CIP.002.202

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

REMITTANCE-NUM

Data Element

DE Number

CIP202

System DE Number

CIP.002.202

File Name

CIP - CLAIM INPATIENT

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-IP

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The Remittance Advice Number is a sequential number that identifies the current Remittance Advice (RA) produced for a provider. The number is incremented by one each time a new RA is generated. The RA is the detailed explanation of the reason for the payment amount.
Size	X(30)
FLF Start Position	1166
FLF Stop Position	1195
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. Mandatory

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date

RULE ID	RULE Definition
RULE-6317	If a claim is a non-denied claim from an IP file, then the remittance number value reported must be compatible with specified T-MSIS picture format: X(30).
RULE-721	If the remittance number is populated on a non-denied claim from an IP file, then the remittance number reported must not contain any pipe or asterisk characters.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CLT144	CLT.002.144	REMITTANCE-NUM	CLT00002	CLAIM-HEADER-RECORD-LT
COT126	COT.002.126	REMITTANCE-NUM	COT00002	CLAIM-HEADER-RECORD-OT
CRX081	CRX.002.081	REMITTANCE-NUM	CRX00002	CLAIM-HEADER-RECORD-RX

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
07/12/2023	3.10.0	CIP.002.202	UPDATE	Coding requirement	1. Value must be 30 characters or less2. First five (5) characters of the value must be a Julian date express in the form YYDDD (e.g. 19095, 95th day of 20(19))3. Value must not contain a pipe or asterisk symbols4. Mandatory	1. Value must be 30 characters or less2. Value must not contain a pipe or asterisk symbols3. Mandatory
07/12/2023	3.10.0	CIP.002.202	UPDATE	Definition	The Remittance Advice Number is a sequential number that identifies the current Remittance Advice (RA) produced for a provider. The number is incremented by one each time a new RA is generated. The first five (5) positions are Julian date following a YYDDD format. The RA is the detailed explanation of the reason for the payment amount.	The Remittance Advice Number is a sequential number that identifies the current Remittance Advice (RA) produced for a provider. The number is incremented by one each time a new RA is generated. The RA is the detailed explanation of the reason for the payment amount.
07/14/2023	3.10.0	CIP202	UPDATE	Data Dictionary	DE NO\| DATA ELEMENT NAME COMPUTING\|DEFINITION\|CODING REQUIREMENT\| CIP202\|REMITTANCE-NUM\|The Remittance Advice Number is a sequential number that identifies the current Remittance Advice (RA) produced for a provider. The number is incremented by one each time a new RA is generated. The first five (5) positions are Julian date following a YYDDD format. The RA is the detailed explanation of the reason for the payment amount.\|"First five (5) characters of the value must be a Julian date express in the form YYDDD (e.g. 19095, 95th day of 20(19))"	DE NO\| DATA ELEMENT NAME COMPUTING\|DEFINITION\|CODING REQUIREMENT\| CIP202\|REMITTANCE-NUM\|The Remittance Advice Number is a sequential number that identifies the current Remittance Advice (RA) produced for a provider. The number is incremented by one each time a new RA is generated. The RA is the detailed explanation of the reason for the payment amount.\|\|
05/13/2022	3.0.0	CIP202, CLT144, COT126, CRX081	UPDATE	Data Dictionary	DE NO\| DATA ELEMENT NAME\|DEFINITION\| CIP202\|REMITTANCE-NUM\|The Remittance Advice Number is a sequential number that identifies the current Remittance Advice (RA) produced for a provider. The number is incremented by one each time a new RA is generated. The first five (5) positions are Julian date following a YYDDD format. The RA is the detailed explanation of the reason for the payment amount. The RA number is not the check number.\| CLT144\|REMITTANCE-NUM\|The Remittance Advice Number is a sequential number that identifies the current Remittance Advice (RA) produced for a provider. The number is incremented by one each time a new RA is generated. The first five (5) positions are Julian date following a YYDDD format. The RA is the detailed explanation of the reason for the payment amount. The RA number is not the check number.\| COT126\|REMITTANCE-NUM\|The Remittance Advice Number is a sequential number that identifies the current Remittance Advice (RA) produced for a provider. The number is incremented by one each time a new RA is generated. The first five (5) positions are Julian date following a YYDDD format. The RA is the detailed explanation of the reason for the payment amount. The RA number is not the check number.\| CRX081\|REMITTANCE-NUM\|The Remittance Advice Number is a sequential number that identifies the current Remittance Advice (RA) produced for a provider. The number is incremented by one each time a new RA is generated. The first five (5) positions are Julian date following a YYDDD format. The RA is the detailed explanation of the reason for the payment amount. The RA number is not the check number.\|	DE NO\| DATA ELEMENT NAME\|DEFINITION\| CIP202\|REMITTANCE-NUM\|The Remittance Advice Number is a sequential number that identifies the current Remittance Advice (RA) produced for a provider. The number is incremented by one each time a new RA is generated. The first five (5) positions are Julian date following a YYDDD format. The RA is the detailed explanation of the reason for the payment amount.\| CLT144\|REMITTANCE-NUM\|The Remittance Advice Number is a sequential number that identifies the current Remittance Advice (RA) produced for a provider. The number is incremented by one each time a new RA is generated. The first five (5) positions are Julian date following a YYDDD format. The RA is the detailed explanation of the reason for the payment amount.\| COT126\|REMITTANCE-NUM\|The Remittance Advice Number is a sequential number that identifies the current Remittance Advice (RA) produced for a provider. The number is incremented by one each time a new RA is generated. The first five (5) positions are Julian date following a YYDDD format. The RA is the detailed explanation of the reason for the payment amount.\| CRX081\|REMITTANCE-NUM\|The Remittance Advice Number is a sequential number that identifies the current Remittance Advice (RA) produced for a provider. The number is incremented by one each time a new RA is generated. The first five (5) positions are Julian date following a YYDDD format. The RA is the detailed explanation of the reason for the payment amount.\|
08/05/2022	3.0.1	CIP202	UPDATE	Data Dictionary	DE NO\| DATA ELEMENT NAME COMPUTING\|DEFINITION\|CODING REQUIREMENT CIP202\|REMITTANCE-NUM\|The Remittance Advice Number is a sequential number that identifies the current Remittance Advice (RA) produced for a provider. The number is incremented by one each time a new RA is generated. The first five (5) positions are Julian date following a YYDDD format. The RA is the detailed explanation of the reason for the payment amount.\|"First five (5) characters of the value must be a Julian date express in the form YYDDD (e.g. 19095, 95th day of 20(19))"	DE NO\| DATA ELEMENT NAME COMPUTING\|DEFINITION\|CODING REQUIREMENT CIP202\|REMITTANCE-NUM\|The Remittance Advice Number is a sequential number that identifies the current Remittance Advice (RA) produced for a provider. The number is incremented by one each time a new RA is generated. The RA is the detailed explanation of the reason for the payment amount.\|\|