TPL.003.036

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TMSIS Dataguide

Medicaid.gov

Version:

MEMBER-ID

Data Element

DE Number

TPL036

System DE Number

TPL.003.036

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	Member identification number as it appears on the card issued by the TPL insurance carrier.
Size	X(20)
FLF Start Position	90
FLF Stop Position	109
Segment Key Field Identifier	6
Coding Requirements	1. Value must be 20 characters or less 2. Value must not contain a pipe symbol 3. Conditional

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

RULE ID	RULE Definition
RULE-3090	If member ID is populated on a TPL Medicaid Eligible Person Health Insurance segment from a TPL file then the Eligible Person Health Insurance member ID must not contain any pipe characters.
RULE-6282	If a segment is a TPL Medicaid eligible person health insurance coverage information segment from a TPL file, the eligibility group value reported must be compatible with the specified T-MSIS picture format: X(20).

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
FTX087	FTX.003.087	MEMBER-ID	FTX00003	INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT
FTX129	FTX.004.129	MEMBER-ID	FTX00004	GROUP-INSURANCE-PREMIUM-PAYMENT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/16/2024	4.0.0	TPL.003.036	UPDATE	File segment	None	100
09/16/2024	4.0.0	TPL.003.036	ADD	N/A		Created