08/10/2023 |
3.11.0 |
CLT.002.240 |
UPDATE |
Definition |
The total coinsurance amount on a claim that the beneficiary is obligated to pay for covered services. This is the total Medicaid or contract negotiated beneficiary coinsurance liability for covered service on the claim. Do not subtract out any payments made toward the
copayment. |
The total coinsurance amount on a claim the beneficiary is obligated to pay for covered services. This amount is the total Medicaid or contract negotiated beneficiary coinsurance liability for covered services on the claim. Do not subtract out any payments made toward the coinsurance. |
08/10/2023 |
3.11.0 |
CLT.002.240 |
UPDATE |
Last update date |
12/08/2022 |
8/10/2023 |
06/24/2022
|
3.0.0 |
CLT240/ TOT-BENEFICIARY-COINSURANCE-LIABLE-AMOUNT
|
ADD DE |
Data Dictionary - Record Layout |
N/A |
DE_NO|DATA_ELEMENT_NAME|SIZE|FILE NAME|FILE SEGMENT- CLT240|TOT-BENEFICIARY-COINSURANCE-LIABLE-AMOUNT|S9(11)V99|CLAIMLT|CLAIM-HEADER-RECORD-LT-CLT00002 |
06/24/2022
|
3.0.0 |
CLT240
|
ADD |
Data Dictionary |
N/A |
|DE NO| DATA ELEMENT NAME|NECESSITY |DEFINITION|CODING REQUIREMENT|FILENAME| FILE SEGMENT NAME CLT240|TOT-BENEFICIARY-COINSURANCE-LIABLE-AMOUNT|Conditional|The total coinsurance amount on a claim the beneficiary is obligated to pay for covered services. This amount is the total Medicaid or contract negotiated beneficiary coinsurance liability for covered services on the claim. Do not subtract out any payments made toward the coinsurance.|Value must be between -99999999999.99 and 99999999999.99 Value must be expressed as a number with 2-digit precision (e.g. 100.50 )|CLAIMLT|CLAIM-HEADER-RECORD-LT-CLT00002 |
10/07/2022
|
3.0.3 |
CIP293, CLT240, COT231, CRX164
|
UPDATE |
Data Dictionary |
DE NO| DATA ELEMENT NAME COMPUTING|DEFINITION| CIP293|TOT-BENEFICIARY-COINSURANCE-LIABLE-AMOUNT|The total copayment amount on a claim that the beneficiary is obligated to pay for covered services. This is the total Medicaid or contract negotiated beneficiary copayment liability for covered service on the claim. Do not subtract out any payments made toward the copayment. CLT240|TOT-BENEFICIARY-COINSURANCE-LIABLE-AMOUNT|The total copayment amount on a claim that the beneficiary is obligated to pay for covered services. This is the total Medicaid or contract negotiated beneficiary copayment liability for covered service on the claim. Do not subtract out any payments made toward the copayment. COT231|TOT-BENEFICIARY-COINSURANCE-LIABLE-AMOUNT|The total copayment amount on a claim that the beneficiary is obligated to pay for covered services. This is the total Medicaid or contract negotiated beneficiary copayment liability for covered service on the claim. Do not subtract out any payments made toward the copayment. CRX164|TOT-BENEFICIARY-COINSURANCE-LIABLE-AMOUNT|The total copayment amount on a claim that the beneficiary is obligated to pay for covered services. This is the total Medicaid or contract negotiated beneficiary copayment liability for covered service on the claim. Do not subtract out any payments made toward the copayment. |
DE NO| DATA ELEMENT NAME COMPUTING|DEFINITION| CIP293|TOT-BENEFICIARY-COINSURANCE-LIABLE-AMOUNT|The total coinsurance amount on a claim the beneficiary is obligated to pay for covered services. This amount is the total Medicaid or contract negotiated beneficiary coinsurance liability for covered services on the claim. Do not subtract out any payments made toward the coinsurance. CLT240|TOT-BENEFICIARY-COINSURANCE-LIABLE-AMOUNT|The total coinsurance amount on a claim the beneficiary is obligated to pay for covered services. This amount is the total Medicaid or contract negotiated beneficiary coinsurance liability for covered services on the claim. Do not subtract out any payments made toward the coinsurance. COT231|TOT-BENEFICIARY-COINSURANCE-LIABLE-AMOUNT|The total coinsurance amount on a claim the beneficiary is obligated to pay for covered services. This amount is the total Medicaid or contract negotiated beneficiary coinsurance liability for covered services on the claim. Do not subtract out any payments made toward the coinsurance. CRX164|TOT-BENEFICIARY-COINSURANCE-LIABLE-AMOUNT|The total coinsurance amount on a claim the beneficiary is obligated to pay for covered services. This amount is the total Medicaid or contract negotiated beneficiary coinsurance liability for covered services on the claim. Do not subtract out any payments made toward the coinsurance. |