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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

THIRD-PARTY-COPAYMENT-DATE-PAID

Data Element

DE Number

COT143

System DE Number

COT.002.143

File Name

COT - CLAIM OTHER

File Segment Number

COT00002

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 copayment amount.
Size 9(8)
FLF Start Position 961
FLF Stop Position 968
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 Copayment Amount
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
CIP219 CIP.002.219 THIRD-PARTY-COPAYMENT-DATE-PAID CIP00002 CLAIM-HEADER-RECORD-IP
CLT166 CLT.002.166 THIRD-PARTY-COPAYMENT-DATE-PAID CLT00002 CLAIM-HEADER-RECORD-LT
CRX101 CRX.002.101 THIRD-PARTY-COPAYMENT-DATE-PAID CRX00002 CLAIM-HEADER-RECORD-RX