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Data Element
CLT135
CLT.002.135
No Updates
Definition | A unique identification number assigned to a provider which identifies the physician or other provider who referred the patient. For physicians, this must be the individual's ID number, not a group identification number. If the referring provider number is not available, but the physician's Drug Enforcement Agency (DEA) ID is on the State file, then the State should use the DEA ID for this data element. |
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Size | X(30) |
FLF Start Position | 831 |
FLF Stop Position | 860 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must be 30 characters or less 2. Conditional |
Valid Value Code Set | Valid Value Code | Valid Value Name | Valid Value Description | Effective Start Date | Effective End Date |
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DE Number | System DE Number | DE Name | File Segment Number | File Segment Name |
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CIP189 | CIP.002.189 | REFERRING-PROV-NUM | CIP00002 | CLAIM-HEADER-RECORD-IP |
COT117 | COT.002.117 | REFERRING-PROV-NUM | COT00002 | CLAIM-HEADER-RECORD-OT |