CIP.002.172

ELIGIBLE-LAST-NAME

Data Element

DE Number

CIP172

System DE Number

CIP.002.172

File Name

CIP - CLAIM INPATIENT

File Segment Number

CIP00002

File Segment Name

CLAIM-HEADER-RECORD-IP

Last updated

No Updates

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The last name of the individual to whom the services were provided. (The patients name should be captured as it appears on the claim record, it does not need to be the same as it appears on the eligibility file. The MSIS Identification Number will be used to associate a claim record with the appropriate eligibility data.)
Size	X(30)
FLF Start Position	880
FLF Stop Position	909
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 30 characters or less 2. Value must not contain a pipe or asterisk symbols 3. Conditional

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date
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RULE ID	RULE Definition
RULE-6452	If a claim line is a non-denied claim line from an IP file, then the eligible last name value reported must be compatible with specified T-MSIS picture format: X(30).
RULE-672	If the eligible last name is populated on a non-denied claim from an IP file, then the eligible last name reported must not contain any pipe or asterisk characters.

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Measure ID	Measure Name
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DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CLT123	CLT.002.123	ELIGIBLE-LAST-NAME	CLT00002	CLAIM-HEADER-RECORD-LT
COT105	COT.002.105	ELIGIBLE-LAST-NAME	COT00002	CLAIM-HEADER-RECORD-OT
CRX063	CRX.002.063	ELIGIBLE-LAST-NAME	CRX00002	CLAIM-HEADER-RECORD-RX
ELG021	ELG.002.021	ELIGIBLE-LAST-NAME	ELG00002	PRIMARY-DEMOGRAPHICS-ELIGIBILITY
TPL024	TPL.002.024	ELIGIBLE-LAST-NAME	TPL00002	TPL-MEDICAID-ELIGIBLE-PERSON-MAIN