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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

SERVICE-FACILITY-LOCATION-ADDR-LN-1

Data Element

DE Number

COT259

System DE Number

COT.003.259

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 address line 1 from X12 837P loop 2420C and 837D loop 2420D.
Size X(60)
FLF Start Position 946
FLF Stop Position 1005
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must not be more than 60 characters
2. Situational
3. Value must not contain a pipe or asterisk symbols
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
CIP304 CIP.002.304 SERVICE-FACILITY-LOCATION-ADDR-LN-1 CIP00002 CLAIM-HEADER-RECORD-IP
CLT250 CLT.002.250 SERVICE-FACILITY-LOCATION-ADDR-LN-1 CLT00002 CLAIM-HEADER-RECORD-LT
COT242 COT.002.242 SERVICE-FACILITY-LOCATION-ADDR-LN-1 COT00002 CLAIM-HEADER-RECORD-OT