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TMSIS Dataguide Medicaid.gov
Version 3.27.0

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

File Segment

File Segment Number

TPL00005

File Name

TPL - THIRD-PARTY LIABILITY

Last updated

No Updates

Data Elements Reference
DE Number System DE Number Data Element Definition Valid Values
TPL063 TPL.005.063 RECORD-ID The Record ID represents the type of segment being reported. The Record ID communicates how the contents of a given row of data should be interpreted depending on which segment type the Record ID represents. Each type of segment collects different data elements so each segment type has a distinct layout. The first 3 characters identify the relevant file (e.g., ELG, PRV, CIP, etc.). The last 5 digits are the segment identifier padded with leading zeros (e.g., 00001, 00002, 00003, etc.). TPL063 Values
TPL064 TPL.005.064 SUBMITTING-STATE A code that uniquely identifies the U.S. State or Territory from which T-MSIS system data resources were received. TPL064 Values
TPL065 TPL.005.065 RECORD-NUMBER

A sequential number assigned by the submitter to identify each record segment row in the submission file. The Record Number, in conjunction with the Record Identifier, uniquely identifies a single record within the submission file.

 N/A
TPL066 TPL.005.066 MSIS-IDENTIFICATION-NUM

A state-assigned unique identification number used to identify a Medicaid/CHIP enrolled individual (except on service tracking payments). Value may be an SSN, temporary SSN or State-assigned eligible individual identifier. MSIS Identification Numbers are a unique "key" value used to maintain referential integrity of data distributed over multiples files, segments and reporting periods. See T-MSIS Guidance Document, "CMS Guidance: Reporting Shared MSIS Identification Numbers" for information on reporting the MSIS Identification Numbers ID for pregnant women, unborn children, mothers, and their deemed newborns younger than 1 year of age who share the same MSIS Identification Number. https://www.medicaid.gov/medicaid/data-and-systems/macbis/tmsis/tmsis-blog/entry/47572

 N/A
TPL067 TPL.005.067 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. TPL067 Values
TPL068 TPL.005.068 OTHER-TPL-EFF-DATE The first calendar day on which all of the other data elements in the same segment were effective. N/A
TPL069 TPL.005.069 OTHER-TPL-END-DATE The last calendar day on which all of the other data elements in the same segment were effective. N/A
TPL070 TPL.005.070 STATE-NOTATION

A free text field for the submitting state to enter whatever information it chooses.

 N/A
Definition
A record to flag Medicaid/CHIP enrollees who potentially have non-insurance sources of funds that could be used to offset Medicaid/CHIP expenditures.

File Segment Length
900