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TMSIS Dataguide Medicaid.gov
Version 3.27.0

LINE-NUM-ORIG

Data Element

DE Number

CLT190

System DE Number

CLT.003.190

File Name

CLT - CLAIM LONG-TERM CARE

File Segment Number

CLT00003

File Segment Name

CLAIM-LINE-RECORD-LT

Last updated

No Updates

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition A unique number to identify the transaction line number that is being reported on the original claim.
Size X(3)
FLF Start Position 142
FLF Stop Position 144
Segment Key Field Identifier 4
Coding Requirements 1. Value must be 3 characters or less
2. Value must not contain a pipe or asterisk symbols
3. Mandatory
4. When populated, value must be one or greater
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
CIP237 CIP.003.237 LINE-NUM-ORIG CIP00003 CLAIM-LINE-RECORD-IP
COT160 COT.003.160 LINE-NUM-ORIG COT00003 CLAIM-LINE-RECORD-OT
CRX114 CRX.003.114 LINE-NUM-ORIG CRX00003 CLAIM-LINE-RECORD-RX