CLT.002.125

ELIGIBLE-MIDDLE-INIT

Data Element

DE Number

CLT125

System DE Number

CLT.002.125

File Name

CLT - CLAIM LONG-TERM CARE

File Segment Number

CLT00002

File Segment Name

CLAIM-HEADER-RECORD-LT

Last updated

No Updates

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	Individual's middle initial; middle initial component of full name (e.g. First Name, Middle Initial, Last Name).
Size	X(1)
FLF Start Position	743
FLF Stop Position	743
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 1 character 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
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RULE ID	RULE Definition
RULE-1112	If the eligible middle initial is populated on a non-denied claim from an LT file, then the eligible middle initial reported must not contain any pipe or asterisk characters.
RULE-6867	The format for ELIGIBLE-MIDDLE-INIT on a non-denied LT claim was expected to be submitted as X(1).

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Measure ID	Measure Name
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DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP174	CIP.002.174	ELIGIBLE-MIDDLE-INIT	CIP00002	CLAIM-HEADER-RECORD-IP
COT107	COT.002.107	ELIGIBLE-MIDDLE-INIT	COT00002	CLAIM-HEADER-RECORD-OT
CRX065	CRX.002.065	ELIGIBLE-MIDDLE-INIT	CRX00002	CLAIM-HEADER-RECORD-RX
ELG022	ELG.002.022	ELIGIBLE-MIDDLE-INIT	ELG00002	PRIMARY-DEMOGRAPHICS-ELIGIBILITY
TPL023	TPL.002.023	ELIGIBLE-MIDDLE-INIT	TPL00002	TPL-MEDICAID-ELIGIBLE-PERSON-MAIN