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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

THIRD-PARTY-COINSURANCE-AMOUNT-PAID

Data Element

DE Number

CIP216

System DE Number

CIP.002.216

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 of money paid by a third party on behalf of the beneficiary towards coinsurance.
Size S9(11)V99
FLF Start Position 1182
FLF Stop Position 1194
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
CLT163 CLT.002.163 THIRD-PARTY-COINSURANCE-AMOUNT-PAID CLT00002 CLAIM-HEADER-RECORD-LT
COT140 COT.002.140 THIRD-PARTY-COINSURANCE-AMOUNT-PAID COT00002 CLAIM-HEADER-RECORD-OT
CRX098 CRX.002.098 THIRD-PARTY-COINSURANCE-AMOUNT-PAID CRX00002 CLAIM-HEADER-RECORD-RX