TPL.006.075

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

INSURANCE-CARRIER-ID-NUM

Data Element

DE Number

TPL075

System DE Number

TPL.006.075

File Name

TPL - THIRD-PARTY LIABILITY

File Segment Number

File Segment Name

TPL-ENTITY-CONTACT-INFORMATION

Last updated

No Updates

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The state-assigned identification number of the Third Party Liability (TPL) Entity.
Size	X(12)
FLF Start Position	22
FLF Stop Position	33
Segment Key Field Identifier	2
Coding Requirements	1. Value must be 12 characters or less 2. Value must not contain a pipe or asterisk symbols 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-3161	If the insurance carrier id number is populated on the TPL entity contact information file, then the insurance carrier id number reported must not contain any pipe or asterisk characters.
RULE-6640	If a segment is a TPL entity contact information segment from a TPL file, the insurance carrier identification number value reported must be compatible with the specified T-MSIS picture format: X(12).

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
TPL033	TPL.003.033	INSURANCE-CARRIER-ID-NUM	TPL00003	TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO
TPL055	TPL.004.055	INSURANCE-CARRIER-ID-NUM	TPL00004	TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES

Published Date	Data Guide Version	Data Element	Action	Field	Before	After