Valid Value Code Set | Valid Value Code | Valid Value Name | Valid Value Description | Effective Start Date | Effective End Date |
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No data available in table |
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Data Element
CIP175
CIP.002.175
Definition | Date of birth of the individual to whom the services were provided. A patient's age should not be greater than 112 years. |
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Size | 9(8) |
FLF Start Position | 941 |
FLF Stop Position | 948 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must be 8 characters in the form "CCYYMMDD" 2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st) 3. Mandatory |
RULE ID | RULE Definition |
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RULE-675 | If a claim is a non-denied claim from an IP file, then the date of birth value reported must be a valid date of the form CCYYMMDD |
RULE-677 | If a non-denied IP claim has a value populated for date of birth and the primary demographics eligibility segment has a value populated for date of death and the claim is not for a conception to birth eligible, then the date of death value is equal to or after the date of birth. |
DE Number | System DE Number | DE Name | File Segment Number | File Segment Name |
---|---|---|---|---|
CLT126 | CLT.002.126 | DATE-OF-BIRTH | CLT00002 | CLAIM-HEADER-RECORD-LT |
COT108 | COT.002.108 | DATE-OF-BIRTH | COT00002 | CLAIM-HEADER-RECORD-OT |
CRX066 | CRX.002.066 | DATE-OF-BIRTH | CRX00002 | CLAIM-HEADER-RECORD-RX |
ELG024 | ELG.002.024 | DATE-OF-BIRTH | ELG00002 | PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
PRV034 | PRV.002.034 | DATE-OF-BIRTH | PRV00002 | PROV-ATTRIBUTES-MAIN |
Published Date | Data Guide Version | Data Element | Action | Field | Before | After |
---|---|---|---|---|---|---|
06/24/2022 | 3.0.0 | DATE-OF-BIRTH | UPDATE | Data Dictionary | DE NO|DATA ELEMENT NAME| DEFINITION|CODING REQUIREMENT| PRV034|DATE-OF-BIRTH|An individual's date of birth.| 1.Value must be 8 characters in the form "CCYYMMDD" 2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st) 3. (FD1) value must be less than or equal to associated End of Time Period (PRV.001.010) 4. (FD1) value must be less than or equal to associated Date File Created (PRV.001.008) 5. (N) conditional 6. (FDN) the difference between current value and Start of Time Period (PRV.001.009) must be between 18 and 85 years| |
DE NO|DATA ELEMENT NAME| DEFINITION|CODING REQUIREMENT| PRV034|DATE-OF-BIRTH|An individual's date of birth.| 1.Value must be 8 characters in the form "CCYYMMDD" 2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st) 3.(FD1) value must be less than or equal to associated End of Time Period (PRV.001.010) 4.(N) conditional 5.(FDN) the difference between current value and Start of Time Period (PRV.001.009) must be between 18 and 85 years| |
06/24/2022 | 3.0.0 | DATE-OF-BIRTH | UPDATE | Data Dictionary | DE NO|DATA ELEMENT NAME| DEFINITION|CODING REQUIREMENT| CLT126|DATE-OF-BIRTH| An individual's date of birth.| 1.Value must be 8 characters in the form "CCYYMMDD" 2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st) 3.(N) mandatory 4.(FD) value must equal Date of Birth (ELG.002.024) when Conception to Birth Indicator (ELG.005.094) does not equal '1' and Eligibility Group (ELG.005.087) does not equal '64'| |
DE NO|DATA ELEMENT NAME| DEFINITION|CODING REQUIREMENT| CLT126|DATE-OF-BIRTH| An individual's date of birth.| Description: An individual's date of birth. 1.Value must be 8 characters in the form "CCYYMMDD" 2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st) 3.(N) mandatory| |