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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

INSURANCE-PLAN-ID

Data Element

DE Number

TPL034

System DE Number

TPL.003.034

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 ID number issued by the Insurance carrier providing third party liability insurance coverage to beneficiaries. Typically the Plan ID/Plan Number is on the beneficiaries' insurance card.
Size X(20)
FLF Start Position 54
FLF Stop Position 73
Segment Key Field Identifier 4
Coding Requirements 1. Value must be 20 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
FTX085 FTX.003.085 INSURANCE-PLAN-ID FTX00003 INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT
FTX126 FTX.004.126 INSURANCE-PLAN-ID FTX00004 GROUP-INSURANCE-PREMIUM-PAYMENT
FTX172 FTX.005.172 INSURANCE-PLAN-ID FTX00005 COST-SHARING-OFFSET
TPL056 TPL.004.056 INSURANCE-PLAN-ID TPL00004 TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES