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TMSIS Dataguide Medicaid.gov
Version 3.28.0

BENEFIT-TYPE

Data Element

DE Number

CRX148

System DE Number

CRX.003.148

File Name

CRX - CLAIM PHARMACY

File Segment Number

CRX00003

File Segment Name

CLAIM-LINE-RECORD-RX

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition The benefit category corresponding to the service reported on the claim or encounter record. Note: The code definitions in the valid value list originate from the Medicaid and CHIP Program Data System (MACPro) benefit type list. See Appendix H: Benefit Types
Size X(3)
FLF Start Position 375
FLF Stop Position 377
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be in Benefit Type Code List (VVL)
2. Value must be 3 characters
3. 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
CIP268 CIP.003.268 BENEFIT-TYPE CIP00003 CLAIM-LINE-RECORD-IP
CLT218 CLT.003.218 BENEFIT-TYPE CLT00003 CLAIM-LINE-RECORD-LT
COT209 COT.003.209 BENEFIT-TYPE COT00003 CLAIM-LINE-RECORD-OT