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Data Element
COT109
COT.002.109
Definition | Indicates whether the claim is submitted by a provider or provider group enrolled in the Health Home care model to provide services for the beneficiary on the claim. Health home providers provide service for patients with chronic illnesses. States that do not specify an eligible individual's health home provider number, if applicable, should not report claims that indicate the claim is submitted by a provider or provider group enrolled in the health home model. |
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Size | X(1) |
FLF Start Position | 674 |
FLF Stop Position | 674 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must be in Health Home Provider Indicator List (VVL) |
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 |
---|---|---|---|---|
CIP176 | CIP.002.176 | HEALTH-HOME-PROV-IND | CIP00002 | CLAIM-HEADER-RECORD-IP |
CLT127 | CLT.002.127 | HEALTH-HOME-PROV-IND | CLT00002 | CLAIM-HEADER-RECORD-LT |
CRX067 | CRX.002.067 | HEALTH-HOME-PROV-IND | CRX00002 | CLAIM-HEADER-RECORD-RX |