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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

SERVICE-FACILITY-LOCATION-ADDR-LN-2

Data Element

DE Number

COT260

System DE Number

COT.003.260

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 2 from X12 837P loop 2420C and 837D loop 2420D.
Size X(60)
FLF Start Position 1006
FLF Stop Position 1065
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must not be more than 60 characters long
2. Conditional
3. Value must not be equal to associated Address Line 1
4. There must be an Address Line 1 in order to have an Address Line 2
5. 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
CIP305 CIP.002.305 SERVICE-FACILITY-LOCATION-ADDR-LN-2 CIP00002 CLAIM-HEADER-RECORD-IP
CLT251 CLT.002.251 SERVICE-FACILITY-LOCATION-ADDR-LN-2 CLT00002 CLAIM-HEADER-RECORD-LT
COT243 COT.002.243 SERVICE-FACILITY-LOCATION-ADDR-LN-2 COT00002 CLAIM-HEADER-RECORD-OT