CRX.002.033

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

CHECK-NUM

Data Element

DE Number

CRX033

System DE Number

CRX.002.033

File Name

CRX - CLAIM PHARMACY

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-RX

Last updated

No Updates

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The check or electronic funds transfer number.
Size	X(15)
FLF Start Position	185
FLF Stop Position	199
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 15 characters or less 2. Value must have an associated Check Effective Date 3. Value must not contain a pipe or asterisk symbols 4. Conditional

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

RULE ID	RULE Definition
RULE-1773	If the check number is populated on a non-denied claim from an RX file, then the check number reported must not contain any pipe or asterisk characters.
RULE-6358	If a claim is a non-denied claim from an RX file, then the check number value reported must be compatible with specified T-MSIS picture format: X(15).

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP105	CIP.002.105	CHECK-NUM	CIP00002	CLAIM-HEADER-RECORD-IP
CLT057	CLT.002.057	CHECK-NUM	CLT00002	CLAIM-HEADER-RECORD-LT
COT042	COT.002.042	CHECK-NUM	COT00002	CLAIM-HEADER-RECORD-OT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After