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Data Element
CLT243
CLT.003.243
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. |
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Size | X(1) |
FLF Start Position | 407 |
FLF Stop Position | 407 |
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 |
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DE Number | System DE Number | DE Name | File Segment Number | File Segment Name |
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CIP296 | CIP.003.296 | IHS-SERVICE-IND | CIP00003 | CLAIM-LINE-RECORD-IP |
COT234 | COT.003.234 | IHS-SERVICE-IND | COT00003 | CLAIM-LINE-RECORD-OT |
CRX172 | CRX.003.172 | IHS-SERVICE-IND | CRX00003 | CLAIM-LINE-RECORD-RX |