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TMSIS Dataguide Medicaid.gov
Version 3.27.0

SERVICING-PROV-SPECIALTY

Data Element

DE Number

CIP264

System DE Number

CIP.003.264

File Segment Number

CIP00003

File Segment Name

CLAIM-LINE-RECORD-IP

Last updated

No Updates

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
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