CLT.002.164

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TMSIS Dataguide

Medicaid.gov

Version:

THIRD-PARTY-COINSURANCE-DATE-PAID

Data Element

DE Number

CLT164

System DE Number

CLT.002.164

File Name

CLT - CLAIM LONG-TERM CARE

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-LT

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	1005
FLF Stop Position	1012
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

RULE ID	RULE Definition
RULE-1172	If a claim is a non-denied claim from an LT file, then the third party coinsurance date paid value reported must be a valid date of the form CCYYMMDD.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP217	CIP.002.217	THIRD-PARTY-COINSURANCE-DATE-PAID	CIP00002	CLAIM-HEADER-RECORD-IP
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

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/16/2024	4.0.0	CLT.002.164	UPDATE	File segment	None	30
09/16/2024	4.0.0	CLT.002.164	ADD	N/A		Created