COT.002.059

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

SERVICE-TRACKING-TYPE

Data Element

DE Number

COT059

System DE Number

COT.002.059

File Name

COT - CLAIM OTHER

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-OT

Last updated

No Updates

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	A code to categorize service tracking claims. A "service tracking claim" is used to report lump sum payments that cannot be attributed to a single enrollee.
Size	X(2)
FLF Start Position	361
FLF Stop Position	362
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be in Service Tracking Type List (VVL) 2. (Service Tracking Claim) if associated Type of Claim is in ['4','D', 'X'] then value is mandatory and must be reported 3. Value must be 2 characters 4. 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-1409	If the service tracking type is populated on a non-denied claim from an OT file, then the service tracking type reported must be found in the list of valid values.
RULE-6209	If a claim is a non-denied claim from an OT file, then the sservice tracking type value reported must be compatible with specified T-MSIS picture format: X(2).
RULE-7405	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 service tracking type must be populated and does not equal '0' or '00'.
RULE-7515	If a claim is a non-denied, non-service tracking claim from an OT file, then the service tracking type is not populated or equal to '0' or '00'.

Measure ID	Measure Name
EXP-43-003-3	# of non-service tracking claim headers with non-missing Service Tracking Type
MIS-59-004-4	% missing: SERVICE-TRACKING-TYPE (COT00002)
RULE-7405	% missing: SERVICE-TRACKING-TYPE (COT00002)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP123	CIP.002.123	SERVICE-TRACKING-TYPE	CIP00002	CLAIM-HEADER-RECORD-IP
CLT073	CLT.002.073	SERVICE-TRACKING-TYPE	CLT00002	CLAIM-HEADER-RECORD-LT
CRX050	CRX.002.050	SERVICE-TRACKING-TYPE	CRX00002	CLAIM-HEADER-RECORD-RX

Published Date	Data Guide Version	Data Element	Action	Field	Before	After