TPL.002.024

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

ELIGIBLE-LAST-NAME

Data Element

DE Number

TPL024

System DE Number

TPL.002.024

File Name

TPL - THIRD-PARTY LIABILITY

File Segment Number

File Segment Name

TPL-MEDICAID-ELIGIBLE-PERSON-MAIN

Last updated

No Updates

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The last name of the individual to whom the services were provided.
Size	X(30)
FLF Start Position	75
FLF Stop Position	104
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 30 characters or less 2. Value must not contain a pipe or asterisk symbols 3. Mandatory

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date

RULE ID	RULE Definition
RULE-3066	If the eligible last name is populated on a non-denied claim from an IP file, then the eligible last name reported must not contain any pipe or asterisk characters.
RULE-7093	If a segment is a TPL medicaid eligible person main segment from a TPL file, the eligible last name value reported must be compatible with the specified T-MSIS picture format: X(30).

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP172	CIP.002.172	ELIGIBLE-LAST-NAME	CIP00002	CLAIM-HEADER-RECORD-IP
CLT123	CLT.002.123	ELIGIBLE-LAST-NAME	CLT00002	CLAIM-HEADER-RECORD-LT
COT105	COT.002.105	ELIGIBLE-LAST-NAME	COT00002	CLAIM-HEADER-RECORD-OT
CRX063	CRX.002.063	ELIGIBLE-LAST-NAME	CRX00002	CLAIM-HEADER-RECORD-RX
ELG021	ELG.002.021	ELIGIBLE-LAST-NAME	ELG00002	PRIMARY-DEMOGRAPHICS-ELIGIBILITY

Published Date	Data Guide Version	Data Element	Action	Field	Before	After