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TMSIS Dataguide Medicaid.gov

Version:

ORDERING-PROV-NUM

Data Element

DE Number

COT270

System DE Number

COT.003.270

File Name

COT - CLAIM OTHER

File Segment Number

COT00003

File Segment Name

CLAIM-LINE-RECORD-OT

Last updated

Definition The Medicaid provider ID of the Ordering Provider is the individual who requested the services or items being reported on this service line. Examples include, but are not limited to, provider ordering diagnostic tests and medical equipment or supplies.
Size X(30)
FLF Start Position 1200
FLF Stop Position 1229
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be 30 characters or less
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