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TMSIS Dataguide Medicaid.gov
Version 3.27.0

CLAIM-LINE-COUNT

Data Element

DE Number

CRX060

System DE Number

CRX.002.060

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 total number of lines on the claim.
Size 9(4)
FLF Start Position 360
FLF Stop Position 363
Segment Key Field Identifier Not Applicable
Coding Requirements

1. Value must be a positive integer
2. Value must be between 0:9999 (inclusive)
3. Value must not include commas or other non-numeric characters
4. Value must be equal to the number of claim lines (e.g. Original Claim Line Number or Adjustment Claim Line Number instances) reported in the associated claim record being reported
5. Value must be 4 characters or less
6. Mandatory
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
CIP137 CIP.002.137 CLAIM-LINE-COUNT CIP00002 CLAIM-HEADER-RECORD-IP
CLT087 CLT.002.087 CLAIM-LINE-COUNT CLT00002 CLAIM-HEADER-RECORD-LT
COT070 COT.002.070 CLAIM-LINE-COUNT COT00002 CLAIM-HEADER-RECORD-OT