CLT.002.175

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

ADMITTING-PROV-NUM

Data Element

DE Number

CLT175

System DE Number

CLT.002.175

File Name

CLT - CLAIM LONG-TERM CARE

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-LT

Last updated

No Updates

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The Medicaid ID of the doctor responsible for admitting a patient to a hospital or other inpatient health facility.
Size	X(30)
FLF Start Position	1143
FLF Stop Position	1172
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

RULE ID	RULE Definition
RULE-6285	If a claim is a non-denied claim from an LT file, then the admitting provider number value reported must be compatible with specified T-MSIS picture format: X(30).

Measure ID	Measure Name
MIS-4-002_1-47	% missing: ADMITTING-PROV-NUM (CLT00002)
MIS-23-001-1	% missing: ADMITTING-PROV-NUM (CLT00002)
MIS-81-001-1	% missing: ADMITTING-PROV-NUM (CLT00002)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP185	CIP.002.185	ADMITTING-PROV-NUM	CIP00002	CLAIM-HEADER-RECORD-IP

Published Date	Data Guide Version	Data Element	Action	Field	Before	After