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TMSIS Dataguide Medicaid.gov

Version:

SERVICE-FACILITY-LOCATION-CITY

Data Element

DE Number

COT261

System DE Number

COT.003.261

File Name

COT - CLAIM OTHER

File Segment Number

COT00003

File Segment Name

CLAIM-LINE-RECORD-OT

Last updated

Definition Service facility location address city name from X12 837P loop 2420C and 837D loop 2420D.
Size X(28)
FLF Start Position 1066
FLF Stop Position 1093
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must not be more than 28 characters long
2. Conditional
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
CIP306 CIP.002.306 SERVICE-FACILITY-LOCATION-CITY CIP00002 CLAIM-HEADER-RECORD-IP
CLT252 CLT.002.252 SERVICE-FACILITY-LOCATION-CITY CLT00002 CLAIM-HEADER-RECORD-LT
COT244 COT.002.244 SERVICE-FACILITY-LOCATION-CITY COT00002 CLAIM-HEADER-RECORD-OT