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TMSIS Dataguide Medicaid.gov
Version 3.36.0

TOT-OTHER-INSURANCE-AMT

Data Element

DE Number

COT056

System DE Number

COT.002.056

File Name

COT - CLAIM OTHER

File Segment Number

COT00002

File Segment Name

CLAIM-HEADER-RECORD-OT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition The amount paid by insurance other than Medicare or Medicaid on this claim.
Size S9(11)V99
FLF Start Position 344
FLF Stop Position 356
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be between -99999999999.99 and 99999999999.99
2. Value must be expressed as a number with 2-digit precision (e.g. 100.50)
3. Conditional
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
CIP119 CIP.002.119 TOT-OTHER-INSURANCE-AMT CIP00002 CLAIM-HEADER-RECORD-IP
CLT070 CLT.002.070 TOT-OTHER-INSURANCE-AMT CLT00002 CLAIM-HEADER-RECORD-LT
CRX047 CRX.002.047 TOT-OTHER-INSURANCE-AMT CRX00002 CLAIM-HEADER-RECORD-RX