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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

TOT-BENEFICIARY-COINSURANCE-PAID-AMOUNT

Data Element

DE Number

CIP206

System DE Number

CIP.002.206

File Name

CIP - CLAIM INPATIENT

File Segment Number

CIP00002

File Segment Name

CLAIM-HEADER-RECORD-IP

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition The amount the beneficiary or his or her representative (e.g., their guardian) paid towards their coinsurance for the covered services on the claim. Do not include coinsurance payments made by a third party/s on behalf of the beneficiary.
Size S9(11)V99
FLF Start Position 1067
FLF Stop Position 1079
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be between -99999999999.99 and 99999999999.99
2. Value must be expressed as a number with 2-digit precision (e.g. 100.50)
3. Situational
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
CLT153 CLT.002.153 TOT-BENEFICIARY-COINSURANCE-PAID-AMOUNT CLT00002 CLAIM-HEADER-RECORD-LT
COT130 COT.002.130 TOT-BENEFICIARY-COINSURANCE-PAID-AMOUNT COT00002 CLAIM-HEADER-RECORD-OT
CRX087 CRX.002.087 TOT-BENEFICIARY-COINSURANCE-PAID-AMOUNT CRX00002 CLAIM-HEADER-RECORD-RX