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TMSIS Dataguide Medicaid.gov
Version 3.28.0

DESTINATION-STATE

Data Element

DE Number

COT207

System DE Number

COT.003.207

File Name

COT - CLAIM OTHER

File Segment Number

COT00003

File Segment Name

CLAIM-LINE-RECORD-OT

Last updated

Definition The ANSI state numeric code for the U.S. state, Territory, or the District of Columbia code of the destination state in 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 only. Required if state has captured this information, otherwise it is conditional.
Size X(2)
FLF Start Position 704
FLF Stop Position 705
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be in State 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
DE Number System DE Number DE Name File Segment Number File Segment Name