CRX.002.050

An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock () or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

TMSIS Dataguide

Medicaid.gov

Version 3.36.0

SERVICE-TRACKING-TYPE

Data Element

DE Number

CRX050

System DE Number

CRX.002.050

File Name

CRX - CLAIM PHARMACY

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-RX

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	A code to categorize service tracking claims. A "service tracking claim" is used to report lump sum payments that cannot be attributed to a single enrollee.
Size	X(2)
FLF Start Position	323
FLF Stop Position	324
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be in Service Tracking Type List (VVL) 2. (Service Tracking Claim) if associated Type of Claim is in [4,D,X] then value is mandatory and must be reported 3. Value must be 2 characters 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-1807	If the service tracking type is populated on a non-denied claim from an RX file, then the service tracking type reported must be found in the list of valid values.
RULE-6976	If a claim line is a non-denied claim line from an RX file, then the servicing tracking type value reported must be compatible with specified T-MSIS picture format: X(2).
RULE-7406	If a claim is a non-denied claim, non-void from an RX file, and is a Medicaid/Medicaid-expansion CHIP or S-CHIP service tracking claim and is an original claim or a replacement/resubmission claim payment then the claim header service tracking type must be populated and does not equal '0' or '00'.
RULE-7516	If a claim is a non-denied, non-service tracking claim from an RX file, then the service tracking type is not populated or equal to '0' or '00'.

Measure ID	Measure Name
EXP-43-004-4	# of non-service tracking claim headers with non-missing Service Tracking Type
MIS-61-002-2	% missing: SERVICE-TRACKING-TYPE (CRX00002)
RULE-7406	% missing: SERVICE-TRACKING-TYPE (CRX00002)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP123	CIP.002.123	SERVICE-TRACKING-TYPE	CIP00002	CLAIM-HEADER-RECORD-IP
CLT073	CLT.002.073	SERVICE-TRACKING-TYPE	CLT00002	CLAIM-HEADER-RECORD-LT
COT059	COT.002.059	SERVICE-TRACKING-TYPE	COT00002	CLAIM-HEADER-RECORD-OT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/12/2024	3.29.0	CRX.002.050	UPDATE	Coding requirement	1. Value must be in Service Tracking Type List (VVL)2. (Service Tracking Claim) if associated Type of Claim is in ['4','D', 'X'] then value is mandatory and must be reported3. Value must be 2 characters4. Conditional	1. Value must be in Service Tracking Type List (VVL)2. (Service Tracking Claim) if associated Type of Claim is in [4,D,X] then value is mandatory and must be reported3. Value must be 2 characters4. Conditional