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TMSIS Dataguide Medicaid.gov
Version 3.27.0

FORCED-CLAIM-IND

Data Element

DE Number

CLT090

System DE Number

CLT.002.090

File Segment Number

CLT00002

File Segment Name

CLAIM-HEADER-RECORD-LT

Last updated

Definition

Indicates if the claim was processed by forcing it through a manual override process.

Size X(1)
FLF Start Position 481
FLF Stop Position 481
Segment Key Field Identifier Not Applicable
Coding Requirements

1. Value must be 1 character
2. Value must be in [0, 1] or not populated
3. Value must be in Forced Claim Indicator List (VVL)
4. Conditional

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
CIP138 CIP.002.138 FORCED-CLAIM-IND CIP00002 CLAIM-HEADER-RECORD-IP
COT072 COT.002.072 FORCED-CLAIM-IND COT00002 CLAIM-HEADER-RECORD-OT
CRX061 CRX.002.061 FORCED-CLAIM-IND CRX00002 CLAIM-HEADER-RECORD-RX