CIP.003.287

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TMSIS Dataguide

Medicaid.gov

Version:

SELF-DIRECTION-TYPE

Data Element

DE Number

CIP287

System DE Number

CIP.003.287

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	This data element is not applicable to this file type.
Size	X(3)
FLF Start Position	383
FLF Stop Position	385
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 3 characters 2. Value must be in Self Direction Type List (VVL) 3. Mandatory

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

RULE ID	RULE Definition
RULE-6579	If a claim line is a non-denied claim line from an IP file, then the self direction type value reported must be compatible with specified T-MSIS picture format: X(3).
RULE-842	If the self direction type is populated on a non-denied IP claim line, then the self direction type reported must be found in the list of valid values.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CLT234	CLT.003.234	SELF-DIRECTION-TYPE	CLT00003	CLAIM-LINE-RECORD-LT
COT222	COT.003.222	SELF-DIRECTION-TYPE	COT00003	CLAIM-LINE-RECORD-OT
CRX158	CRX.003.158	SELF-DIRECTION-TYPE	CRX00003	CLAIM-LINE-RECORD-RX

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/16/2024	4.0.0	CIP.003.287	UPDATE	File segment	None	26
09/16/2024	4.0.0	CIP.003.287	ADD	N/A		Created