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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

CHECK-EFF-DATE

Data Element

DE Number

CLT058

System DE Number

CLT.002.058

File Name

CLT - CLAIM LONG-TERM CARE

File Segment Number

CLT00002

File Segment Name

CLAIM-HEADER-RECORD-LT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition The date a check is issued to the payee. In the case of electronic funds transfer, it is the date the transfer is made.
Size 9(8)
FLF Start Position 240
FLF Stop Position 247
Segment Key Field Identifier Not Applicable
Coding Requirements 1. The date must be a valid calendar date in the form "CCYYMMDD"
2. Must have an associated Check Number
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
CIP106 CIP.002.106 CHECK-EFF-DATE CIP00002 CLAIM-HEADER-RECORD-IP
COT043 COT.002.043 CHECK-EFF-DATE COT00002 CLAIM-HEADER-RECORD-OT
CRX034 CRX.002.034 CHECK-EFF-DATE CRX00002 CLAIM-HEADER-RECORD-RX
FTX026 FTX.002.026 CHECK-EFF-DATE FTX00002 INDIVIDUAL-CAPITATION-PMPM
FTX073 FTX.003.073 CHECK-EFF-DATE FTX00003 INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT
FTX114 FTX.004.114 CHECK-EFF-DATE FTX00004 GROUP-INSURANCE-PREMIUM-PAYMENT
FTX158 FTX.005.158 CHECK-EFF-DATE FTX00005 COST-SHARING-OFFSET
FTX201 FTX.006.201 CHECK-EFF-DATE FTX00006 VALUE-BASED-PAYMENT
FTX245 FTX.007.245 CHECK-EFF-DATE FTX00007 STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM
FTX288 FTX.008.288 CHECK-EFF-DATE FTX00008 COST-SETTLEMENT-PAYMENT
FTX327 FTX.009.327 CHECK-EFF-DATE FTX00009 FQHC-WRAP-PAYMENT
FTX366 FTX.095.366 CHECK-EFF-DATE FTX00095 MISCELLANEOUS-PAYMENT