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TMSIS Dataguide Medicaid.gov
Version 3.27.0

REFERRING-PROV-NUM

Data Element

DE Number

COT117

System DE Number

COT.002.117

File Name

COT - CLAIM OTHER

File Segment Number

COT00002

File Segment Name

CLAIM-HEADER-RECORD-OT

Last updated

No Updates

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition A unique identification number assigned to a provider which identifies the physician or other provider who referred the patient. For physicians, this must be the individual's ID number, not a group identification number. If the referring provider number is not available, but the physician's Drug Enforcement Agency (DEA) ID is on the State file, then the State should use the DEA ID for this data element.
Size X(30)
FLF Start Position 753
FLF Stop Position 782
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be 30 characters or less
2. Conditional
Valid Value Code Set Valid Value Code Valid Value Name Valid Value Description Effective Start Date Effective End Date
DE Number System DE Number DE Name File Segment Number File Segment Name
CIP189 CIP.002.189 REFERRING-PROV-NUM CIP00002 CLAIM-HEADER-RECORD-IP
CLT135 CLT.002.135 REFERRING-PROV-NUM CLT00002 CLAIM-HEADER-RECORD-LT