COT.003.192

An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock () or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

TMSIS Dataguide

Medicaid.gov

Version 3.27.0

SERVICING-PROV-TYPE

Data Element

DE Number

COT192

System DE Number

COT.003.192

File Name

COT - CLAIM OTHER

File Segment Number

File Segment Name

CLAIM-LINE-RECORD-OT

Last updated

No Updates

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	A code to describe the type of provider being reported.
Size	X(2)
FLF Start Position	383
FLF Stop Position	384
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be in Provider Type Code List (VVL). 2. Value must be 2 characters 3. Conditional

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

RULE ID	RULE Definition
RULE-1671	If the servicing provider type is populated on a non-denied claim line from an OT file, then the servicing provider type value reported must be in the list of valid values for 'provider type'.
RULE-6194	If a claim line is a non-denied claim line from an IP file, then the servicing provider type value reported must be compatible with specified T-MSIS picture format: X(2).

Measure ID	Measure Name
MIS-7-029-29	% missing: SERVICING-PROV-TYPE (COT00003)
MIS-26-029-29	% missing: SERVICING-PROV-TYPE (COT00003)
MIS-84-028-28	% missing: SERVICING-PROV-TYPE (COT00003)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP263	CIP.003.263	SERVICING-PROV-TYPE	CIP00003	CLAIM-LINE-RECORD-IP
CLT215	CLT.003.215	SERVICING-PROV-TYPE	CLT00003	CLAIM-LINE-RECORD-LT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After