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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

TOT-BENEFICIARY-DEDUCTIBLE-LIABLE-AMOUNT

Data Element

DE Number

COT232

System DE Number

COT.002.232

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 total deductible amount on a claim the beneficiary is obligated to pay for covered services. This amount is the total Medicaid or contract negotiated beneficiary deductible liability minus previous beneficiary payments that went toward their deductible. Do not subtract out any payments for the given claim that went toward the deductible.
Size S9(11)V99
FLF Start Position 1022
FLF Stop Position 1034
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be between -99999999999.99 and 99999999999.99
2. Value must be expressed as a number with 2-digit precision (e.g. 100.50)
3. Conditional
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
CIP294 CIP.002.294 TOT-BENEFICIARY-DEDUCTIBLE-LIABLE-AMOUNT CIP00002 CLAIM-HEADER-RECORD-IP
CLT241 CLT.002.241 TOT-BENEFICIARY-DEDUCTIBLE-LIABLE-AMOUNT CLT00002 CLAIM-HEADER-RECORD-LT
CRX165 CRX.002.165 TOT-BENEFICIARY-DEDUCTIBLE-LIABLE-AMOUNT CRX00002 CLAIM-HEADER-RECORD-RX