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TMSIS Dataguide Medicaid.gov
Version 3.27.0

COPAY-WAIVED-IND

Data Element

DE Number

COT137

System DE Number

COT.002.137

File Name

COT - CLAIM OTHER

File Segment Number

COT00002

File Segment Name

CLAIM-HEADER-RECORD-OT

Last updated

Definition

An indicator signifying that the copay was discounted or waived by the provider (e.g., physician or hospital). Do not use to indicate administrative-level, Medicaid State Agency or Medicaid MCO copayment waived decisions.

Size X(1)
FLF Start Position 909
FLF Stop Position 909
Segment Key Field Identifier Not Applicable
Coding Requirements

1. Value must be in Copayment Waived Indicator List (VVL)
2. Value must be 1 character
3. Value must be in [0, 1]
4. Situational

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
CIP213 CIP.002.213 COPAY-WAIVED-IND CIP00002 CLAIM-HEADER-RECORD-IP
CLT160 CLT.002.160 COPAY-WAIVED-IND CLT00002 CLAIM-HEADER-RECORD-LT
CRX095 CRX.002.095 COPAY-WAIVED-IND CRX00002 CLAIM-HEADER-RECORD-RX