COT.003.262

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TMSIS Dataguide

Medicaid.gov

Version:

SERVICE-FACILITY-LOCATION-STATE

Data Element

DE Number

COT262

System DE Number

COT.003.262

File Name

COT - CLAIM OTHER

File Segment Number

File Segment Name

CLAIM-LINE-RECORD-OT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	Service facility location address state code from X12 837P loop 2420C and 837D loop 2420D.
Size	X(2)
FLF Start Position	1094
FLF Stop Position	1095
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must not be more than 2 characters 2. Value must be in State Code list (VVL) 3. Situational

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date

RULE ID	RULE Definition
RULE-8993	if a claim is a non-denied claim from an OT file, then the service facility location state value reported must be compatible with the specified T-MSIS picture format: X(2).
RULE-9118	if the service facility location state is populated on a non-denied claim header from a OT file, then the service facility location state value reported must be found in the list of valid values for 'STATE'.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP307	CIP.002.307	SERVICE-FACILITY-LOCATION-STATE	CIP00002	CLAIM-HEADER-RECORD-IP
CLT253	CLT.002.253	SERVICE-FACILITY-LOCATION-STATE	CLT00002	CLAIM-HEADER-RECORD-LT
COT245	COT.002.245	SERVICE-FACILITY-LOCATION-STATE	COT00002	CLAIM-HEADER-RECORD-OT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
07/17/2025	4.0.14	COT.003.262	UPDATE	Necessity	Conditional	Situational
07/17/2025	4.0.14	COT.003.262	UPDATE	Coding requirement	1. Value must not be more than 2 characters2. Value must be in State Code list (VVL)3. Conditional	1. Value must not be more than 2 characters2. Value must be in State Code list (VVL)3. Situational
09/16/2024	4.0.0	COT.003.262	UPDATE	File segment	None	36
09/16/2024	4.0.0	COT.003.262	ADD	N/A		Created