COT.003.167

ENDING-DATE-OF-SERVICE

Data Element

DE Number

COT167

System DE Number

COT.003.167

File Name

COT - CLAIM OTHER

File Segment Number

COT00003

File Segment Name

CLAIM-LINE-RECORD-OT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	For services received during a single encounter with a provider, the date the service covered by this claim was received. For services involving multiple encounters on different days, or periods of care extending over two or more days, the date on which the service covered by this claim ended. For capitation premium payments, the date on which the period of coverage related to this payment ends/ended. For financial transactions reported to the OT file, populate with the last day of the time period covered by this financial transaction. For sub-capitation payments, this represents the last date of the period the sub-capitation payment covers.
Size	9(8)
FLF Start Position	175
FLF Stop Position	182
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 8 characters in the form "CCYYMMDD" 2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st) 3. When Type of Claim is not in [2,4,B,D,V] value must be less than or equal to associated End of Time Period value 4. Value must be greater than or equal to associated Beginning Date of Service value 5. When Type of Claim is not in [2,4,B,D,V] value must be less than or equal to associated Adjudication Date value 6. Value must be less than or equal to associated Date of Death (ELG.002.025) value when populated 7. Value must be equal to or greater than associated Date of Birth (ELG.002.024) value 8. Mandatory

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date

RULE ID	RULE Definition
RULE-1623	If beginnning date of service and ending date of service are populated on a non-denied, non-void claim line from an OT file, then the beginning date of service value reported must be before or equal to the ending date of service value reported.
RULE-1627	If a claim line is a non-denied claim line from an OT file, then the ending date of service value reported must be a valid date of the form CCYYMMDD.
RULE-1630	If ending date of service is populated on a non-denied, non-void claim line from an OT file that is not a capitated payment, premium payment or EHR payment and adjudication date is populated on the claim line, then the ending date of service value reported must be before or equal to the adjudication date value reported.
RULE-1631	If a non-denied OT claim line has a value populated for ending date of service and the date of death is populated on the primary demographics eligibility segment, then the line ending date of service must be less than or equal to the date of death.
RULE-1632	If ending date of service is populated on a non-denied, non-void claim line from an OT file that is not a capitated payment or premium payment and end of time period is populated on the file header, then the ending date of service value reported must be before or equal to the end of time period value reported.
RULE-1637	If procedure code date and ending date of service are populated on a non-denied claim line from an OT file, then the procedure code date value reported must be before or equal to the ending date of service value reported.
RULE-7218	If a claim is a non-denied claim and is an original claim or a replacement/resubmission claim payment from an OT file, and is a Medicaid or Medicaid-expansion CHIP FFS, Medicaid or Medicaid-expansion CHIP Encounter, separate CHIP FFS or separate CHIP Encounter claim or CHIP capitated or separate CHIP capitated payment, then the claim line ending date of service must be populated.
RULE-7397	If a claim is a non-denied claim, non-void claim from an OT file, and is a Medicaid/Medicaid-expansion CHIP or S-CHIP service tracking claim and is an original claim or a replacement/resubmission claim payment then the claim line ending date of service must be populated.
RULE-7719	If a claim is a non-denied claim and is an original claim or a replacement/resubmission claim payment from an OT file, and is a Medicaid or Medicaid-expansion CHIP Encounter or separate CHIP Encounter claim, then the claim line ending date of service must be populated.
RULE-7723	If a claim is a non-denied claim and is an original claim or a replacement/resubmission claim payment from an OT file, and is a Medicaid or Medicaid-expansion CHIP Capitation or separate CHIP Capitation claim, then the claim line ending date of service must be populated.
RULE-7801	If a claim is a non-denied claim and is an original claim or a replacement/resubmission claim payment from an OT file, and is a Medicaid or Medicaid-expansion CHIP Fee for Service or Separate CHIP Fee for Service claim, then the claim line ending date of service must be populated.

