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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

MSIS-IDENTIFICATION-NUM

Data Element

DE Number

CRX111

System DE Number

CRX.003.111

File Name

CRX - CLAIM PHARMACY

File Segment Number

CRX00003

File Segment Name

CLAIM-LINE-RECORD-RX

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition A state-assigned unique identification number used to identify a Medicaid/CHIP enrolled individual. Value may be an SSN, temporary SSN or State-assigned eligible individual identifier. MSIS Identification Numbers are a unique "key" value used to maintain referential integrity of data distributed over multiples files, segments and reporting periods. See T-MSIS Guidance Document, "CMS Guidance: Reporting Shared MSIS Identification Numbers" for information on reporting the MSIS Identification Numbers ID for pregnant women, unborn children, mothers, and their deemed newborns younger than 1 year of age who share the same MSIS Identification Number. https://www.medicaid.gov/tmsis/dataguide/t-msis-coding-blog/reporting-shared-msis-identification-numbers-eligibility/
Size X(20)
FLF Start Position 22
FLF Stop Position 41
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be 20 characters or less
2. 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
CIP022 CIP.002.022 MSIS-IDENTIFICATION-NUM CIP00002 CLAIM-HEADER-RECORD-IP
CIP234 CIP.003.234 MSIS-IDENTIFICATION-NUM CIP00003 CLAIM-LINE-RECORD-IP
CLT022 CLT.002.022 MSIS-IDENTIFICATION-NUM CLT00002 CLAIM-HEADER-RECORD-LT
CLT187 CLT.003.187 MSIS-IDENTIFICATION-NUM CLT00003 CLAIM-LINE-RECORD-LT
COT022 COT.002.022 MSIS-IDENTIFICATION-NUM COT00002 CLAIM-HEADER-RECORD-OT
COT157 COT.003.157 MSIS-IDENTIFICATION-NUM COT00003 CLAIM-LINE-RECORD-OT
CRX022 CRX.002.022 MSIS-IDENTIFICATION-NUM CRX00002 CLAIM-HEADER-RECORD-RX
ELG019 ELG.002.019 MSIS-IDENTIFICATION-NUM ELG00002 PRIMARY-DEMOGRAPHICS-ELIGIBILITY
ELG033 ELG.003.033 MSIS-IDENTIFICATION-NUM ELG00003 VARIABLE-DEMOGRAPHICS-ELIGIBILITY
ELG064 ELG.004.064 MSIS-IDENTIFICATION-NUM ELG00004 ELIGIBLE-CONTACT-INFORMATION
ELG082 ELG.005.082 MSIS-IDENTIFICATION-NUM ELG00005 ELIGIBILITY-DETERMINANTS
ELG106 ELG.006.106 MSIS-IDENTIFICATION-NUM ELG00006 HEALTH-HOME-SPA-PARTICIPATION-INFORMATION
ELG117 ELG.007.117 MSIS-IDENTIFICATION-NUM ELG00007 HEALTH-HOME-SPA-PROVIDERS
ELG129 ELG.008.129 MSIS-IDENTIFICATION-NUM ELG00008 HEALTH-HOME-CHRONIC-CONDITIONS
ELG139 ELG.009.139 MSIS-IDENTIFICATION-NUM ELG00009 LOCK-IN-INFORMATION
ELG149 ELG.010.149 MSIS-IDENTIFICATION-NUM ELG00010 MFP-INFORMATION
ELG162 ELG.011.162 MSIS-IDENTIFICATION-NUM ELG00011 STATE-PLAN-OPTION-PARTICIPATION
ELG171 ELG.012.171 MSIS-IDENTIFICATION-NUM ELG00012 WAIVER-PARTICIPATION
ELG181 ELG.013.181 MSIS-IDENTIFICATION-NUM ELG00013 LTSS-PARTICIPATION
ELG191 ELG.014.191 MSIS-IDENTIFICATION-NUM ELG00014 MANAGED-CARE-PARTICIPATION
ELG203 ELG.015.203 MSIS-IDENTIFICATION-NUM ELG00015 ETHNICITY-INFORMATION
ELG212 ELG.016.212 MSIS-IDENTIFICATION-NUM ELG00016 RACE-INFORMATION
ELG223 ELG.017.223 MSIS-IDENTIFICATION-NUM ELG00017 DISABILITY-INFORMATION
ELG232 ELG.018.232 MSIS-IDENTIFICATION-NUM ELG00018 1115A-DEMONSTRATION-INFORMATION
ELG241 ELG.020.241 MSIS-IDENTIFICATION-NUM ELG00020 HCBS-CHRONIC-CONDITIONS-NON-HEALTH-HOME
ELG251 ELG.021.251 MSIS-IDENTIFICATION-NUM ELG00021 ENROLLMENT-TIME-SPAN-SEGMENT
ELG260 ELG.022.260 MSIS-IDENTIFICATION-NUM ELG00022 ELG-IDENTIFIERS
FTX042 FTX.002.042 MSIS-IDENTIFICATION-NUM FTX00002 INDIVIDUAL-CAPITATION-PMPM
FTX086 FTX.003.086 MSIS-IDENTIFICATION-NUM FTX00003 INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT
FTX127 FTX.004.127 MSIS-IDENTIFICATION-NUM FTX00004 GROUP-INSURANCE-PREMIUM-PAYMENT
FTX173 FTX.005.173 MSIS-IDENTIFICATION-NUM FTX00005 COST-SHARING-OFFSET
FTX215 FTX.006.215 MSIS-IDENTIFICATION-NUM FTX00006 VALUE-BASED-PAYMENT
FTX383 FTX.095.383 MSIS-IDENTIFICATION-NUM FTX00095 MISCELLANEOUS-PAYMENT
TPL019 TPL.002.019 MSIS-IDENTIFICATION-NUM TPL00002 TPL-MEDICAID-ELIGIBLE-PERSON-MAIN
TPL032 TPL.003.032 MSIS-IDENTIFICATION-NUM TPL00003 TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO
TPL066 TPL.005.066 MSIS-IDENTIFICATION-NUM TPL00005 TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION