CRX.002.092

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TMSIS Dataguide

Medicaid.gov

Version 3.36.0

TOT-BENEFICIARY-DEDUCTIBLE-PAID-AMOUNT

Data Element

DE Number

CRX092

System DE Number

CRX.002.092

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	The amount the beneficiary or his or her representative (e.g., their guardian) paid towards their deductible for the covered services on the claim. Do not include deductible payments made by a third party/ies on behalf of the beneficiary.
Size	S9(11)V99
FLF Start Position	673
FLF Stop Position	685
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be between -99999999999.99 and 99999999999.99 2. Value must be expressed as a number with 2-digit precision (eg. 100.50) 3. 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-6772	If a claim is a non-denied claim from an RX file, then the total beneficiary deductible paid amount value reported must be compatible with specified T-MSIS picture format: S9(11)V99.

Measure ID	Measure Name
MIS-8-005-5	% missing: TOT-BENEFICIARY-DEDUCTIBLE-PAID-AMOUNT (CRX00002)
MIS-27-003-3	% missing: TOT-BENEFICIARY-DEDUCTIBLE-PAID-AMOUNT (CRX00002)
MIS-85-003-3	% missing: TOT-BENEFICIARY-DEDUCTIBLE-PAID-AMOUNT (CRX00002)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP210	CIP.002.210	TOT-BENEFICIARY-DEDUCTIBLE-PAID-AMOUNT	CIP00002	CLAIM-HEADER-RECORD-IP
CLT157	CLT.002.157	TOT-BENEFICIARY-DEDUCTIBLE-PAID-AMOUNT	CLT00002	CLAIM-HEADER-RECORD-LT
COT134	COT.002.134	TOT-BENEFICIARY-DEDUCTIBLE-PAID-AMOUNT	COT00002	CLAIM-HEADER-RECORD-OT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/12/2024	3.29.0	CRX.002.092	UPDATE	Coding requirement	1. Value must be between -99999999999.99 and 99999999999.992. Value must be expressed as a number with 2-digit precision (e.g. 100.50 )3. Conditional	1. Value must be between -99999999999.99 and 99999999999.992. Value must be expressed as a number with 2-digit precision (eg. 100.50)3. Conditional
09/07/2023	3.12.0	CRX.002.092	UPDATE	Definition	The amount the beneficiary or his or her representative (e.g., their guardian) paid towards their deductible for the covered services on the claim. Do not include deductible payments made by a third party/s on behalf of the beneficiary.	The amount the beneficiary or his or her representative (e.g., their guardian) paid towards their deductible for the covered services on the claim. Do not include deductible payments made by a third party/ies on behalf of the beneficiary.
06/24/2022	3.0.0	CRX092/ TOT-BENEFICIARY-DEDUCTIBLE-PAID-AMOUNT	Rename DE	Data Dictionary - Record Layout	DE No\|Data Element Name CRX092\|BENEFICIARY-DEDUCTIBLE-AMOUNT	DE No\|Data Element Name CRX092\|TOT-BENEFICIARY-DEDUCTIBLE-PAID-AMOUNT
06/24/2022	3.0.0	CRX092	UPDATE	Data Dictionary	\|DE NO\| DATA ELEMENT NAME\|DEFINITION CRX092\|BENEFICIARY-DEDUCTIBLE-AMOUNT\|The amount of money the beneficiary paid towards an annual deductible.	\|DE NO\| DATA ELEMENT NAME\|DEFINITION CRX092\|TOT-BENEFICIARY-DEDUCTIBLE-PAID-AMOUNT\|The amount the beneficiary or his or her representative (e.g., their guardian) paid towards their deductible for the covered services on the claim. Do not include deductible payments made by a third party/ies on behalf of the beneficiary.