Measure ID	Measure Name
TPL-7-001-1	# of claim lines with private health insurance premium (TYPE-OF-SERVICE = 121) with Ending Date of Service in the current month
MCR-9-015-10	# of capitated payments to HMOs, HIOs or PACE (TYPE-OF-SERVICE = 119) plans with Ending Date of Service in a future month
MCR-9-016-9	# of capitated payments to PHPs (TYPE-OF-SERVICE = 122) with Ending Date of Service in a future month
MCR-9-017-8	# of capitated payments for PCCM (TYPE-OF-SERVICE = 120) with Ending Date of Service in a future month
MIS-30-003-3	% missing: ENDING-DATE-OF-SERVICE (COT00003)
MIS-60-002-2	% missing: ENDING-DATE-OF-SERVICE (COT00003)
MIS-7-006-6	% missing: ENDING-DATE-OF-SERVICE (COT00003)
RULE-1663	% of claim headers with a Servicing Provider Number that is not found on the provider file during the dates of service
TPL-6-001-1	# of claim lines with private health insurance (TYPE-OF-SERVICE = 121) premium with Ending Date of Service in the current month
TPL-6-002-4	# of claim lines with private health insurance premium (TYPE-OF-SERVICE = 121) with Ending Date of Service in the previous month
TPL-6-003-3	# of claim lines with private health insurance premium (TYPE-OF-SERVICE = 121) with Ending Date of Service prior to the previous month
TPL-6-004-2	# of claim lines with private health insurance premium (TYPE-OF-SERVICE = 121) with Ending Date of Service in a future month
MCR-9-014-11	# of capitated payments for PCCM (TYPE-OF-SERVICE = 120) with Ending Date of Service prior to the previous month
TPL-7-002-4	# of claim lines with private health insurance premium (TYPE-OF-SERVICE = 121) with Ending Date of Service in the previous month
TPL-7-003-3	# of claim lines with private health insurance premium (TYPE-OF-SERVICE = 121) with Ending Date of Service prior to the previous month
TPL-7-004-2	# of claim lines with private health insurance premium (TYPE-OF-SERVICE = 121) with Ending Date of Service in a future month
MIS-26-007-7	% missing: ENDING-DATE-OF-SERVICE (COT00003)
MIS-84-006-6	% missing: ENDING-DATE-OF-SERVICE (COT00003)
RULE-7397	% missing: ENDING-DATE-OF-SERVICE (COT00003)
RULE-7801	% missing: ENDING-DATE-OF-SERVICE (COT00003)
RULE-7723	% missing: ENDING-DATE-OF-SERVICE (COT00003)
RULE-7719	% missing: ENDING-DATE-OF-SERVICE (COT00003)
RULE-7927	% of claim lines with a Servicing Provider Number that does not have a match in PRV00007 with an active provider enrollment status on Ending Date of Service
RULE-7935	% of claim lines with a Servicing Provider Number that does not have a match in PRV00007 with an active provider enrollment status on Ending Date of Service
MCR-13-015-10	# of capitated payments to HMOs, HIOs or PACE (TYPE-OF-SERVICE = 119) plans with Ending Date of Service in a future month
FFS-9-003-8	% of claim lines with Ending Date of Service within the past year
MCR-10-003-8	% of claim lines with Ending Date of Service within the past year
MCR-13-006-7	# of capitated payments to HMOs, HIOs or PACE (TYPE-OF-SERVICE = 119) plans with Ending Date of Service in the current month
MCR-13-007-6	# of capitated payments to PHPs (TYPE-OF-SERVICE = 122) with Ending Date of Service in the current month
MCR-13-008-5	# of capitated payments for PCCM (TYPE-OF-SERVICE = 120) with Ending Date of Service in the current month
MCR-13-009-16	# of capitated payments to HMOs, HIOs or PACE (TYPE-OF-SERVICE = 119) plans with Ending Date of Service in the previous month
MCR-13-010-15	# of capitated payments to PHPs (TYPE-OF-SERVICE = 122) with Ending Date of Service in the previous month
MCR-13-011-14	# of capitated payments for PCCM (TYPE-OF-SERVICE = 120) with Ending Date of Service in the previous month
MCR-13-012-13	# of capitated payments to HMOs, HIOs or PACE (TYPE-OF-SERVICE = 119) plans with Ending Date of Service prior to the previous month
MCR-13-013-12	# of capitated payments to PHPs (TYPE-OF-SERVICE = 122) with Ending Date of Service prior to the previous month
MCR-13-014-11	# of capitated payments for PCCM (TYPE-OF-SERVICE = 120) with Ending Date of Service prior to the previous month
FFS-11-003-8	% of claim lines with Ending Date of Service within the past year
MCR-13-016-9	# of capitated payments to PHPs (TYPE-OF-SERVICE = 122) with Ending Date of Service in a future month
MCR-13-017-8	# of capitated payments for PCCM (TYPE-OF-SERVICE = 120) with Ending Date of Service in a future month
MCR-14-003-8	% of claim lines with Ending Date of Service within the past year
MCR-9-006-7	# of capitated payments to HMOs, HIOs or PACE (TYPE-OF-SERVICE = 119) plans with Ending Date of Service in the current month
MCR-9-007-6	# of capitated payments to PHPs (TYPE-OF-SERVICE = 122) with Ending Date of Service in the current month
MCR-9-008-5	# of capitated payments for PCCM (TYPE-OF-SERVICE = 120) with Ending Date of Service in the current month
MCR-9-009-16	# of capitated payments to HMOs, HIOs or PACE (TYPE-OF-SERVICE = 119) plans with Ending Date of Service in the previous month
MCR-9-010-15	# of capitated payments to PHPs (TYPE-OF-SERVICE = 122) with Ending Date of Service in the previous month
MCR-9-011-14	# of capitated payments for PCCM (TYPE-OF-SERVICE = 120) with Ending Date of Service in the previous month
MCR-9-012-13	# of capitated payments to HMOs, HIOs or PACE (TYPE-OF-SERVICE = 119) plans with Ending Date of Service prior to the previous month
MCR-9-013-12	# of capitated payments to PHPs (TYPE-OF-SERVICE = 122) with Ending Date of Service prior to the previous month

