CIP.002.175

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TMSIS Dataguide

Medicaid.gov

Version:

DATE-OF-BIRTH

Data Element

DE Number

CIP175

System DE Number

CIP.002.175

File Name

CIP - CLAIM INPATIENT

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-IP

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	Date of birth of the individual to whom the services were provided. A patient's age should not be greater than 112 years.
Size	9(8)
FLF Start Position	810
FLF Stop Position	817
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. The date must be a valid calendar date in the form "CCYYMMDD" 2. Mandatory

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

RULE ID	RULE Definition
RULE-675	If a claim is a non-denied claim from an IP file, then the date of birth value reported must be a valid date of the form CCYYMMDD
RULE-677	If a non-denied IP claim has a value populated for date of birth and the primary demographics eligibility segment has a value populated for date of death and the claim is not for a conception to birth eligible, then the date of death value is equal to or after the date of birth.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CLT126	CLT.002.126	DATE-OF-BIRTH	CLT00002	CLAIM-HEADER-RECORD-LT
COT108	COT.002.108	DATE-OF-BIRTH	COT00002	CLAIM-HEADER-RECORD-OT
CRX066	CRX.002.066	DATE-OF-BIRTH	CRX00002	CLAIM-HEADER-RECORD-RX
ELG024	ELG.002.024	DATE-OF-BIRTH	ELG00002	PRIMARY-DEMOGRAPHICS-ELIGIBILITY
PRV034	PRV.002.034	DATE-OF-BIRTH	PRV00002	PROV-ATTRIBUTES-MAIN

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/16/2024	4.0.0	CIP.002.175	UPDATE	File segment	None	25
09/16/2024	4.0.0	CIP.002.175	ADD	N/A		Created