CRX.003.142

An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock () or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

TMSIS Dataguide

Medicaid.gov

Version:

PRESCRIPTION-NUM

Data Element

DE Number

CRX142

System DE Number

CRX.003.142

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	The unique identification number assigned by the pharmacy or supplier to the prescription.
Size	X(12)
FLF Start Position	356
FLF Stop Position	367
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 12 characters or less 2. Value must not contain a pipe or asterisk symbol 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-1947	If the prescription number is populated on a non-denied RX claim line file, then the prescription number must not contain any pipe or asterisk characters.
RULE-6175	If a claim line is a non-denied claim line from an RX file, then the prescription number value reported must be compatible with specified T-MSIS picture format: X(12).

Measure ID	Measure Name

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.003.142	UPDATE	File segment	None	41
09/16/2024	4.0.0	CRX.003.142	ADD	N/A		Created