COT.001.012

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TMSIS Dataguide

Medicaid.gov

Version 3.38.0

SSN-INDICATOR

Data Element

DE Number

COT012

System DE Number

COT.001.012

File Name

COT - CLAIM OTHER

File Segment Number

File Segment Name

FILE-HEADER-RECORD-OT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	Indicates whether the state uses the eligible person's social security number instead of an MSIS Identification Number as the unique, unchanging eligible person identifier. A state's SSN/Non-SSN designation on the eligibility file should match on the claims and third party liability files.
Size	X(1)
FLF Start Position	67
FLF Stop Position	67
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be in SSN Indicator List (VVL) 2. Value must be 1 character 3. Mandatory 4. When populated, value must equal SSN Indicator (ELG.001.012)

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

RULE ID	RULE Definition
RULE-1321	If a file header is an OT file and the SSN indicator is populated, then the SSN indicator must match the value on the file header record eligibility segment.
RULE-6433	If a claim is from an OT file, then the social security number indicator value reported must be compatible with the specified T-MSIS picture format: X(1).

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP012	CIP.001.012	SSN-INDICATOR	CIP00001	FILE-HEADER-RECORD-IP
CLT012	CLT.001.012	SSN-INDICATOR	CLT00001	FILE-HEADER-RECORD-LT
CRX012	CRX.001.012	SSN-INDICATOR	CRX00001	FILE-HEADER-RECORD-RX
ELG012	ELG.001.012	SSN-INDICATOR	ELG00001	FILE-HEADER-RECORD-ELIGIBILITY
TPL012	TPL.001.012	SSN-INDICATOR	TPL00001	FILE-HEADER-RECORD-TPL

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/21/2023	3.13.0	COT.001.012	UPDATE	Coding requirement	1. Value must be in SSN Indicator List (VVL)2. Value must be 1 character3. Mandatory	1. Value must be in SSN Indicator List (VVL)2. Value must be 1 character3. Mandatory4. When populated, value must equal SSN Indicator (ELG.001.012)