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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

THIRD-PARTY-COINSURANCE-DATE-PAID

Data Element

DE Number

CIP217

System DE Number

CIP.002.217

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 third party paid the coinsurance amount
Size 9(8)
FLF Start Position 1195
FLF Stop Position 1202
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 Third Party Coinsurance 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
CLT164 CLT.002.164 THIRD-PARTY-COINSURANCE-DATE-PAID CLT00002 CLAIM-HEADER-RECORD-LT
COT141 COT.002.141 THIRD-PARTY-COINSURANCE-DATE-PAID COT00002 CLAIM-HEADER-RECORD-OT
CRX099 CRX.002.099 THIRD-PARTY-COINSURANCE-DATE-PAID CRX00002 CLAIM-HEADER-RECORD-RX