TPL.003.047

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TMSIS Dataguide

Medicaid.gov

Version:

POLICY-OWNER-CODE

Data Element

DE Number

TPL047

System DE Number

TPL.003.047

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	This code identifies the relationship of the policy holder to the Medicaid/CHIP beneficiary.
Size	X(2)
FLF Start Position	194
FLF Stop Position	195
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 2 characters 2. Value must be in Policy Owner Code List (VVL) 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-3099	If the policy owner code is populated on a TPL medicaid eligible person health insurance coverage information file, then the policy owner code reported must be found in the list of valid values.
RULE-6327	If a segment is a TPL medicaid eligible person health insurance coverage information segment, then the policy owner code value reported must be compatible with the specified T-MSIS picture format: X(2).

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
FTX131	FTX.004.131	POLICY-OWNER-CODE	FTX00004	GROUP-INSURANCE-PREMIUM-PAYMENT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/16/2024	4.0.0	TPL.003.047	UPDATE	File segment	None	100
09/16/2024	4.0.0	TPL.003.047	ADD	N/A		Created