CIP.003.267

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

PROV-FACILITY-TYPE

Data Element

DE Number

CIP267

System DE Number

CIP.003.267

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	The type of facility in which services on the claim were rendered. The Provider Facility Type code set is based on corresponding groups of HIPAA provider taxonomy codes.
Size	X(9)
FLF Start Position	321
FLF Stop Position	329
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be in Provider Facility Type List (VVL) 2. Value must be 9 characters or less 3. Mandatory

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

RULE ID	RULE Definition
RULE-6726	If a claim line is a non-denied claim line from an IP file, then the provider facility type value reported must be compatible with specified T-MSIS picture format: X(9).
RULE-821	If the provider facility type is populated on a non-denied IP claim line, then the provider facility type reported must be found in the list of valid values.

Measure ID	Measure Name
MIS-3-010-10	% missing: PROV-FACILITY-TYPE (CIP00003)
MIS-22-011-11	% missing: PROV-FACILITY-TYPE (CIP00003)
MIS-80-010-10	% missing: PROV-FACILITY-TYPE (CIP00003)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CLT221	CLT.003.221	PROV-FACILITY-TYPE	CLT00003	CLAIM-LINE-RECORD-LT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After