CIP.003.237

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TMSIS Dataguide

Medicaid.gov

Version:

LINE-NUM-ORIG

Data Element

DE Number

CIP237

System DE Number

CIP.003.237

File Name

CIP - CLAIM INPATIENT

File Segment Number

File Segment Name

CLAIM-LINE-RECORD-IP

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	A unique number to identify the transaction line number that is being reported on the original claim.
Size	X(3)
FLF Start Position	142
FLF Stop Position	144
Segment Key Field Identifier	4
Coding Requirements	1. Value must be 3 characters or less 2. Value must not contain a pipe or asterisk symbols 3. Mandatory 4. Value must be one or greater

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

RULE ID	RULE Definition
RULE-6234	If a claim line is a non-denied claim line from an IP file, then the line number origination value reported must be compatible with specified T-MSIS picture format: X(3).
RULE-7187	If a claim line is from an IP file, then submitting state, original ICN, adjustment ICN, adjudication date, line adjustment indicator, original line ICN, and adjustment line ICN values reported must be unique across all IP claim lines.
RULE-771	If an IP claim line has a value populated for line number orig, then the line number orig is greater than or equal to zero.

Measure ID	Measure Name
MIS-3-008-8	% missing: LINE-NUM-ORIG (CIP00003)
MIS-22-008-8	% missing: LINE-NUM-ORIG (CIP00003)
MIS-80-007-7	% missing: LINE-NUM-ORIG (CIP00003)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CLT190	CLT.003.190	LINE-NUM-ORIG	CLT00003	CLAIM-LINE-RECORD-LT
COT160	COT.003.160	LINE-NUM-ORIG	COT00003	CLAIM-LINE-RECORD-OT
CRX114	CRX.003.114	LINE-NUM-ORIG	CRX00003	CLAIM-LINE-RECORD-RX

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/16/2024	4.0.0	CIP.003.237	UPDATE	File segment	None	26
09/16/2024	4.0.0	CIP.003.237	ADD	N/A		Created