COT.002.104

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

PATIENT-CONTROL-NUM

Data Element

DE Number

COT104

System DE Number

COT.002.104

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 patient's unique number assigned by the provider agency during claim submission, which identifies the client or the client's episode of service within the provider's system to facilitate retrieval of individual financial and clinical records and posting of payment
Size	X(20)
FLF Start Position	585
FLF Stop Position	604
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 20 characters or less 2. Value must not contain a pipe or asterisk symbol 3. 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-1523	If the patient control number is populated on a non-denied claim header from an OT file, then the patient control number reported must not contain any pipe or asterisk characters.
RULE-6851	The format for PATIENT-CONTROL-NUM on a non-denied OT claim was expected to be submitted as X(20).

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP171	CIP.002.171	PATIENT-CONTROL-NUM	CIP00002	CLAIM-HEADER-RECORD-IP
CLT122	CLT.002.122	PATIENT-CONTROL-NUM	CLT00002	CLAIM-HEADER-RECORD-LT
CRX062	CRX.002.062	PATIENT-CONTROL-NUM	CRX00002	CLAIM-HEADER-RECORD-RX

Published Date	Data Guide Version	Data Element	Action	Field	Before	After