CRX.002.065

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TMSIS Dataguide

Medicaid.gov

Version:

ELIGIBLE-MIDDLE-INIT

Data Element

DE Number

CRX065

System DE Number

CRX.002.065

File Name

CRX - CLAIM PHARMACY

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-RX

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	Individual's middle initial; middle initial component of full name (e.g. First Name, Middle Initial, Last Name).
Size	X(1)
FLF Start Position	430
FLF Stop Position	430
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 1 character 2. Value must not contain a pipe or asterisk symbols 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-1831	If the eligible middle name is populated on a non-denied claim from an RX file, then the eligible middle name reported must not contain any pipe or asterisk characters.
RULE-6986	If a claim line is a non-denied claim line from an RX file, then the eligible middle initial value reported must be compatible with specified T-MSIS picture format: X(1).

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP174	CIP.002.174	ELIGIBLE-MIDDLE-INIT	CIP00002	CLAIM-HEADER-RECORD-IP
CLT125	CLT.002.125	ELIGIBLE-MIDDLE-INIT	CLT00002	CLAIM-HEADER-RECORD-LT
COT107	COT.002.107	ELIGIBLE-MIDDLE-INIT	COT00002	CLAIM-HEADER-RECORD-OT
ELG022	ELG.002.022	ELIGIBLE-MIDDLE-INIT	ELG00002	PRIMARY-DEMOGRAPHICS-ELIGIBILITY
TPL023	TPL.002.023	ELIGIBLE-MIDDLE-INIT	TPL00002	TPL-MEDICAID-ELIGIBLE-PERSON-MAIN

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
07/10/2025	4.0.13	CRX.002.065	UPDATE	Necessity	Conditional	Situational
07/10/2025	4.0.13	CRX.002.065	UPDATE	Coding requirement	1. Value must be 1 character2. Value must not contain a pipe or asterisk symbols3. Conditional	1. Value must be 1 character2. Value must not contain a pipe or asterisk symbols3. Situational
09/16/2024	4.0.0	CRX.002.065	UPDATE	File segment	None	40
09/16/2024	4.0.0	CRX.002.065	ADD	N/A		Created