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TMSIS Dataguide Medicaid.gov
Version 3.28.0

REFERRING-PROV-NPI-NUM

Data Element

DE Number

COT118

System DE Number

COT.002.118

File Name

COT - CLAIM OTHER

File Segment Number

COT00002

File Segment Name

CLAIM-HEADER-RECORD-OT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition

The National Provider ID (NPI) of the provider who recommended the servicing provider to the patient.
Size X(10)
FLF Start Position 783
FLF Stop Position 792
Segment Key Field Identifier Not Applicable
Coding Requirements

1. Value must be 10 digits
2. Value must have an associated Provider Identifier Type equal to '2'
3. Value must be in the NPPES NPI data file
4. 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
CIP190 CIP.002.190 REFERRING-PROV-NPI-NUM CIP00002 CLAIM-HEADER-RECORD-IP
CLT136 CLT.002.136 REFERRING-PROV-NPI-NUM CLT00002 CLAIM-HEADER-RECORD-LT