CIP.003.263

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

SERVICING-PROV-TYPE

Data Element

DE Number

CIP263

System DE Number

CIP.003.263

File Name

CIP - CLAIM INPATIENT

File Segment Number

File Segment Name

CLAIM-LINE-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	304
FLF Stop Position	305
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-6947	If a claim line is a non-denied claim line from an IP file, then the servicing provider type value reported must be compatible with specified T-MSIS picture format: X(2).
RULE-815	If the servicing provider type is populated on a non-denied IP claim line, then the servicing provider type reported must be found in the list of valid values.

Measure ID	Measure Name
MIS-3-016-16	% missing: SERVICING-PROV-TYPE (CIP00003)
MIS-22-017-17	% missing: SERVICING-PROV-TYPE (CIP00003)
MIS-80-016-16	% missing: SERVICING-PROV-TYPE (CIP00003)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CLT215	CLT.003.215	SERVICING-PROV-TYPE	CLT00003	CLAIM-LINE-RECORD-LT
COT192	COT.003.192	SERVICING-PROV-TYPE	COT00003	CLAIM-LINE-RECORD-OT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After