CLT.002.073

SERVICE-TRACKING-TYPE

Data Element

DE Number

CLT073

System DE Number

CLT.002.073

File Name

CLT - CLAIM LONG-TERM CARE

File Segment Number

CLT00002

File Segment Name

CLAIM-HEADER-RECORD-LT

Last updated

09/12/2024

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	A code to categorize service tracking claims. A "service tracking claim" is used to report lump sum payments that cannot be attributed to a single enrollee.
Size	X(2)
FLF Start Position	416
FLF Stop Position	417
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be in Service Tracking Type List (VVL) 2. (Service Tracking Claim) if associated Type of Claim is in [4,D,X] then value is mandatory and must be reported 3. Value must be 2 characters 4. Conditional

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Valid Value Code Set	Valid Value Code	Valid Value Name	Effective Start Date	Effective End Date
SERVICE-TRACKING-TYPE	00	Not a Service Tracking Claim	01/01/0001	12/31/9999
SERVICE-TRACKING-TYPE	01	Drug Rebate	01/01/0001	12/31/9999
SERVICE-TRACKING-TYPE	02	DSH Payment	01/01/0001	12/31/9999
SERVICE-TRACKING-TYPE	03	Lump Sum Payment	01/01/0001	12/31/9999
SERVICE-TRACKING-TYPE	04	Cost Settlement	01/01/0001	12/31/9999
SERVICE-TRACKING-TYPE	05	Supplemental	01/01/0001	12/31/9999
SERVICE-TRACKING-TYPE	06	Other	01/01/0001	12/31/9999

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RULE ID	RULE Definition
RULE-6808	If a claim is a non-denied claim from an LT file, then the service tracking type value reported must be compatible with specified T-MSIS picture format: X(2).
RULE-7404	If a claim is a non-denied, non-void claim from an LT 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 service tracking type must be populated and does not equal '0' or '00'.
RULE-7514	If a claim is a non-denied, non-service tracking claim from an LT file, then the service tracking type is not populated or equal to '0' or '00'.
RULE-990	If a non-denied LT claim has a value populated for service tracking type, then the service tracking type must be found in the list of valid values.

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Measure ID	Measure Name
EXP-43-002-2	# of non-service tracking claim headers with non-missing Service Tracking Type
MIS-57-004-4	% missing: SERVICE-TRACKING-TYPE (CLT00002)
RULE-7404	% missing: SERVICE-TRACKING-TYPE (CLT00002)

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DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP123	CIP.002.123	SERVICE-TRACKING-TYPE	CIP00002	CLAIM-HEADER-RECORD-IP
COT059	COT.002.059	SERVICE-TRACKING-TYPE	COT00002	CLAIM-HEADER-RECORD-OT
CRX050	CRX.002.050	SERVICE-TRACKING-TYPE	CRX00002	CLAIM-HEADER-RECORD-RX