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Data Element
CLT078
CLT.002.078
Definition | Code indicating that the amount paid by Medicaid/CHIP on this claim toward the recipient's Medicare deductible was combined with their coinsurance amount because the amounts could not be separated. |
---|---|
Size | X(1) |
FLF Start Position | 436 |
FLF Stop Position | 436 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must be in Medicare Combined Deductible Indicator List (VVL) |
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 |
---|---|---|---|---|
CIP128 | CIP.002.128 | MEDICARE-COMB-DED-IND | CIP00002 | CLAIM-HEADER-RECORD-IP |
COT064 | COT.002.064 | MEDICARE-COMB-DED-IND | COT00002 | CLAIM-HEADER-RECORD-OT |
CRX160 | CRX.002.160 | MEDICARE-COMB-DED-IND | CRX00002 | CLAIM-HEADER-RECORD-RX |