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Data Element
ELG173
ELG.012.173
Definition | Code for specifying waiver types under which the eligible individual is covered during the month. |
---|---|
Size | X(2) |
FLF Start Position | 62 |
FLF Stop Position | 63 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must be in Waiver Type List (VVL) 2. Value must have a corresponding value in Waiver ID (ELG.012.172) 3. Mandatory 4. Value must be 2 characters |
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 |
---|---|---|---|---|
CIP177 | CIP.002.177 | WAIVER-TYPE | CIP00002 | CLAIM-HEADER-RECORD-IP |
CLT128 | CLT.002.128 | WAIVER-TYPE | CLT00002 | CLAIM-HEADER-RECORD-LT |
COT110 | COT.002.110 | WAIVER-TYPE | COT00002 | CLAIM-HEADER-RECORD-OT |
CRX068 | CRX.002.068 | WAIVER-TYPE | CRX00002 | CLAIM-HEADER-RECORD-RX |