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TMSIS Dataguide Medicaid.gov
Version 3.27.0

CLAIM-LINE-COUNT

Data Element

DE Number

CLT087

System DE Number

CLT.002.087

File Segment Number

CLT00002

File Segment Name

CLAIM-HEADER-RECORD-LT

Last updated

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
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