TPL.006.085

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TMSIS Dataguide

Medicaid.gov

Version:

TPL-ENTITY-CONTACT-INFO-END-DATE

Data Element

DE Number

TPL085

System DE Number

TPL.006.085

File Name

TPL - THIRD-PARTY LIABILITY

File Segment Number

File Segment Name

TPL-ENTITY-CONTACT-INFORMATION

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	273
FLF Stop Position	280
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 greater than or equal to 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-3175	If TPL entity contact information effective date and TPL entity contact information end date are populated on a TPL entity contact information segment from a TPL file, then the TPL entity contact information effective date value reported must be before or equal to the TPL entity contact information end date value reported.
RULE-3178	If a segment is a TPL entity contact information segment from a TPL file, then the TPL entity contact info end date value reported must be a valid date of the form CCYYMMDD.
RULE-8776	If a financial transaction is a non-void, and the PAYEE ID is populated on Individual Capitation Payment segment from the FTX file and the PAYEE ID Type is Insurance carrier, then the PAYEE ID value reported must be equal to a Insurance Carrier ID Number on a TPL entity contact information segment from a TPL file where the TPL Entity Contact Information effective and end dates of the TPL entity contact information segment overlap with the capitation period start date on the financial transaction.
RULE-8777	If a financial transaction is a non-void, and the PAYEE ID is populated on Individual Health Insurance Premium Payment segment from the FTX file and the PAYEE ID Type is Insurance carrier, then the PAYEE ID value reported must be equal to a Insurance Carrier ID Number on a TPL entity contact information segment from a TPL file where the TPL Entity Contact Information effective and end dates of the TPL entity contact information segment overlap with the premium period start date on the financial transaction.
RULE-8778	If a financial transaction is a non-void, and the PAYEE ID is populated on Group Insurance Premium Payment segment from the FTX file and the PAYEE ID Type is Insurance carrier, then the PAYEE ID value reported must be equal to a Insurance Carrier ID Number on a TPL entity contact information segment from a TPL file where the TPL Entity Contact Information effective and end dates of the TPL entity contact information segment overlap with the premium period start date on the financial transaction.
RULE-8779	If a financial transaction is a non-void, and the PAYEE ID is populated on Cost Sharing Offset segment from the FTX file and the PAYEE ID Type is Insurance carrier, then the PAYEE ID value reported must be equal to a Insurance Carrier ID Number on a TPL entity contact information segment from a TPL file where the TPL Entity Contact Information effective and end dates of the TPL entity contact information segment overlap with the coverage period start date on the financial transaction.
RULE-8780	If a financial transaction is a non-void, and the PAYEE ID is populated on Value Based Payment segment from the FTX file and the PAYEE ID Type is Insurance carrier, then the PAYEE ID value reported must be equal to a Insurance Carrier ID Number on a TPL entity contact information segment from a TPL file where the TPL Entity Contact Information effective and end dates of the TPL entity contact information segment overlap with the performance period start date on the financial transaction.
RULE-8781	If a financial transaction is a non-void, and the PAYEE ID is populated on State Directed Payment Separate Payment Term segment from the FTX file and the PAYEE ID Type is Insurance carrier, then the PAYEE ID value reported must be equal to a Insurance Carrier ID Number on a TPL entity contact information segment from a TPL file where the TPL Entity Contact Information effective and end dates of the TPL entity contact information segment overlap with the payment period start date on the financial transaction.
RULE-8782	If a financial transaction is a non-void, and the PAYEE ID is populated on Cost Settlement Payment segment from the FTX file and the PAYEE ID Type is Insurance carrier, then the PAYEE ID value reported must be equal to a Insurance Carrier ID Number on a TPL entity contact information segment from a TPL file where the TPL Entity Contact Information effective and end dates of the TPL entity contact information segment overlap with the cost settlement period start date on the financial transaction.
RULE-8783	If a financial transaction is a non-void, and the PAYEE ID is populated on FQHC Wrap Payment segment from the FTX file and the PAYEE ID Type is Insurance carrier, then the PAYEE ID value reported must be equal to a Insurance Carrier ID Number on a TPL entity contact information segment from a TPL file where the TPL Entity Contact Information effective and end dates of the TPL entity contact information segment overlap with the wrap period start date on the financial transaction.
RULE-8784	If a financial transaction is a non-void, and the PAYEE ID is populated on Miscellaneous Payment segment from the FTX file and the PAYEE ID Type is Insurance carrier, then the PAYEE ID value reported must be equal to a Insurance Carrier ID Number on a TPL entity contact information segment from a TPL file where the TPL Entity Contact Information effective and end dates of the TPL entity contact information segment overlap with the payment period start date on the financial transaction.

Measure ID	Measure Name
TPL-8-005-5	Ratio of errors for overlapping segment eff/end dates [RULE-3176] to all active TPL-ENTITY-CONTACT-INFORMATION (TPL00006) segments across all reporting and coverage periods
RULE-3176	Ratio of errors for overlapping segment eff/end dates [RULE-3176] to all active TPL-ENTITY-CONTACT-INFORMATION (TPL00006) 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
03/14/2025	4.0.4	TPL.006.085	UPDATE	Coding requirement	1. The date must be a valid calendar date in the form "CCYYMMDD"2. Value must be greater than or equal to associated Segment Effective Date value3. Mandatory4. Value of the CC component must be in [19,20,99]	1. The date must be a valid calendar date in the form "CCYYMMDD"2. Value must be greater than or equal to associated Segment Effective Date value3. Mandatory4. Value of the CC component must be in [18,19,20,99]
12/19/2024	4.0.1	TPL.006.085	UPDATE	Coding requirement	1. The date must be a valid calendar date in the form "CCYYMMDD"2. Value must be greater than or equal to associated Segment Effective Date value3. Mandatory4. Value of the CC component must be in [18,19,20,99]	1. The date must be a valid calendar date in the form "CCYYMMDD"2. Value must be greater than or equal to associated Segment Effective Date value3. Mandatory4. Value of the CC component must be in [19,20,99]
09/16/2024	4.0.0	TPL.006.085	UPDATE	File segment	None	103
09/16/2024	4.0.0	TPL.006.085	ADD	N/A		Created