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TMSIS Dataguide Medicaid.gov
Version 3.28.0

TPL-AMT

Data Element

DE Number

CRX124

System DE Number

CRX.003.124

File Name

CRX - CLAIM PHARMACY

File Segment Number

CRX00003

File Segment Name

CLAIM-LINE-RECORD-RX

Last updated

No Updates

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition Third-party liability refers to the legal obligation of third parties, i.e., certain individuals, entities, or programs, to pay all or part of the expenditures for medical assistance furnished under a state plan. This is the total amount denoted at the claim detail level paid by the third party.
Size S9(11)V99
FLF Start Position 212
FLF Stop Position 224
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 (e.g. 100.50 )
3. 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
CLT206 CLT.003.206 TPL-AMT CLT00003 CLAIM-LINE-RECORD-LT
COT177 COT.003.177 TPL-AMT COT00003 CLAIM-LINE-RECORD-OT