TPL.003.033

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TMSIS Dataguide

Medicaid.gov

Version:

INSURANCE-CARRIER-ID-NUM

Data Element

DE Number

TPL033

System DE Number

TPL.003.033

File Name

TPL - THIRD-PARTY LIABILITY

File Segment Number

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. Situational

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

RULE ID	RULE Definition
RULE-3086	If the insurance carrier id number is populated on a non-denied claim from an IP file, then the insurance carrier id number reported must not contain any pipe or asterisk characters.
RULE-6903	If a segment is a TPL Medicaid eligible person health insurance coverage information segment from a TPL file, then the insurance carrier identification number value reported must be compatible with the specified T-MSIS picture format: X(12).

Measure ID	Measure Name

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

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
07/17/2025	4.0.14	TPL.003.033	UPDATE	Necessity	Conditional	Situational
07/17/2025	4.0.14	TPL.003.033	UPDATE	Coding requirement	1. Value must be 12 characters or less2. Value must not contain a pipe or asterisk symbols3. Conditional	1. Value must be 12 characters or less2. Value must not contain a pipe or asterisk symbols3. Situational
09/16/2024	4.0.0	TPL.003.033	UPDATE	File segment	None	100
09/16/2024	4.0.0	TPL.003.033	ADD	N/A		Created