TPL.003.035

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:

GROUP-NUM

Data Element

DE Number

TPL035

System DE Number

TPL.003.035

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 group number of the TPL health insurance policy.
Size	X(16)
FLF Start Position	74
FLF Stop Position	89
Segment Key Field Identifier	5
Coding Requirements	1. Value must be 16 characters or less 2. Value must not contain a pipe symbol 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-3089	If group number is populated on a TPL Medicaid Eligible Person Health Insurance segment from a TPL file then the Eligible Person Health Insurance group number must not contain any pipe characters.
RULE-6594	If a segment is a TPL Medicaid eligible person health insurance coverage information segment from a TPL file, then the group number value reported must be compatible with the specified T-MSIS picture format: X(16).

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
FTX130	FTX.004.130	GROUP-NUM	FTX00004	GROUP-INSURANCE-PREMIUM-PAYMENT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
07/17/2025	4.0.14	TPL.003.035	UPDATE	Necessity	Conditional	Situational
07/17/2025	4.0.14	TPL.003.035	UPDATE	Coding requirement	1. Value must be 16 characters or less2. Value must not contain a pipe symbol3. Conditional	1. Value must be 16 characters or less2. Value must not contain a pipe symbol3. Situational
09/16/2024	4.0.0	TPL.003.035	UPDATE	File segment	None	100
09/16/2024	4.0.0	TPL.003.035	ADD	N/A		Created