COT.002.034

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

ENDING-DATE-OF-SERVICE

Data Element

DE Number

COT034

System DE Number

COT.002.034

File Name

COT - CLAIM OTHER

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-OT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	For services received during a single encounter with a provider, the date the service covered by this claim was received. For services involving multiple encounters on different days, or periods of care extending over two or more days, the date on which the service covered by this claim ended. For capitation premium payments, the date on which the period of coverage related to this payment ends/ended. For financial transactions reported to the OT file, populate with the last day of the time period covered by this financial transaction. For sub-capitation payments, this represents the last date of the period the sub-capitation payment covers.
Size	9(8)
FLF Start Position	186
FLF Stop Position	193
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 8 characters in the form "CCYYMMDD" 2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st) 3. When Type of Claim is not in ['2', '4', 'B', 'D', 'V'] value must be less than or equal to associated End of Time Period value 4. Value must be greater than or equal to associated Beginning Date of Service value 5. When Type of Claim is not in ['2', '4', 'B', 'D', 'V'] value must be less than or equal to associated Adjudication Date value 6. Value must be less than or equal to associated Date of Death (ELG.002.025) value when populated 7. Value must be equal to or greater than associated Date of Birth (ELG.002.024) value 8. 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-1355	If the beginning date of service and ending date of service are populated on a non-denied claim from an OT file, then the beginning date of service value reported must be before the ending date of service value reported.
RULE-1359	If a claim is a non-denied claim from an OT file, then the ending date of service value reported must be a valid date of the form CCYYMMDD.
RULE-1363	If a non-denied OT claim has a value populated for ending date of service and the date of death is populated on the primary demographics eligibility segment, then the claim ending date of service must be less than or equal to the date of death.
RULE-1364	If ending date of service is populated on a non-denied claim from an OT file that is not a Medicaid or Medicaid-expansion, S-CHIP, or Other Capitated Payment and end of time period is populated on the file header, then the ending date of service value reported must be before or equal to the end of time period value reported.
RULE-2758	If a claim is a non-denied, non-void claim from an OT file, and the first value of the claim line tooth number is 'A' through 'T', then difference between the claim date of birth and claim ending date of service is less than 15 years.
RULE-7216	If a claim is a non-denied claim and is an original claim or a replacement/resubmission claim payment from an OT file, and is a Medicaid or Medicaid-expansion CHIP FFS, Medicaid or Medicaid-expansion CHIP Encounter, separate CHIP FFS or separate CHIP Encounter claim or CHIP capitated or separate CHIP capitated payment, then the ending date of service must be populated.
RULE-7396	If a claim is a non-denied, non-void claim from an OT file, and is a Medicaid/Medicaid-expansion CHIP or S-CHIP service tracking claim and is an original claim or a replacement/resubmission claim payment then the claim header ending date of service must be populated.
RULE-7721	If a claim is a non-denied claim and is an original claim or a replacement/resubmission claim payment from an OT file, and is a Medicaid or Medicaid-expansion CHIP Encounter or separate CHIP Encounter claim, then the claim header ending date of service must be populated.
RULE-7725	If a claim is a non-denied claim and is an original claim or a replacement/resubmission claim payment from an OT file, and is a Medicaid or Medicaid-expansion CHIP Capitation or separate CHIP Capitation claim, then the claim header ending date of service must be populated.
RULE-7803	If a claim is a non-denied claim and is an original claim or a replacement/resubmission claim payment from an OT file, and is a Medicaid or Medicaid-expansion CHIP Fee for Service or Separate CHIP Fee for Service claim, then the claim header ending date of service must be populated.

Measure ID	Measure Name
MIS-29-002-2	% missing: ENDING-DATE-OF-SERVICE (COT00002)
MIS-59-002-2	% missing: ENDING-DATE-OF-SERVICE (COT00002)
MIS-6-017-17	% missing: ENDING-DATE-OF-SERVICE (COT00002)
RULE-1540	% of claim headers with a Billing Provider Number that is not found on the provider file during the dates of service
MIS-25-016-16	% missing: ENDING-DATE-OF-SERVICE (COT00002)
MIS-83-016-16	% missing: ENDING-DATE-OF-SERVICE (COT00002)
RULE-7396	% missing: ENDING-DATE-OF-SERVICE (COT00002)
RULE-7803	% missing: ENDING-DATE-OF-SERVICE (COT00002)
RULE-7725	% missing: ENDING-DATE-OF-SERVICE (COT00002)
RULE-7721	% missing: ENDING-DATE-OF-SERVICE (COT00002)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP291	CIP.002.291	ENDING-DATE-OF-SERVICE	CIP00002	CLAIM-HEADER-RECORD-IP
CIP244	CIP.003.244	ENDING-DATE-OF-SERVICE	CIP00003	CLAIM-LINE-RECORD-IP
CLT049	CLT.002.049	ENDING-DATE-OF-SERVICE	CLT00002	CLAIM-HEADER-RECORD-LT
CLT197	CLT.003.197	ENDING-DATE-OF-SERVICE	CLT00003	CLAIM-LINE-RECORD-LT
COT167	COT.003.167	ENDING-DATE-OF-SERVICE	COT00003	CLAIM-LINE-RECORD-OT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
08/09/2023	3.11.0	COT.002.034	UPDATE	Definition	For services received during a single encounter with a provider, the date the service covered by this claim was received. For services involving multiple encounters on different days, or periods of care extending over two or more days, the date on which the service covered by this claim ended. For capitation premium payments, the date on which the period of coverage related to this payment ends/ended. For financial transactions reported to the OT file, populate with the last day of the time period covered by this financial transaction.	For services received during a single encounter with a provider, the date the service covered by this claim was received. For services involving multiple encounters on different days, or periods of care extending over two or more days, the date on which the service covered by this claim ended. For capitation premium payments, the date on which the period of coverage related to this payment ends/ended. For financial transactions reported to the OT file, populate with the last day of the time period covered by this financial transaction.For sub-capitation payments, this represents the last date of the period the sub-capitation payment covers.
05/08/2020	2.4.0	ENDING-DATE-OF-SERVICE (COT034-0004)	UPDATE	Data Dictionary	ENDING-DATE-OF-SERVICE must be on or before the ADJUDICATION-DATE.	ENDING-DATE-OF-SERVICE must be on or before the ADJUDICATION-DATE for all claims except capitation payments and service tracking payments
05/08/2020	2.4.0	ENDING-DATE-OF-SERVICE (COT034-0007)	UPDATE	Data Dictionary	Date must occur before or be the same as End of Time Period.	Date must occur before or be the same as End of Time Period for all claims except capitation payments and service tracking payments.
07/15/2022	3.0.1	COT034	UPDATE	Data Dictionary	DE NO\| DATA ELEMENT NAME COMPUTING\|DEFINITION COT034\|ENDING-DATE-OF-SERVICE\|For services received during a single encounter with a provider, the date the service covered by this claim was received. For services involving multiple encounters on different days, or periods of care extending over two or more days, the date on which the service covered by this claim ended. For capitation premium payments, the date on which the period of coverage related to this payment ends/ended. For financial transactions reported to the OT file, populate with the last day of the time period covered by this financial transaction.	DE NO\| DATA ELEMENT NAME COMPUTING\|DEFINITION COT034\|ENDING-DATE-OF-SERVICE\|For services received during a single encounter with a provider, the date the service covered by this claim was received. For services involving multiple encounters on different days, or periods of care extending over two or more days, the date on which the service covered by this claim ended. For capitation premium payments, the date on which the period of coverage related to this payment ends/ended. For financial transactions reported to the OT file, populate with the last day of the time period covered by this financial transaction. For sub-capitation payments, this represents the last date of the period the sub-capitation payment covers.