Valid Value Code Set | Valid Value Code | Valid Value Name | Valid Value Description | Effective Start Date | Effective End Date |
---|---|---|---|---|---|
No data available in table |
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Data Element
CLT124
CLT.002.124
No Updates
Definition | The first name of the individual to whom the services were provided. (The patients name should be captured as it appears on the claim record, it does not need to be the same as it appears on the eligibility file. The MSIS Identification Number will be used to associate a claim record with the appropriate eligibility data.) |
---|---|
Size | X(30) |
FLF Start Position | 713 |
FLF Stop Position | 742 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must be 30 characters or less 2. Value must not contain a pipe or asterisk symbols 3. Conditional |
RULE ID | RULE Definition |
---|---|
RULE-1111 | If the eligible first name is populated on a non-denied claim from an LT file, then the eligible first name reported must not contain any pipe or asterisk characters. |
RULE-6271 | If a claim is a non-denied claim from an LT file, then the eligible first name value reported must be compatible with specified T-MSIS picture format: X(30). |
DE Number | System DE Number | DE Name | File Segment Number | File Segment Name |
---|---|---|---|---|
CIP173 | CIP.002.173 | ELIGIBLE-FIRST-NAME | CIP00002 | CLAIM-HEADER-RECORD-IP |
COT106 | COT.002.106 | ELIGIBLE-FIRST-NAME | COT00002 | CLAIM-HEADER-RECORD-OT |
CRX064 | CRX.002.064 | ELIGIBLE-FIRST-NAME | CRX00002 | CLAIM-HEADER-RECORD-RX |
ELG020 | ELG.002.020 | ELIGIBLE-FIRST-NAME | ELG00002 | PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
TPL022 | TPL.002.022 | ELIGIBLE-FIRST-NAME | TPL00002 | TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |