CIP.002.138

FORCED-CLAIM-IND

Data Element

DE Number

CIP138

System DE Number

CIP.002.138

File Name

CIP - CLAIM INPATIENT

File Segment Number

CIP00002

File Segment Name

CLAIM-HEADER-RECORD-IP

Last updated

09/12/2024

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	Indicates if the claim was processed by forcing it through a manual override process.
Size	X(1)
FLF Start Position	669
FLF Stop Position	669
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 Forced Claim Indicator List (VVL) 4. Conditional

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Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date
FORCED-CLAIM-IND	0	No		01/01/0001	12/31/9999
FORCED-CLAIM-IND	1	Yes		01/01/0001	12/31/9999

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RULE ID	RULE Definition
RULE-578	If the forced claim indicator is populated on a non-denied claim from an IP file, then the forced claim indicator reported must be found in the list of valid values.
RULE-6280	If a claim is a non-denied claim from an IP file, then the forced claim indicator value reported must be compatible with specified T-MSIS picture format: X(1).

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Measure ID	Measure Name
No data available in table

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DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CLT090	CLT.002.090	FORCED-CLAIM-IND	CLT00002	CLAIM-HEADER-RECORD-LT
COT072	COT.002.072	FORCED-CLAIM-IND	COT00002	CLAIM-HEADER-RECORD-OT
CRX061	CRX.002.061	FORCED-CLAIM-IND	CRX00002	CLAIM-HEADER-RECORD-RX

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/12/2024	3.29.0	CIP.002.138	UPDATE	Coding requirement	1. Value must be 1 character2. Value must be in [0, 1] or not populated3. Value must be in Forced Claim Indicator List (VVL)4. Conditional	1. Value must be 1 character2. Value must be in [0,1] or not populated3. Value must be in Forced Claim Indicator List (VVL)4. Conditional
08/01/2023	3.11.0	CIP.002.138	UPDATE	Coding requirement	1. Value must be 1 character2. Value must be in [0, 1] or not populated3. Value must be in Forced Claim Indicator List (VVL)4. Value must be 1 character5. Conditional	1. Value must be 1 character2. Value must be in [0, 1] or not populated3. Value must be in Forced Claim Indicator List (VVL)4. Conditional