An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock () or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

TMSIS Dataguide Medicaid.gov

Version:

3.38.0

BENEFICIARY-COPAYMENT-DATE-PAID

Data Element

DE Number

CIP209

System DE Number

CIP.002.209

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 date the beneficiary paid the copayment amount.
Size 9(8)
FLF Start Position 1101
FLF Stop Position 1108
Segment Key Field Identifier Not Applicable
Coding Requirements 1. The date must be a valid calendar date in the form "CCYYMMDD"
2. When populated, value must have an associated Beneficiary Copayment Amount
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
CLT156 CLT.002.156 BENEFICIARY-COPAYMENT-DATE-PAID CLT00002 CLAIM-HEADER-RECORD-LT
COT133 COT.002.133 BENEFICIARY-COPAYMENT-DATE-PAID COT00002 CLAIM-HEADER-RECORD-OT
CRX090 CRX.002.090 BENEFICIARY-COPAYMENT-DATE-PAID CRX00002 CLAIM-HEADER-RECORD-RX