TPL.003.038

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

ANNUAL-DEDUCTIBLE-AMT

Data Element

DE Number

TPL038

System DE Number

TPL.003.038

File Name

TPL - THIRD-PARTY LIABILITY

File Segment Number

File Segment Name

TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO

Last updated

No Updates

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	Annual amount paid each year by the enrollee in the plan before a health plan benefit begins.
Size	S9(11)V99
FLF Start Position	114
FLF Stop Position	126
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

RULE ID	RULE Definition
RULE-3092	If a segment is a TPL Medicaid eligible person health insurance coverage info segment from a TPL file, then the annual deductible amount value reported must be compatible with the specified T-MSIS picture format: S9(11)V99.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name

Published Date	Data Guide Version	Data Element	Action	Field	Before	After