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Data Element
CLT237
CLT.002.237
Definition | A code to uniquely identify the geographic location where the provider's services were performed. The Provider Location Identifier values reported on Inpatient, Long-Term Care, Other, and Pharmacy Claim Header Segments must correspond to an active Provider Location Identifier value on a Provider Location and Contact Info (PRV.003) segment. If a particular license (e.g., a physician's medical license) or provider identifier (e.g., an individual provider's NPI or SSN) is applicable to all of their servicing locations, value "000" (a string of exactly three zeros) can be used in the PRV.004 or PRV.005, respectively, to represent all locations, however that location identifier must not be attributed to claims or provider bed type info. |
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Size | X(5) |
FLF Start Position | 1702 |
FLF Stop Position | 1706 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must not contain a pipe or asterisk symbols 2. Value must be 5 characters or less 3. Mandatory |
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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CIP289 | CIP.002.289 | PROV-LOCATION-ID | CIP00002 | CLAIM-HEADER-RECORD-IP |
COT226 | COT.002.226 | PROV-LOCATION-ID | COT00002 | CLAIM-HEADER-RECORD-OT |
CRX161 | CRX.002.161 | PROV-LOCATION-ID | CRX00002 | CLAIM-HEADER-RECORD-RX |
PRV043 | PRV.003.043 | PROV-LOCATION-ID | PRV00003 | PROV-LOCATION-AND-CONTACT-INFO |
PRV064 | PRV.004.064 | PROV-LOCATION-ID | PRV00004 | PROV-LICENSING-INFO |
PRV076 | PRV.005.076 | PROV-LOCATION-ID | PRV00005 | PROV-IDENTIFIERS |
PRV129 | PRV.010.129 | PROV-LOCATION-ID | PRV00010 | PROV-BED-TYPE-INFO |