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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

HEALTH-HOME-ENTITY-NAME

Data Element

DE Number

ELG119

System DE Number

ELG.007.119

File Name

ELG - ELIGIBLE

File Segment Number

ELG00007

File Segment Name

HEALTH-HOME-SPA-PROVIDERS

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition A field to identify the health home SPA in which an individual is enrolled. Because an identification numbering schema has not been established, the entities' names are being used instead.
Size X(100)
FLF Start Position 142
FLF Stop Position 241
Segment Key Field Identifier 4
Coding Requirements 1. Value must not contain a pipe or asterisk symbols
2. Value must 100 characters or less
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
CIP214 CIP.002.214 HEALTH-HOME-ENTITY-NAME CIP00002 CLAIM-HEADER-RECORD-IP
CLT161 CLT.002.161 HEALTH-HOME-ENTITY-NAME CLT00002 CLAIM-HEADER-RECORD-LT
COT138 COT.002.138 HEALTH-HOME-ENTITY-NAME COT00002 CLAIM-HEADER-RECORD-OT
CRX096 CRX.002.096 HEALTH-HOME-ENTITY-NAME CRX00002 CLAIM-HEADER-RECORD-RX
ELG108 ELG.006.108 HEALTH-HOME-ENTITY-NAME ELG00006 HEALTH-HOME-SPA-PARTICIPATION-INFORMATION