CIP.003.264

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TMSIS Dataguide

Medicaid.gov

Version 3.36.0

SERVICING-PROV-SPECIALTY

Data Element

DE Number

CIP264

System DE Number

CIP.003.264

File Name

CIP - CLAIM INPATIENT

File Segment Number

File Segment Name

CLAIM-LINE-RECORD-IP

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	This code describes the area of specialty for the provider being reported.
Size	X(2)
FLF Start Position	306
FLF Stop Position	307
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be in Provider Specialty 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-6827	The format for SERVICING-PROV-SPECIALTY on a non-denied IP claim line was expected to be submitted as X(2).
RULE-816	If the servicing provider specialty is populated on a non-denied IP claim line, then the servicing provider specialty reported must be found in the list of valid values.

Measure ID	Measure Name
MIS-3-015-15	% missing: SERVICING-PROV-SPECIALTY (CIP00003)
MIS-22-016-16	% missing: SERVICING-PROV-SPECIALTY (CIP00003)
MIS-80-015-15	% missing: SERVICING-PROV-SPECIALTY (CIP00003)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CLT216	CLT.003.216	SERVICING-PROV-SPECIALTY	CLT00003	CLAIM-LINE-RECORD-LT
COT193	COT.003.193	SERVICING-PROV-SPECIALTY	COT00003	CLAIM-LINE-RECORD-OT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/12/2024	3.29.0	CIP.003.264	UPDATE	Coding requirement	1. Value must be in Provider Specialty List (VVL).2. Value must be 2 characters3. Conditional	1. Value must be in Provider Specialty List (VVL)2. Value must be 2 characters3. Conditional