COT.002.141

An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock () or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

TMSIS Dataguide

Medicaid.gov

Version:

THIRD-PARTY-COINSURANCE-DATE-PAID

Data Element

DE Number

COT141

System DE Number

COT.002.141

File Name

COT - CLAIM OTHER

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-OT

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	940
FLF Stop Position	947
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. Situational

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

RULE ID	RULE Definition
RULE-1580	If a claim is a non-denied claim from an OT 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
CLT164	CLT.002.164	THIRD-PARTY-COINSURANCE-DATE-PAID	CLT00002	CLAIM-HEADER-RECORD-LT
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
07/17/2025	4.0.14	COT.002.141	UPDATE	Necessity	Conditional	Situational
07/17/2025	4.0.14	COT.002.141	UPDATE	Coding requirement	1. The date must be a valid calendar date in the form "CCYYMMDD"2. When populated, value must have an associated Third Party Coinsurance Amount3. Conditional	1. The date must be a valid calendar date in the form "CCYYMMDD"2. When populated, value must have an associated Third Party Coinsurance Amount3. Situational
09/16/2024	4.0.0	COT.002.141	UPDATE	File segment	None	35
09/16/2024	4.0.0	COT.002.141	ADD	N/A		Created