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Data Element
CIP292
CIP.002.292
Definition | The total copayment amount on a claim that the beneficiary is obligated to pay for covered services. This is the total Medicaid or contract negotiated beneficiary copayment liability for covered service on the claim. Do not subtract out any payments made toward the copayment. |
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Size | S9(11)V99 |
FLF Start Position | 1936 |
FLF Stop Position | 1948 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must be between -99999999999.99 and 99999999999.99 2. Value must be expressed as a number with 2-digit precision (e.g. 100.50 ) 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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DE Number | System DE Number | DE Name | File Segment Number | File Segment Name |
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CLT239 | CLT.002.239 | TOT-BENEFICIARY-COPAYMENT-LIABLE-AMOUNT | CLT00002 | CLAIM-HEADER-RECORD-LT |
COT230 | COT.002.230 | TOT-BENEFICIARY-COPAYMENT-LIABLE-AMOUNT | COT00002 | CLAIM-HEADER-RECORD-OT |
CRX163 | CRX.002.163 | TOT-BENEFICIARY-COPAYMENT-LIABLE-AMOUNT | CRX00002 | CLAIM-HEADER-RECORD-RX |