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:

3.38.0

INSURANCE-CARRIER-ID-NUM

Data Element

DE Number

TPL033

System DE Number

TPL.003.033

File Name

TPL - THIRD-PARTY LIABILITY

File Segment Number

TPL00003

File Segment Name

TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition The state-assigned identification number of the Third Party Liability (TPL) Entity.
Size X(12)
FLF Start Position 42
FLF Stop Position 53
Segment Key Field Identifier 3
Coding Requirements 1. Value must be 12 characters or less
2. Value must not contain a pipe or asterisk symbols
3. Conditional
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
FTX084 FTX.003.084 INSURANCE-CARRIER-ID-NUM FTX00003 INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT
FTX125 FTX.004.125 INSURANCE-CARRIER-ID-NUM FTX00004 GROUP-INSURANCE-PREMIUM-PAYMENT
FTX382 FTX.095.382 INSURANCE-CARRIER-ID-NUM FTX00095 MISCELLANEOUS-PAYMENT
TPL055 TPL.004.055 INSURANCE-CARRIER-ID-NUM TPL00004 TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES
TPL075 TPL.006.075 INSURANCE-CARRIER-ID-NUM TPL00006 TPL-ENTITY-CONTACT-INFORMATION