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File Segment
TPL00002
No Updates
DE Number | System DE Number | Data Element | Definition | Valid Values |
---|---|---|---|---|
TPL016 | TPL.002.016 | 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.). | TPL016 Values |
TPL017 | TPL.002.017 | SUBMITTING-STATE | A code that uniquely identifies the U.S. State or Territory from which T-MSIS system data resources were received. | TPL017 Values |
TPL018 | TPL.002.018 | 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 |
TPL019 | TPL.002.019 | 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 |
TPL020 | TPL.002.020 | TPL-HEALTH-INSURANCE-COVERAGE-IND | A flag to indicate that the Medicaid/CHIP eligible person has some form of third party insurance coverage. |
TPL020 Values |
TPL021 | TPL.002.021 | TPL-OTHER-COVERAGE-IND | A flag to indicate that the Medicaid/CHIP eligible person has some other form of third party funding besides insurance coverage. | TPL021 Values |
TPL022 | TPL.002.022 | ELIGIBLE-FIRST-NAME | The first name of the individual to whom the services were provided. | N/A |
TPL023 | TPL.002.023 | ELIGIBLE-MIDDLE-INIT | Individual's middle initial; middle initial component of full name (e.g. First Name, Middle Initial, Last Name). | N/A |
TPL024 | TPL.002.024 | ELIGIBLE-LAST-NAME | The last name of the individual to whom the services were provided. | N/A |
TPL025 | TPL.002.025 | ELIG-PRSN-MAIN-EFF-DATE | The first calendar day on which all of the other data elements in the same segment were effective. | N/A |
TPL026 | TPL.002.026 | ELIG-PRSN-MAIN-END-DATE | The last calendar day on which all of the other data elements in the same segment were effective. | N/A |
TPL027 | TPL.002.027 | STATE-NOTATION | A free text field for the submitting state to enter whatever information it chooses. |
N/A |