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TMSIS Dataguide Medicaid.gov
Version 3.27.0

SERVICE-TRACKING-TYPE

Data Element

DE Number

CIP123

System DE Number

CIP.002.123

File Segment Number

CIP00002

File Segment Name

CLAIM-HEADER-RECORD-IP

Last updated

No Updates

Definition A code to categorize service tracking claims. A "service tracking claim" is used to report lump sum payments that cannot be attributed to a single enrollee.
Size X(2)
FLF Start Position 602
FLF Stop Position 603
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be in Service Tracking Type List (VVL)
2. (Service Tracking Claim) if associated Type of Claim is in ['4','D', 'X'] then value is mandatory and must be reported
3. Value must be 2 characters
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
CLT073 CLT.002.073 SERVICE-TRACKING-TYPE CLT00002 CLAIM-HEADER-RECORD-LT
COT059 COT.002.059 SERVICE-TRACKING-TYPE COT00002 CLAIM-HEADER-RECORD-OT
CRX050 CRX.002.050 SERVICE-TRACKING-TYPE CRX00002 CLAIM-HEADER-RECORD-RX