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TMSIS Dataguide Medicaid.gov
Version 3.36.0

PATIENT-CONTROL-NUM

Data Element

DE Number

CLT122

System DE Number

CLT.002.122

File Name

CLT - CLAIM LONG-TERM CARE

File Segment Number

CLT00002

File Segment Name

CLAIM-HEADER-RECORD-LT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition A patient's unique number assigned by the provider agency during claim submission, which identifies the client or the client's episode of service within the provider's system to facilitate retrieval of individual financial and clinical records and posting of payment
Size X(20)
FLF Start Position 663
FLF Stop Position 682
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be 20 characters or less
2. Value must not contain a pipe or asterisk symbols
3. 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
CIP171 CIP.002.171 PATIENT-CONTROL-NUM CIP00002 CLAIM-HEADER-RECORD-IP
COT104 COT.002.104 PATIENT-CONTROL-NUM COT00002 CLAIM-HEADER-RECORD-OT
CRX062 CRX.002.062 PATIENT-CONTROL-NUM CRX00002 CLAIM-HEADER-RECORD-RX