TPL.003.049

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TMSIS Dataguide

Medicaid.gov

Version:

INSURANCE-COVERAGE-END-DATE

Data Element

DE Number

TPL049

System DE Number

TPL.003.049

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 last calendar day on which all of the other data elements in the same segment were effective.
Size	9(8)
FLF Start Position	204
FLF Stop Position	211
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. The date must be a valid calendar date in the form "CCYYMMDD" 2. Value must be before or the same as the associated Segment Effective Date value 3. Mandatory 4. Value of the CC component must be in [18,19,20,99]

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

RULE ID	RULE Definition
RULE-3102	If insurance coverage effective date and insurance coverage end date are populated on a TPL Medicaid eligible person health insurance coverage information segment from a TPL file, then the insurance coverage effective date value reported must be before or equal to the insurance coverage end date value reported.
RULE-3106	If the date of death is populated on a primary demographics eligibility segment and the primary demographics eligibility primary demographic element end date is greater than the states tmsis cutover date and the insurance coverage end date is populated on the TPL medicaid eligible person health insurance coverage information segment then the TPL medicaid eligible person health insurance coverage info insurance coverage end date is less than or equal to the primary demographics eligibilty date of death and the effective and end dates on the primary demographics eligibility segment must fall with the effective and end dates of one or more continuous TPL medicaid eligible person health insurance coverage information segments.
RULE-3107	If a segment is a TPL Medicaid eligible person health insurance coverage info segment from a TPL file, then the insurance coverage end date value reported must be a valid date of the form CCYYMMDD.

Measure ID	Measure Name
TPL-8-002-2	Ratio of errors for overlapping segment eff/end dates [RULE-3103] to all active TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO (TPL00003) segments across all reporting and coverage periods
RULE-3103	Ratio of errors for overlapping segment eff/end dates [RULE-3103] to all active TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO (TPL00003) segments

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/16/2024	4.0.0	TPL.003.049	UPDATE	File segment	None	100
09/16/2024	4.0.0	TPL.003.049	ADD	N/A		Created