An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock () or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

TMSIS Dataguide Medicaid.gov
Version 3.27.0

OTHER-INSURANCE-IND

Data Element

DE Number

CIP121

System DE Number

CIP.002.121

File Name

CIP - CLAIM INPATIENT

File Segment Number

CIP00002

File Segment Name

CLAIM-HEADER-RECORD-IP

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition

The field denotes whether the insured party is covered under an other insurance plan other than Medicare or Medicaid.
Size X(1)
FLF Start Position 598
FLF Stop Position 598
Segment Key Field Identifier Not Applicable
Coding Requirements

1. Value must be 1 character
2. Value must be in [0, 1] or not populated
3. Value must be in Other Insurance Indicator List (VVL)
4. Conditional
Valid Value Code Set Valid Value Code Valid Value Name Valid Value Description Effective Start Date Effective End Date
DE Number System DE Number DE Name File Segment Number File Segment Name
CLT071 CLT.002.071 OTHER-INSURANCE-IND CLT00002 CLAIM-HEADER-RECORD-LT
COT057 COT.002.057 OTHER-INSURANCE-IND COT00002 CLAIM-HEADER-RECORD-OT
CRX048 CRX.002.048 OTHER-INSURANCE-IND CRX00002 CLAIM-HEADER-RECORD-RX