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Data Element
CLT067
CLT.002.067
Definition | The amount paid by Medicaid/CHIP, on this claim at the claim header level, toward the beneficiary's Medicare deductible. If the Medicare deductible amount can be identified separately from Medicare coinsurance payments, code that amount in this field. If the Medicare coinsurance and deductible payments cannot be separated, fill this field with the combined payment amount, code Medicare Combined Indicator a "1" and leave Total Medicare Coinsurance Amount unpopulated. |
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Size | S9(11)V99 |
FLF Start Position | 360 |
FLF Stop Position | 372 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must be between -99999999999.99 and 99999999999.99 |
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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CIP116 | CIP.002.116 | TOT-MEDICARE-DEDUCTIBLE-AMT | CIP00002 | CLAIM-HEADER-RECORD-IP |
COT052 | COT.002.052 | TOT-MEDICARE-DEDUCTIBLE-AMT | COT00002 | CLAIM-HEADER-RECORD-OT |
CRX043 | CRX.002.043 | TOT-MEDICARE-DEDUCTIBLE-AMT | CRX00002 | CLAIM-HEADER-RECORD-RX |