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TMSIS Dataguide Medicaid.gov
Version 3.27.0

BENEFICIARY-COPAYMENT-DATE-PAID

Data Element

DE Number

COT133

System DE Number

COT.002.133

File Name

COT - CLAIM OTHER

File Segment Number

COT00002

File Segment Name

CLAIM-HEADER-RECORD-OT

Last updated

No Updates

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition The date the beneficiary paid the copayment amount.
Size 9(8)
FLF Start Position 879
FLF Stop Position 886
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. Must have an associated Beneficiary Copayment Amount
4. 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
CIP209 CIP.002.209 BENEFICIARY-COPAYMENT-DATE-PAID CIP00002 CLAIM-HEADER-RECORD-IP
CLT156 CLT.002.156 BENEFICIARY-COPAYMENT-DATE-PAID CLT00002 CLAIM-HEADER-RECORD-LT
CRX090 CRX.002.090 BENEFICIARY-COPAYMENT-DATE-PAID CRX00002 CLAIM-HEADER-RECORD-RX