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TMSIS Dataguide Medicaid.gov
Version 3.27.0

BENEFICIARY-DEDUCTIBLE-DATE-PAID

Data Element

DE Number

CRX093

System DE Number

CRX.002.093

File Segment Number

CRX00002

File Segment Name

CLAIM-HEADER-RECORD-RX

Last updated

No Updates

Definition The date the beneficiary paid the deductible amount.
Size 9(8)
FLF Start Position 686
FLF Stop Position 693
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be 8 characters in the form "CCYYMMDD"
2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st)
3. Must have an associated Beneficiary Deductible Amount
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
CIP211 CIP.002.211 BENEFICIARY-DEDUCTIBLE-DATE-PAID CIP00002 CLAIM-HEADER-RECORD-IP
CLT158 CLT.002.158 BENEFICIARY-DEDUCTIBLE-DATE-PAID CLT00002 CLAIM-HEADER-RECORD-LT
COT135 COT.002.135 BENEFICIARY-DEDUCTIBLE-DATE-PAID COT00002 CLAIM-HEADER-RECORD-OT