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TMSIS Dataguide Medicaid.gov
Version 3.27.0

ADMITTING-PROV-TAXONOMY

Data Element

DE Number

CLT177

System DE Number

CLT.002.177

File Segment Number

CLT00002

File Segment Name

CLAIM-HEADER-RECORD-LT

Last updated

No Updates

Definition

Taxonomic classification (code) for a given healthcare provider, as defined by the National Uniform Claim Committee.

Size X(12)
FLF Start Position 1175
FLF Stop Position 1186
Segment Key Field Identifier Not Applicable
Coding Requirements

1. Value must be in Provider Taxonomy List (VVL)
2. Value must be 12 characters or less
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
CIP187 CIP.002.187 ADMITTING-PROV-TAXONOMY CIP00002 CLAIM-HEADER-RECORD-IP