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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

ORDERING-PROV-NPI-NUM

Data Element

DE Number

COT271

System DE Number

COT.003.271

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 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(10)
FLF Start Position 1230
FLF Stop Position 1239
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be 10 digits
2. Value must have an associated Provider Identifier Type equal to "2"
3. Value must exist in the NPPES NPI data file
4. 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