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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

TPL-AMT

Data Element

DE Number

COT177

System DE Number

COT.003.177

File Name

COT - CLAIM OTHER

File Segment Number

COT00003

File Segment Name

CLAIM-LINE-RECORD-OT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition Third-party liability refers to the legal obligation of third parties, i.e., certain individuals, entities, or programs, to pay all or part of the expenditures for medical assistance furnished under a state plan. This is the total amount denoted at the claim detail level paid by the third party.
Size S9(11)V99
FLF Start Position 246
FLF Stop Position 258
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. 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
CLT206 CLT.003.206 TPL-AMT CLT00003 CLAIM-LINE-RECORD-LT
CRX124 CRX.003.124 TPL-AMT CRX00003 CLAIM-LINE-RECORD-RX