COT.003.191

Definition	The taxonomy code for the provider who treated the recipient.
Size	X(12)
FLF Start Position	371
FLF Stop Position	382
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be in Provider Taxonomy List (VVL) 2. Value must be 12 characters or less 3. Conditional

RULE ID	RULE Definition
RULE-1669	If the servicing provider taxonomy is populated on a non-denied claim line from an OT file, then the servicing provider taxonomy value reported must be in the list of valid values for 'provider taxonomy'.
RULE-1670	If the type of service is for a HMO, HIO, PACE, PCCM, or PHP capitation payment or a premium payment on a non-denied claim line from an OT file, then the servicing provider taxonomy value must not be populated.
RULE-7059	If a claim line is a non-denied claim line from an OT file, then the servicing provider taxonomy value reported must be compatible with specified T-MSIS picture format: X(12).

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
05/13/2022	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	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	3.0.0	COT191	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.\|

SERVICING-PROV-TAXONOMY