position 795
FLF Stop Position 795
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be 1 character
2. Value must be in the IHS Service Indicator List (VVL)
3. Mandatory
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
CIP296 CIP.003.296 IHS-SERVICE-IND CIP00003 CLAIM-LINE-RECORD-IP
CLT243 CLT.003.243 IHS-SERVICE-IND CLT00003 CLAIM-LINE-RECORD-LT
CRX172 CRX.003.172 IHS-SERVICE-IND CRX00003 CLAIM-LINE-RECORD-RX