TPL.004.056

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

INSURANCE-PLAN-ID

Data Element

DE Number

TPL056

System DE Number

TPL.004.056

File Name

TPL - THIRD-PARTY LIABILITY

File Segment Number

File Segment Name

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

Last updated

No Updates

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The ID number issued by the Insurance carrier providing third party liability insurance coverage to beneficiaries. Typically the Plan ID/Plan Number is on the beneficiarie's insurance card.
Size	X(20)
FLF Start Position	34
FLF Stop Position	53
Segment Key Field Identifier	3
Coding Requirements	1. Value must not contain a pipe or asterisk symbol 2. Value must be 20 characters or less 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-3121	If the insurance plan id number is populated on the TPL medcaid eligible person health insurance coverage categories file, then the insurance plan id number reported must not contain any pipe or asterisk characters.
RULE-6698	If a segment is a TPL medicaid eligible person health insurance coverage categories segment from a TPL file, the insurance plan value reported must be compatible with the specified T-MSIS picture format: X(20).

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
TPL034	TPL.003.034	INSURANCE-PLAN-ID	TPL00003	TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO

Published Date	Data Guide Version	Data Element	Action	Field	Before	After