CIP.002.182

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

BILLING-PROV-TYPE

Data Element

DE Number

CIP182

System DE Number

CIP.002.182

File Name

CIP - CLAIM INPATIENT

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-IP

Last updated

No Updates

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	A code to describe the type of provider being reported.
Size	X(2)
FLF Start Position	1024
FLF Stop Position	1025
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be in Provider Type Code List (VVL). 2. Value must be 2 characters 3. Conditional

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

RULE ID	RULE Definition
RULE-6254	If a claim is a non-denied claim from an IP file, then the billing provider type value reported must be compatible with specified T-MSIS picture format: X(2).
RULE-694	If the billing provider type is populated on a non-denied claim from an IP file, then the billing provider type value reported must be in the list of valid values.

Measure ID	Measure Name
MIS-2-010-10	% missing: BILLING-PROV-TYPE (CIP00002)
MIS-21-011-11	% missing: BILLING-PROV-TYPE (CIP00002)
MIS-79-011-11	% missing: BILLING-PROV-TYPE (CIP00002)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CLT133	CLT.002.133	BILLING-PROV-TYPE	CLT00002	CLAIM-HEADER-RECORD-LT
COT115	COT.002.115	BILLING-PROV-TYPE	COT00002	CLAIM-HEADER-RECORD-OT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After