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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

SERVICE-FACILITY-LOCATION-ORG-NPI

Data Element

DE Number

COT258

System DE Number

COT.003.258

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 Service facility location organization NPI from X12 837P loop 2420C and 837D loop 2420D.
Size X(10)
FLF Start Position 936
FLF Stop Position 945
Segment Key Field Identifier Not Applicable
Coding Requirements 1.Value must be 10 digits
2. Value must have an associated Provider Identifier Type equal to "2"
3. Value must exist in the NPPES NPI data file
4. Conditional
5. When populated, value must match Provider Identifier (PRV.005.081) and Facility Group Individual Code (PRV.002.026) must equal "01"
6. NPPES Entity Type Code associated with this NPI must equal "2" (Organization)
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
CIP303 CIP.002.303 SERVICE-FACILITY-LOCATION-ORG-NPI CIP00002 CLAIM-HEADER-RECORD-IP
CLT249 CLT.002.249 SERVICE-FACILITY-LOCATION-ORG-NPI CLT00002 CLAIM-HEADER-RECORD-LT
COT241 COT.002.241 SERVICE-FACILITY-LOCATION-ORG-NPI COT00002 CLAIM-HEADER-RECORD-OT