COT.003.201

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

ORIGINATION-CITY

Data Element

DE Number

COT201

System DE Number

COT.003.201

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	The name of the origination city from which a patient is transported either from home or a long term care facility to a health care provider for healthcare services or vice versa. For transportation claims, this is only required if state has captured this information, otherwise it is conditional.
Size	X(28)
FLF Start Position	517
FLF Stop Position	544
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 28 characters or less 2. Value must not contain a pipe or asterisk symbols 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-1680	If the origination city is populated on a non-denied claim line from an OT file, then the origination city reported must not contain any pipe or asterisk characters.
RULE-6371	If a claim line is a non-denied claim line from an OT file, then the organization city value reported must be compatible with specified T-MSIS picture format: X(28).

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name

Published Date	Data Guide Version	Data Element	Action	Field	Before	After