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TMSIS Dataguide Medicaid.gov

Version:

FILE-HEADER-RECORD-ELIGIBILITY

File Segment

File Segment Number

ELG00001

File Name

ELG - ELIGIBLE

Last updated

DE Number System DE Number Data Element Definition Valid Values
ELG001 ELG.001.001 RECORD-ID The Record ID represents the type of segment being reported. The Record ID communicates how the contents of a given row of data should be interpreted depending on which segment type the Record ID represents. Each type of segment collects different data elements so each segment type has a distinct layout. The first 3 characters identify the relevant file (e.g., ELG, PRV, CIP, etc.). The last 5 digits are the segment identifier padded with leading zeros (e.g., 00001, 00002, 00003, etc.). ELG001 Values
ELG002 ELG.001.002 DATA-DICTIONARY-VERSION A data element to capture the version of the T-MSIS data dictionary that was used to build the file. ELG002 Values
ELG003 ELG.001.003 SUBMISSION-TRANSACTION-TYPE A data element to identify the whether the transactions in the file are original submissions of the data, a resubmission of a previously submitted file, or corrections of edit rejects. ELG003 Values
ELG004 ELG.001.004 FILE-ENCODING-SPECIFICATION Denotes which supported file encoding standard was used to create the file. ELG004 Values
ELG005 ELG.001.005 DATA-MAPPING-DOCUMENT-VERSION Identifies the version of the T-MSIS data mapping document used to build a state submission file. N/A
ELG006 ELG.001.006 FILE-NAME A code to identify the subject area to which the records in its file relate. Each T-MSIS submission file should only contain records for one subject area (i.e., Eligible, Third-party liability, Provider, Managed Care Plan Information, Inpatient, Long-Term Care, Other, Pharmacy Claim, and Financial Transactions). N/A
ELG007 ELG.001.007 SUBMITTING-STATE A code that uniquely identifies the U.S. State or Territory from which T-MSIS system data resources were received. ELG007 Values
ELG008 ELG.001.008 DATE-FILE-CREATED The date on which the file was created. N/A
ELG009 ELG.001.009 START-OF-TIME-PERIOD This value must be the first day of the reporting month, regardless of the actual date span of the data in the file. N/A
ELG010 ELG.001.010 END-OF-TIME-PERIOD This value must be the last day of the reporting month, regardless of the actual date span. N/A
ELG011 ELG.001.011 FILE-STATUS-INDICATOR A code to indicate whether the records in the file are test or production records. ELG011 Values
ELG012 ELG.001.012 SSN-INDICATOR Indicates whether the state uses the eligible person's social security number instead of an MSIS Identification Number as the unique, unchanging eligible person identifier. A state's SSN/Non-SSN designation on the eligibility file should match on the claims and third party liability files. ELG012 Values
ELG013 ELG.001.013 TOT-REC-CNT A count of all records in the file except for the file header record. This count will be used as a control total to help assure that the file did not become corrupted during transmission. N/A
ELG272 ELG.001.272 FILE-SUBMISSION-METHOD The file submission method (e.g., TFFR, RHFR, IT, or CSO) used by the state to build and submit the file. This should correspond with the state's declared file submission method for the same file type and time period. ELG272 Values
ELG247 ELG.001.247 SEQUENCE-NUMBER To enable states to sequentially number files, when related, follow-on files are necessary (i.e. update files, replace files). This should begin with 1 for the original Create submission type and be incremented by one for each Replacement or Update submission for the same reporting period and file type (subject area). N/A
ELG014 ELG.001.014 STATE-NOTATION A free text field for the submitting state to enter whatever information it chooses. N/A
Definition
A record segment containing metadata necessary to identify the file itself, when it was created and the number of records it contains.

File Segment Length
1000