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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

IHS-SERVICE-IND

Data Element

DE Number

CIP296

System DE Number

CIP.003.296

File Name

CIP - CLAIM INPATIENT

File Segment Number

CIP00003

File Segment Name

CLAIM-LINE-RECORD-IP

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition To indicate Services received by Medicaid-eligible individuals who are American Indian or Alaska Native (AI/AN) through facilities of the Indian Health Service (IHS), whether operated by IHS or by Tribes.
Size X(1)
FLF Start Position 404
FLF Stop Position 404
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be 1 character
2. Value must be in the IHS Service Indicator List (VVL)
3. Mandatory
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
CLT243 CLT.003.243 IHS-SERVICE-IND CLT00003 CLAIM-LINE-RECORD-LT
COT234 COT.003.234 IHS-SERVICE-IND COT00003 CLAIM-LINE-RECORD-OT
CRX172 CRX.003.172 IHS-SERVICE-IND CRX00003 CLAIM-LINE-RECORD-RX