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TMSIS Dataguide Medicaid.gov

Version:

PRESCRIPTION-FILL-DATE

Data Element

DE Number

CRX085

System DE Number

CRX.002.085

File Segment Number

CRX00002

File Segment Name

CLAIM-HEADER-RECORD-RX

Last updated

Definition Date the drug, device, or supply was dispensed by the provider.
Size 9(8)
FLF Start Position 607
FLF Stop Position 614
Segment Key Field Identifier Not Applicable
Coding Requirements 1. The date must be a valid calendar date in the form "CCYYMMDD"
2. Value must be on or before associated End of Time Period (CRX.001.010)
3. Value must be on or after associated Start of Time Period (CRX.001.009)
4. Value must be on or after associated Date Prescribed (CRX.002.084)
5. Value must be on or after associated eligible party's Date of Birth (ELG.002.024)
6. Value must be on or before associated eligible party's Date of Death (ELG.002.025)
7. Value must be populated when Adjustment Indicator (CRX.002.025) does not equal "1"
8. Mandatory
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