CIP.002.291

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

ENDING-DATE-OF-SERVICE

Data Element

DE Number

CIP291

System DE Number

CIP.002.291

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	For services received during a single encounter with a provider, the date the service covered by this claim was received. For services involving multiple encounters on different days, or periods of care extending over two or more days, the date on which the service covered by this claim ended. For capitation premium payments, the date on which the period of coverage related to this payment ends/ended. For financial transactions reported to the OT file, populate with the last day of the time period covered by this financial transaction.
Size	9(8)
FLF Start Position	1928
FLF Stop Position	1935
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 Type of Claim is not in ['2', '4', 'B', 'D', 'V'] value must be less than or equal to associated End of Time Period value 4. Value must be greater than or equal to associated Beginning Date of Service value 5. When Type of Claim is not in ['2', '4', 'B', 'D', 'V'] value must be less than or equal to associated Adjudication Date value 6. Value must be less than or equal to associated Date of Death (ELG.002.025) value when populated 7. Value must be equal to or greater than associated Date of Birth (ELG.002.024) value 8. 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-7595	If a claim is a non-denied claim from an IP file, then the ending date of service value reported must be a valid date of the form CCYYMMDD.
RULE-7986	If a claim is a non-denied, non-void claim from an IP file, and is a Medicaid or Medicaid-expansion CHIP FFS, Medicaid or Medicaid-expansion CHIP Encounter, separate CHIP FFS or separate CHIP Encounter claim, and is an original claim or a replacement/resubmission claim payment, then the claim header ending date of service must be populated.
RULE-7988	If a claim is a non-denied claim, non-void claim from an IP file, and is a Medicaid/Medicaid-expansion CHIP or S-CHIP service tracking claim and is an original claim or a replacement/resubmission claim payment then the claim header ending date of service must be populated.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP244	CIP.003.244	ENDING-DATE-OF-SERVICE	CIP00003	CLAIM-LINE-RECORD-IP
CLT049	CLT.002.049	ENDING-DATE-OF-SERVICE	CLT00002	CLAIM-HEADER-RECORD-LT
CLT197	CLT.003.197	ENDING-DATE-OF-SERVICE	CLT00003	CLAIM-LINE-RECORD-LT
COT034	COT.002.034	ENDING-DATE-OF-SERVICE	COT00002	CLAIM-HEADER-RECORD-OT
COT167	COT.003.167	ENDING-DATE-OF-SERVICE	COT00003	CLAIM-LINE-RECORD-OT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
06/24/2022	3.0.0	CIP291	ADD	Data Dictionary	N/A	\|DE NO\| DATA ELEMENT NAME\|NECESSITY \|DEFINITION\|CODING REQUIREMENT\|FILENAME\| FILE SEGMENT NAME CIP291\|ENDING-DATE-OF-SERVICE\|Mandatory\|For services received during a single encounter with a provider, the date the service covered by this claim was received. For services involving multiple encounters on different days, or periods of care extending over two or more days, the date on which the service covered by this claim ended. For capitation premium payments, the date on which the period of coverage related to this payment ends/ended. For financial transactions reported to the OT file, populate with the last day of the time period covered by this financial transaction.\|Value must be 8 characters in the form "CCYYMMDD" The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st) When Type of Claim is not in ['2', '4', 'B', 'D', 'V'] value must be less than or equal to associated End of Time Period value Value must be greater than or equal to associated Beginning Date of Service value When Type of Claim is not in ['2', '4', 'B', 'D', 'V'] value must be less than or equal to associated Adjudication Date value Value must be less than or equal to associated Date of Death (ELG.002.025) value when populated Value must be equal to or greater than associated Date of Birth (ELG.002.024) value\|CLAIMIP\|CLAIM-HEADER-RECORD-IP-CIP00002
06/24/2022	3.0.0	CIP291/ ENDING-DATE-OF-SERVICE	ADD DE	Data Dictionary - Record Layout	N/A	DE_NO\|DATA_ELEMENT_NAME\|SIZE\|FILE NAME\|FILE SEGMENT CIP291\| ENDING-DATE-OF-SERVICE\|9(8)\|CLAIMIP\|CLAIM-HEADER-RECORD-IP-CIP00002