CLT.002.087

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TMSIS Dataguide

Medicaid.gov

Version 3.36.0

CLAIM-LINE-COUNT

Data Element

DE Number

CLT087

System DE Number

CLT.002.087

File Name

CLT - CLAIM LONG-TERM CARE

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-LT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The total number of lines on the claim.
Size	9(4)
FLF Start Position	477
FLF Stop Position	480
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be a positive integer 2. Value must be between 0:9999 (inclusive) 3. Value must not include commas or other non-numeric characters 4. Value must be equal to the number of claim lines (e.g. Original Claim Line Number or Adjustment Claim Line Number instances) reported in the associated claim record being reported 5. Value must be 4 characters or less 6. 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-1016	If a non-denied LT claim has a value populated for claim line count, the claim header claim line count is equal to the total number of IP claim line records.
RULE-6663	If a claim is a non-denied claim from an LT file, then the claim line count value reported must be compatible with specified T-MSIS picture format: 9(4).

Measure ID	Measure Name
MIS-4-010-10	% missing: CLAIM-LINE-COUNT (CLT00002)
MIS-23-011-11	% missing: CLAIM-LINE-COUNT (CLT00002)
MIS-81-011-11	% missing: CLAIM-LINE-COUNT (CLT00002)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP137	CIP.002.137	CLAIM-LINE-COUNT	CIP00002	CLAIM-HEADER-RECORD-IP
COT070	COT.002.070	CLAIM-LINE-COUNT	COT00002	CLAIM-HEADER-RECORD-OT
CRX060	CRX.002.060	CLAIM-LINE-COUNT	CRX00002	CLAIM-HEADER-RECORD-RX

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
08/14/2023	3.12.0	CLT.002.087	UPDATE	Coding requirement	1. Value must be a positive integer2. Value must be between 0:9999 (inclusive)3. Value must not include commas or other non-numeric characters4. Value must be equal to the number of claim lines (e.g. Original Claim Line Number (CE) or Adjustment Claim Line Number (CE) instances) reported in the associated claim record being reported5. Value must be 4 characters or less6. Mandatory	1. Value must be a positive integer2. Value must be between 0:9999 (inclusive)3. Value must not include commas or other non-numeric characters4. Value must be equal to the number of claim lines (e.g. Original Claim Line Number or Adjustment Claim Line Number instances) reported in the associated claim record being reported5. Value must be 4 characters or less6. Mandatory