TPL.004.057

An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock () or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

TMSIS Dataguide

Medicaid.gov

Version 3.27.0

INSURANCE-PLAN-TYPE

Data Element

DE Number

TPL057

System DE Number

TPL.004.057

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	Code to classify the entity providing TPL coverage.
Size	X(2)
FLF Start Position	54
FLF Stop Position	55
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be in Insurance Plan Type List (VVL) 2. Mandatory 3. Value must be 2 characters or less 4. Value must have an associated Insurance Plan ID

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

RULE ID	RULE Definition
RULE-3122	If the insurance plan type is populated on a TPL medicaid eligible person health insurance coverage information file, then the insurance plan type reported must be found in the list of valid values.
RULE-6369	If a segment is a TPL Medicaid eligible person health insurance coverage categories segment from a TPL file, then the insurance plan type value reported must be compatible with the specified T-MSIS picture format: X(2).

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
TPL037	TPL.003.037	INSURANCE-PLAN-TYPE	TPL00003	TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO

Published Date	Data Guide Version	Data Element	Action	Field	Before	After