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TMSIS Dataguide Medicaid.gov

Version:

SERVICE-FACILITY-LOCATION-ZIP-CODE

Data Element

DE Number

COT263

System DE Number

COT.003.263

File Name

COT - CLAIM OTHER

File Segment Number

COT00003

File Segment Name

CLAIM-LINE-RECORD-OT

Last updated

Definition Service facility location address ZIP code from X12 837P loop 2420C and 837D loop 2420D.
Size X(9)
FLF Start Position 1096
FLF Stop Position 1104
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value may only be 5 digits (0-9) (Example: 91320) or 9 digits (0-9) (Example: 913200011)
2. Value must be in ZIP Code List (VVL)
3. 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
CIP308 CIP.002.308 SERVICE-FACILITY-LOCATION-ZIP-CODE CIP00002 CLAIM-HEADER-RECORD-IP
CLT254 CLT.002.254 SERVICE-FACILITY-LOCATION-ZIP-CODE CLT00002 CLAIM-HEADER-RECORD-LT
COT246 COT.002.246 SERVICE-FACILITY-LOCATION-ZIP-CODE COT00002 CLAIM-HEADER-RECORD-OT