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TMSIS Dataguide Medicaid.gov
Version 3.27.0

THIRD-PARTY-COPAYMENT-DATE-PAID

Data Element

DE Number

CIP219

System DE Number

CIP.002.219

File Segment Number

CIP00002

File Segment Name

CLAIM-HEADER-RECORD-IP

Last updated

Definition

The date the third party paid the copayment amount.

Size 9(8)
FLF Start Position 1347
FLF Stop Position 1354
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. When populated, must have an associated Third Party Copayment Amount
4. Situational

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
CLT166 CLT.002.166 THIRD-PARTY-COPAYMENT-DATE-PAID CLT00002 CLAIM-HEADER-RECORD-LT
COT143 COT.002.143 THIRD-PARTY-COPAYMENT-DATE-PAID COT00002 CLAIM-HEADER-RECORD-OT
CRX101 CRX.002.101 THIRD-PARTY-COPAYMENT-DATE-PAID CRX00002 CLAIM-HEADER-RECORD-RX