COT.002.143

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

THIRD-PARTY-COPAYMENT-DATE-PAID

Data Element

DE Number

COT143

System DE Number

COT.002.143

File Name

COT - CLAIM OTHER

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-OT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The date the third party paid the copayment amount.
Size	9(8)
FLF Start Position	994
FLF Stop Position	1001
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. When populated, must have an associated Third Party Copayment Amount 4. Situational

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date

RULE ID	RULE Definition
RULE-1583	If a claim is a non-denied claim from an OT file, then the third party copayment date paid value reported must be a valid date of the form CCYYMMDD.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP219	CIP.002.219	THIRD-PARTY-COPAYMENT-DATE-PAID	CIP00002	CLAIM-HEADER-RECORD-IP
CLT166	CLT.002.166	THIRD-PARTY-COPAYMENT-DATE-PAID	CLT00002	CLAIM-HEADER-RECORD-LT
CRX101	CRX.002.101	THIRD-PARTY-COPAYMENT-DATE-PAID	CRX00002	CLAIM-HEADER-RECORD-RX

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/25/2023	3.14.0	COT.002.143	UPDATE	Coding requirement	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. When populated, must have an associated Third Party Copayment Amount 4. Situational	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. When populated, must have an associated Third Party Copayment Amount4. Situational
08/29/2023	3.12.0	COT.002.143	UPDATE	Necessity	Optional	Situational
08/23/2023	3.12.0	COT.002.143	UPDATE	Coding requirement	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 Third Party Copayment Amount4. Optional	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. When populated, must have an associated Third Party Copayment Amount 4. Situational