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP291	CIP.002.291	ENDING-DATE-OF-SERVICE	CIP00002	CLAIM-HEADER-RECORD-IP
CIP244	CIP.003.244	ENDING-DATE-OF-SERVICE	CIP00003	CLAIM-LINE-RECORD-IP
CLT049	CLT.002.049	ENDING-DATE-OF-SERVICE	CLT00002	CLAIM-HEADER-RECORD-LT
CLT197	CLT.003.197	ENDING-DATE-OF-SERVICE	CLT00003	CLAIM-LINE-RECORD-LT
COT034	COT.002.034	ENDING-DATE-OF-SERVICE	COT00002	CLAIM-HEADER-RECORD-OT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/12/2024	3.29.0	COT.003.167	UPDATE	Definition	For services received during a single encounter with a provider, the date the service covered by this claim was received. For services involving multiple encounters on different days, or periods of care extending over two or more days, the date on which the service covered by this claim ended. For capitation premium payments, the date on which the period of coverage related to this payment ends/ended. For financial transactions reported to the OT file, populate with the last day of the time period covered by this financial transaction.For sub-capitation payments, this represents the last date of the period the sub-capitation payment covers.	For services received during a single encounter with a provider, the date the service covered by this claim was received. For services involving multiple encounters on different days, or periods of care extending over two or more days, the date on which the service covered by this claim ended. For capitation premium payments, the date on which the period of coverage related to this payment ends/ended. For financial transactions reported to the OT file, populate with the last day of the time period covered by this financial transaction. For sub-capitation payments, this represents the last date of the period the sub-capitation payment covers.
09/12/2024	3.29.0	COT.003.167	UPDATE	Coding requirement	1. Value must be 8 characters in the form "CCYYMMDD"2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st)3. When Type of Claim is not in ['2', '4', 'B', 'D', 'V'] value must be less than or equal to associated End of Time Period value4. Value must be greater than or equal to associated Beginning Date of Service value5. When Type of Claim is not in ['2', '4', 'B', 'D', 'V'] value must be less than or equal to associated Adjudication Date value6. Value must be less than or equal to associated Date of Death (ELG.002.025) value when populated7. Value must be equal to or greater than associated Date of Birth (ELG.002.024) value8. Mandatory	1. Value must be 8 characters in the form "CCYYMMDD"2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st)3. When Type of Claim is not in [2,4,B,D,V] value must be less than or equal to associated End of Time Period value4. Value must be greater than or equal to associated Beginning Date of Service value5. When Type of Claim is not in [2,4,B,D,V] value must be less than or equal to associated Adjudication Date value6. Value must be less than or equal to associated Date of Death (ELG.002.025) value when populated7. Value must be equal to or greater than associated Date of Birth (ELG.002.024) value8. Mandatory
08/09/2023	3.11.0	COT.003.167	UPDATE	Definition	For services received during a single encounter with a provider, the date the service covered by this claim was received. For services involving multiple encounters on different days, or periods of care extending over two or more days, the date on which the service covered by this claim ended. For capitation premium payments, the date on which the period of coverage related to this payment ends/ended. For financial transactions reported to the OT file, populate with the last day of the time period covered by this financial transaction.	For services received during a single encounter with a provider, the date the service covered by this claim was received. For services involving multiple encounters on different days, or periods of care extending over two or more days, the date on which the service covered by this claim ended. For capitation premium payments, the date on which the period of coverage related to this payment ends/ended. For financial transactions reported to the OT file, populate with the last day of the time period covered by this financial transaction.For sub-capitation payments, this represents the last date of the period the sub-capitation payment covers.
05/08/2020	2.4.0	ENDING-DATE-OF-SERVICE (COT167-0004)	UPDATE	Data Dictionary	ENDING-DATE-OF-SERVICE must be on or before the ADJUDICATION-DATE.	ENDING-DATE-OF-SERVICE must be on or before the ADJUDICATION-DATE for all claims except capitation payments and service tracking payments
05/08/2020	2.4.0	ENDING-DATE-OF-SERVICE (COT167-0007)	UPDATE	Data Dictionary	Date must occur before or be the same as End of Time Period.	Date must occur before or be the same as End of Time Period for all claims except capitation payments and service tracking payments.
07/15/2022	3.0.1	COT167	UPDATE	Data Dictionary	DE NO\| DATA ELEMENT NAME COMPUTING\|DEFINITION COT167\|ENDING-DATE-OF-SERVICE\|For services received during a single encounter with a provider, the date the service covered by this claim was received. For services involving multiple encounters on different days, or periods of care extending over two or more days, the date on which the service covered by this claim ended. For capitation premium payments, the date on which the period of coverage related to this payment ends/ended. For financial transactions reported to the OT file, populate with the last day of the time period covered by this financial transaction.	DE NO\| DATA ELEMENT NAME COMPUTING\|DEFINITION COT167\|ENDING-DATE-OF-SERVICE\|For services received during a single encounter with a provider, the date the service covered by this claim was received. For services involving multiple encounters on different days, or periods of care extending over two or more days, the date on which the service covered by this claim ended. For capitation premium payments, the date on which the period of coverage related to this payment ends/ended. For financial transactions reported to the OT file, populate with the last day of the time period covered by this financial transaction. For sub-capitation payments, this represents the last date of the period the sub-capitation payment covers.