CRX.003.139

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TMSIS Dataguide

Medicaid.gov

Version:

NEW-REFILL-IND

Data Element

DE Number

CRX139

System DE Number

CRX.003.139

File Name

CRX - CLAIM PHARMACY

File Segment Number

File Segment Name

CLAIM-LINE-RECORD-RX

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	Indicator showing whether the prescription being filled was a new prescription or a refill. If it is a refill, the indicator will indicate the number of refills.
Size	X(2)
FLF Start Position	345
FLF Stop Position	346
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 2 characters 2. Value must be in New Refill Indicator List (VVL) 3. Mandatory

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

RULE ID	RULE Definition
RULE-1944	If the new refill indicator is populated on a non-denied claim line from an RX file, then the new refill indicator reported must be found in the list of valid values.
RULE-7012	If a claim line is a non-denied claim line from an RX file, then the new refill indicator value reported must be compatible with specified T-MSIS picture format: X(2).

Measure ID	Measure Name
MIS-9-017-17	% missing: NEW-REFILL-IND (CRX00003)
MIS-28-016-16	% missing: NEW-REFILL-IND (CRX00003)
MIS-86-015-15	% missing: NEW-REFILL-IND (CRX00003)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/16/2024	4.0.0	CRX.003.139	UPDATE	File segment	None	41
09/16/2024	4.0.0	CRX.003.139	ADD	N/A		Created