CRX.002.088

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TMSIS Dataguide

Medicaid.gov

Version:

BENEFICIARY-COINSURANCE-DATE-PAID

Data Element

DE Number

CRX088

System DE Number

CRX.002.088

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	The date the beneficiary paid the coinsurance amount.
Size	9(8)
FLF Start Position	629
FLF Stop Position	636
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 Beneficiary Coinsurance Amount 3. Conditional

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date

RULE ID	RULE Definition
RULE-1875	If a claim is a non-denied claim from an RX file, then the beneficiary coinsurance date paid value reported must be a valid date of the form CCYYMMDD.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP207	CIP.002.207	BENEFICIARY-COINSURANCE-DATE-PAID	CIP00002	CLAIM-HEADER-RECORD-IP
CLT154	CLT.002.154	BENEFICIARY-COINSURANCE-DATE-PAID	CLT00002	CLAIM-HEADER-RECORD-LT
COT131	COT.002.131	BENEFICIARY-COINSURANCE-DATE-PAID	COT00002	CLAIM-HEADER-RECORD-OT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/16/2024	4.0.0	CRX.002.088	UPDATE	File segment	None	40
09/16/2024	4.0.0	CRX.002.088	ADD	N/A		Created