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Data Element
COT060
COT.002.060
No Updates
Definition | On service tracking claims, the payment amount is the lump sum that cannot be attributed to any one beneficiary paid to the provider. |
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Size | S9(11)V99 |
FLF Start Position | 363 |
FLF Stop Position | 375 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must be between -99999999999.99 and 99999999999.99 2. Value must be expressed as a number with 2-digit precision (e.g. 100.50 ) 3. If associated Type of Claim value is in [4, D, or X], then value is mandatory and must be provided 4. Conditional 5. When populated, Service Tracking Type must be populated 6. When populated, Total Medicaid Amount must not be populated |
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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CIP124 | CIP.002.124 | SERVICE-TRACKING-PAYMENT-AMT | CIP00002 | CLAIM-HEADER-RECORD-IP |
CLT074 | CLT.002.074 | SERVICE-TRACKING-PAYMENT-AMT | CLT00002 | CLAIM-HEADER-RECORD-LT |
CRX051 | CRX.002.051 | SERVICE-TRACKING-PAYMENT-AMT | CRX00002 | CLAIM-HEADER-RECORD-RX |