TPL.003.048

INSURANCE-COVERAGE-EFF-DATE

Data Element

DE Number

TPL048

System DE Number

TPL.003.048

File Name

TPL - THIRD-PARTY LIABILITY

File Segment Number

TPL00003

File Segment Name

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

Last updated

09/12/2024

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The first calendar day on which all of the other data elements in the same segment were effective.
Size	9(8)
FLF Start Position	198
FLF Stop Position	205
Segment Key Field Identifier	(a)
Coding Requirements	1. Value must be 8 characters in the form "CCYYMMDD" 2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st) 3. Value must be before or the same as the associated Segment End Date value 4. Mandatory 5. Value of the CC component must be in [18,19,20]

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date
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RULE ID	RULE Definition
RULE-3100	If a segment is a TPL Medicaid eligible person health insurance coverage info segment from a TPL file, then the insurance coverage effective date value reported must be a valid date of the form CCYYMMDD.
RULE-3102	If insurance coverage effective date and insurance coverage end date are populated on a TPL Medicaid eligible person health insurance coverage information segment from a TPL file, then the insurance coverage effective date value reported must be before or equal to the insurance coverage end date value reported.
RULE-3106	If the date of death is populated on a primary demographics eligibility segment and the primary demographics eligibility primary demographic element end date is greater than the states tmsis cutover date and the insurance coverage end date is populated on the TPL medicaid eligible person health insurance coverage information segment then the TPL medicaid eligible person health insurance coverage info insurance coverage end date is less than or equal to the primary demographics eligibilty date of death and the effective and end dates on the primary demographics eligibility segment must fall with the effective and end dates of one or more continuous TPL medicaid eligible person health insurance coverage information segments.

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Measure ID	Measure Name
RULE-3103	Ratio of errors for overlapping segment eff/end dates [RULE-3103] to all active TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO (TPL00003) segments
TPL-8-002-2	Ratio of errors for overlapping segment eff/end dates [RULE-3103] to all active TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO (TPL00003) segments across all reporting and coverage periods

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DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
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Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/12/2024	3.29.0	TPL.003.048	UPDATE	Coding requirement	1. Value must be 8 characters in the form "CCYYMMDD"2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st)3. Value must be before or the same as the associated Segment End Date value4. Mandatory5. Value of the CC component must be in ['18', '19', '20']	1. Value must be 8 characters in the form "CCYYMMDD"2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st)3. Value must be before or the same as the associated Segment End Date value4. Mandatory5. Value of the CC component must be in [18,19,20]
09/21/2023	3.13.0	TPL.003.048	UPDATE	Segment key field identifier	Not Applicable	(a)