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TMSIS Dataguide Medicaid.gov
Version 3.27.0

OTHER-INSURANCE-IND

Data Element

DE Number

CRX048

System DE Number

CRX.002.048

File Name

CRX - CLAIM PHARMACY

File Segment Number

CRX00002

File Segment Name

CLAIM-HEADER-RECORD-RX

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition

The field denotes whether the insured party is covered under an other insurance plan other than Medicare or Medicaid.
Size X(1)
FLF Start Position 319
FLF Stop Position 319
Segment Key Field Identifier Not Applicable
Coding Requirements

1. Value must be 1 character
2. Value must be in [0, 1] or not populated
3. Value must be in Other Insurance Indicator List (VVL)
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
CIP121 CIP.002.121 OTHER-INSURANCE-IND CIP00002 CLAIM-HEADER-RECORD-IP
CLT071 CLT.002.071 OTHER-INSURANCE-IND CLT00002 CLAIM-HEADER-RECORD-LT
COT057 COT.002.057 OTHER-INSURANCE-IND COT00002 CLAIM-HEADER-RECORD-OT