05/13/2022
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3.0.0 |
CIP184, CLT006, COT006, CRX006, ELG006, MCR006, PRV006, TPL006, CIP127, CLT077, COT063, CRX054, ELG111, TPL044, TPL045, CIP093, CIP088, PRV043, PRV064, PRV076, PRV129, COT191
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UPDATE |
Data Dictionary |
DE NO| DATA ELEMENT NAME|NECESSITY| CIP184|ADMITTING-PROV-NPI-NUM|| CLT006|FILE-NAME|| CRX006|FILE-NAME|| ELG006|FILE-NAME|| MCR006|FILE-NAME|| PRV006|FILE-NAME|| TPL006|FILE-NAME|| CIP127|FUNDING-SOURCE-NONFEDERAL-SHARE|| CLT077|FUNDING-SOURCE-NONFEDERAL-SHARE|| COT063|FUNDING-SOURCE-NONFEDERAL-SHARE|| CRX054|FUNDING-SOURCE-NONFEDERAL-SHARE|| ELG111|HEALTH-HOME-ENTITY-EFF-DATE|| TPL044|POLICY-OWNER-FIRST-NAME|| TPL045|POLICY-OWNER-LAST-NAME|| CIP093|PROCEDURE-CODE-DATE-6|| CIP088|PROCEDURE-CODE-FLAG-5|| PRV043|PROV-LOCATION-ID|| PRV064|PROV-LOCATION-ID|| PRV076|PROV-LOCATION-ID|| PRV129|PROV-LOCATION-ID|| COT191|SERVICING-PROV-TAXONOMY|| |
DE NO| DATA ELEMENT NAME|NECESSITY| CIP184|ADMITTING-PROV-NPI-NUM|Conditional| CLT006|FILE-NAME|Mandatory| CRX006|FILE-NAME|Mandatory| ELG006|FILE-NAME|Mandatory| MCR006|FILE-NAME|Mandatory| PRV006|FILE-NAME|Mandatory| TPL006|FILE-NAME|Mandatory| CIP127|FUNDING-SOURCE-NONFEDERAL-SHARE|Conditional| CLT077|FUNDING-SOURCE-NONFEDERAL-SHARE|Conditional| COT063|FUNDING-SOURCE-NONFEDERAL-SHARE|Conditional| CRX054|FUNDING-SOURCE-NONFEDERAL-SHARE|Conditional| ELG111|HEALTH-HOME-ENTITY-EFF-DATE|Mandatory| TPL044|POLICY-OWNER-FIRST-NAME|Mandatory| TPL045|POLICY-OWNER-LAST-NAME|Mandatory| CIP093|PROCEDURE-CODE-DATE-6|Conditional| CIP088|PROCEDURE-CODE-FLAG-5|Conditional| PRV043|PROV-LOCATION-ID|Mandatory| PRV064|PROV-LOCATION-ID|Mandatory| PRV076|PROV-LOCATION-ID|Mandatory| PRV129|PROV-LOCATION-ID|Mandatory| COT191|SERVICING-PROV-TAXONOMY|Conditional| |
02/18/2022
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3.0.0 |
COT191
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UPDATE |
Data Dictionary |
|DE NO| DATA ELEMENT NAME| DEFINITION| NECESSITY |CODING REQUIREMENT| |COT191|SERVICING-PROV-TAXONOMY|[No longer essential - Both data element and associated requirement(s); preserved for file submission integrity. See Data Dictionary v2.3 for specific definition and coding requirement description(s).]| Conditional| Not Applicable| |
|DE NO| DATA ELEMENT NAME| DEFINITION| NECESSITY |CODING REQUIREMENT| |COT191| SERVICING-PROV-TAXONOMY| The taxonomy code for the provider who treated the recipient.| Conditional | Value must be equal to a valid value.| COT191|SERVICING-PROV-TAXONOMY|Not Applicable |Not Applicable | Leave blank or space-fill field for capitation or premium payments (TYPE-OF-SERVICE = 119, 120, 121, 122)| COT191|SERVICING-PROV-TAXONOMY|Not Applicable| Not Applicable| Generally, the provider taxonomy requires 10 bytes. However, two additional bytes have been provided for future expansion.| |