ELG.002.024

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TMSIS Dataguide

Medicaid.gov

Version:

DATE-OF-BIRTH

Data Element

DE Number

ELG024

System DE Number

ELG.002.024

File Name

File Segment Number

File Segment Name

PRIMARY-DEMOGRAPHICS-ELIGIBILITY

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	An individual's date of birth.
Size	9(8)
FLF Start Position	104
FLF Stop Position	111
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. The date must be a valid calendar date in the form "CCYYMMDD" 2. Children enrolled in the Separate CHIP prenatal program option should have a date of birth missing or a date of birth equal to the pregnant mothers date of birth 3. When Conception to Birth Indicator (ELG.005.094) does not equal "1" and Eligibility Group (ELG.005.087) does not equal "64" value must be less than or equal to associated End of Time Period value 4. Value must be less than or equal to associated Date File Created (ELG.001.008) value 5. Mandatory 6. When Conception to Birth Indicator (ELG.005.094) does not equal "1" and Eligibility Group (ELG.005.087) does not equal "64" value minus Start of Time Period (ELG.001.10) must be less than 125 years

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

RULE ID	RULE Definition
RULE-1116	If a claim is a non-denied claim from an LT file and the date of birth is populated, and the primary demographics eligibility conception to birth indicator does not equal 'yes' and eligibility determinants eligibility group is not coverage from conception to birth, then the LT claim segment date of birth is equal to the primary demographics eligibility segment date of birth.
RULE-2014	If a segment is a primary demographics eligibility segment from an ELG file, then the date of birth value reported must be a valid date of the form CCYYMMDD.
RULE-2016	If conception-to-birth indicator is not for conception-to-birth coverage and the eligibility group is not for conception-to-birth coverage on an eligibility determinants segment from an ELG file, then the date of birth reported on the corresponding primary demographics segment must be before or equal to the end of time period value reported.
RULE-2017	If conception-to-birth indicator is not for conception-to-birth coverage on a variable demographic segment from an ELG file and the eligibility group is not for conception-to-birth coverage on a corresponding eligiblity determinants segment from an ELG file, then the date of birth on the primary demographics segment must be less than or equal to 125 years before the effective date on any enrollment time span segment with the same MSIS ID.
RULE-2020	If date of birth and date of death are populated on a primary demographics eligibility segment from an ELG file, then the difference between the date of death value reported and the date of birth value reported must be less than or equal to 125 years.
RULE-7366	If the msis ID is populated on a primary demographics eligibility file, then the date of birth must be populated.
RULE-7423	If a primary demographics eligibility segment has a value populated for MSIS ID, date of death and date of birth, then the difference between the date of birth and date of death must be between -1 year and 120 years, or if the date of death is not populated, then the the difference between the date of birth and file header record eligibility segment start of time period is between -1 years and 120 years.

Measure ID	Measure Name
EL-1-021-21	% of MSIS IDs with age over 120 or less than -1
MIS-1-001-1	% distinct MSIS IDs with only missing values in any active segment: DATE-OF-BIRTH (ELG00002)
RULE-7423	% of segments associated with an MSIS-ID with age over 120 or less than -1
RULE-7366	% of segments with missing DATE-OF-BIRTH (ELG00002)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP175	CIP.002.175	DATE-OF-BIRTH	CIP00002	CLAIM-HEADER-RECORD-IP
CLT126	CLT.002.126	DATE-OF-BIRTH	CLT00002	CLAIM-HEADER-RECORD-LT
COT108	COT.002.108	DATE-OF-BIRTH	COT00002	CLAIM-HEADER-RECORD-OT
CRX066	CRX.002.066	DATE-OF-BIRTH	CRX00002	CLAIM-HEADER-RECORD-RX
PRV034	PRV.002.034	DATE-OF-BIRTH	PRV00002	PROV-ATTRIBUTES-MAIN

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/16/2024	4.0.0	ELG.002.024	UPDATE	File segment	None	45
09/16/2024	4.0.0	ELG.002.024	ADD	N/A		Created