TPL.005.067

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

TYPE-OF-OTHER-THIRD-PARTY-LIABILITY

Data Element

DE Number

TPL067

System DE Number

TPL.005.067

File Name

TPL - THIRD-PARTY LIABILITY

File Segment Number

File Segment Name

TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	This code identifies the other types of liabilities an individual may have which are not necessarily defined as a health insurance plan listed Insurance Type Plan.
Size	X(1)
FLF Start Position	42
FLF Stop Position	42
Segment Key Field Identifier	3
Coding Requirements	1. Value must be 1 character 2. Value must be in Type of Other Third-Party Liability List (VVL) 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-3144	If the type of other third party liability is populated on a TPL medicaid eligible other third party coverage information file, then the type of other third party liability reported must be found in the list of valid values.
RULE-6760	If a segment is a TPL medicaid eligible other third party coverage information segment from a TPL file, the itype of other third party liability value reported must be compatible with the specified T-MSIS picture format: X(1).

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
06/24/2022	3.0.0	TYPE-OF-OTHER-THIRD-PARTY-LIABILITY	UPDATE	Data Dictionary	DE NO\|DATA ELEMENT NAME\| DEFINITION\|CODING REQUIREMENT\| TPL067\|TYPE-OF-OTHER-THIRD-PARTY-LIABILITY\|This code identifies the other types of liabilities an individual may have which are not necessarily defined as a health insurance plan listed INSURANCE-TYPE-PLAN.\| 1.(FDN) If value equals "Other". then Policy Owner (TPL.003.044-047) information is not required 2.(S) value must be 1 character 3.(LV) value must be in Type of Other Third Party Liability List (VVL) 4.(N) mandatory	DE NO\|DATA ELEMENT NAME\| DEFINITION\|CODING REQUIREMENT\| TPL067 \|TYPE-OF-OTHER-THIRD-PARTY-LIABILITY\|This code identifies the other types of liabilities an individual may have which are not necessarily defined as a health insurance plan listed Insurance Type Plan.\| 1.(S) value must be 1 character 2.(LV) value must be in Type of Other Third Party Liability List (VVL) 3.(N) mandatory