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TMSIS Dataguide Medicaid.gov
Version 3.28.0

DATE-OF-BIRTH

Data Element

DE Number

CLT126

System DE Number

CLT.002.126

File Segment Number

CLT00002

File Segment Name

CLAIM-HEADER-RECORD-LT

Last updated

Definition An individual's date of birth.
Size 9(8)
FLF Start Position 744
FLF Stop Position 751
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be 8 characters in the form "CCYYMMDD"
2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st)
3. 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
CIP175 CIP.002.175 DATE-OF-BIRTH CIP00002 CLAIM-HEADER-RECORD-IP
COT108 COT.002.108 DATE-OF-BIRTH COT00002 CLAIM-HEADER-RECORD-OT
CRX066 CRX.002.066 DATE-OF-BIRTH CRX00002 CLAIM-HEADER-RECORD-RX
ELG024 ELG.002.024 DATE-OF-BIRTH ELG00002 PRIMARY-DEMOGRAPHICS-ELIGIBILITY
PRV034 PRV.002.034 DATE-OF-BIRTH PRV00002 PROV-ATTRIBUTES-MAIN