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TMSIS Dataguide Medicaid.gov
Version 3.27.0

ADMITTING-PROV-TYPE

Data Element

DE Number

CIP188

System DE Number

CIP.002.188

File Segment Number

CIP00002

File Segment Name

CLAIM-HEADER-RECORD-IP

Last updated

No Updates

Definition

A code to describe the type of provider being reported.

Size X(2)
FLF Start Position 1082
FLF Stop Position 1083
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
DE Number System DE Number DE Name File Segment Number File Segment Name
CLT178 CLT.002.178 ADMITTING-PROV-TYPE CLT00002 CLAIM-HEADER-RECORD-LT