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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

ADJUDICATION-DATE

Data Element

DE Number

CRX202

System DE Number

CRX.004.202

File Name

CRX - CLAIM PHARMACY

File Segment Number

CRX00004

File Segment Name

CLAIM-DX-RX

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition The date on which the payment status of the claim was finally adjudicated by the state. For Encounter Records (Type of Claim = 3, C, W), use date the encounter was processed by the state.
Size 9(8)
FLF Start Position 123
FLF Stop Position 130
Segment Key Field Identifier 5
Coding Requirements 1. The date must be a valid calendar date in the form "CCYYMMDD"
2. Value should be on or before End of Time Period (CRX.001.010)
3. 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
CIP098 CIP.002.098 ADJUDICATION-DATE CIP00002 CLAIM-HEADER-RECORD-IP
CIP286 CIP.003.286 ADJUDICATION-DATE CIP00003 CLAIM-LINE-RECORD-IP
CIP328 CIP.004.328 ADJUDICATION-DATE CIP00004 CLAIM-DX-IP
CLT050 CLT.002.050 ADJUDICATION-DATE CLT00002 CLAIM-HEADER-RECORD-LT
CLT233 CLT.003.233 ADJUDICATION-DATE CLT00003 CLAIM-LINE-RECORD-LT
CLT274 CLT.004.274 ADJUDICATION-DATE CLT00004 CLAIM-DX-LT
COT035 COT.002.035 ADJUDICATION-DATE COT00002 CLAIM-HEADER-RECORD-OT
COT221 COT.003.221 ADJUDICATION-DATE COT00003 CLAIM-LINE-RECORD-OT
COT280 COT.004.280 ADJUDICATION-DATE COT00004 CLAIM-DX-OT
CRX027 CRX.002.027 ADJUDICATION-DATE CRX00002 CLAIM-HEADER-RECORD-RX
CRX157 CRX.003.157 ADJUDICATION-DATE CRX00003 CLAIM-LINE-RECORD-RX