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TRICARE Systems Manual 7950.3-M, April 1, 2015
TRICARE Encounter Data (TED)
Chapter 2
Section 2.9
Data Requirements - Institutional/Non-Institutional Record Data Elements (T - Z)
Revision:  C-21, January 31, 2019
DATA ELEMENT DEFINITION
ELEMENT NAME:  TED RECORD CORRECTION INDICATOR
Notes And Special Instructions:
1  This element applies only to TED records reported under contracts awarded prior to July 1, 2007. This element must be blank on all other TED records.
Records/Locator Numbers
Record Name
Locator#
Occurrences
Required
Institutional
Non-Institutional
1-374
2-139
1
1
Yes1
Yes1
Primary Picture (Format)
One (1) alphanumeric character.
Definition
Code that identifies the type of adjustment.
Code/Value Specifications
Blank
Does not apply - contract awarded July 1, 2007 or after.
Algorithm
N/A
Subordinate And/Or Group Elements
Subordinate
Group
N/A
N/A
DATA ELEMENT DEFINITION
ELEMENT NAME:  TED RECORD INDICATOR
Notes And Special Instructions:
N/A
Records/Locator Numbers
Record Name
Locator#
Occurrences
Required
Institutional
Non-Institutional
1-005
2-005
1
1
Yes
Yes
Primary Picture (Format)
Group
Definition
Field containing multiple elements that uniquely identify each TED record.
Code/Value Specifications
N/A
Algorithm
N/A
Subordinate And/Or Group Elements
Subordinate
Group
INTERNAL CONTROL NUMBER
TIME STAMP
ADJUSTMENT KEY
N/A
DATA ELEMENT DEFINITION
ELEMENT NAME:  TIME STAMP
Notes And Special Instructions:
1  TED records with TYPE OF SUBMISSION A and C should be submitted using the same TIME STAMP value as the initial TED record. TED records with TYPE OF SUBMISSION B or E should be submitted with the same TIME STAMP value as the original non-TED record (HCSR).
Records/Locator Numbers
Record Name
Locator#
Occurrences
Required
Institutional
Non-Institutional
1-030
2-030
1
1
Yes1
Yes1
Primary Picture (Format)
Six (6) alphanumeric characters.
Definition
Unique system time assigned by the claims processor’s computer system. Used as part of the TED RECORD INDICATOR field for unique key definition. Once assigned, cannot be changed.
Code/Value Specifications
Issued in MMSSHH (Minutes, Seconds, Hundredths)
Algorithm
N/A
Subordinate And/Or Group Elements
Subordinate
Group
N/A
TED RECORD INDICATOR
DATA ELEMENT DEFINITION
ELEMENT NAME:  TOTAL CHARGE BY REVENUE CODE
Notes And Special Instructions:
N/A
Records/Locator Numbers
Record Name
Locator#
Occurrences
Required
Institutional
1-395
Up to 450
Yes
Primary Picture (Format)
Nine (9) signed numeric digits including two (2) decimal places.
Definition
Amount billed for this revenue code.
Code/Value Specifications
Must be equal to or less than 999,999.99 unless the occurrence/line item is for Revenue Code 0001, which must be equal to or less than 9,999,999.99.
Algorithm
N/A
Subordinate And/Or Group Elements
Subordinate
Group
N/A
N/A
DATA ELEMENT DEFINITION
ELEMENT NAME:  TOTAL OCCURRENCE/LINE ITEM COUNT
Notes And Special Instructions:
N/A
Records/Locator Numbers
Record Name
Locator#
Occurrences
Required
Institutional
Non-Institutional
1-375
2-140
1
1
Yes
Yes
Primary Picture (Format)
Three (3) signed numeric digits.
Definition
The total number of occurrences/line items reported on the TED record.
Code/Value Specifications
Institutional: Must be greater than 0 and not more than 450.
Non-Institutional: Must be greater than 0 and not more than 99.
Algorithm
N/A
Subordinate And/Or Group Elements
Subordinate
Group
N/A
N/A
DATA ELEMENT DEFINITION
ELEMENT NAME:  TYPE OF ADMISSION
Notes And Special Instructions:
N/A
Records/Locator Numbers
Record Name
Locator#
Occurrences
Required
Institutional
1-255
1
Yes
Primary Picture (Format)
One (1) alphanumeric character.
Definition
A code indicating the priority of this admission.
Code/Value Specifications
1.  Emergency
The patient requires immediate medical intervention as a result of severe, life threatening or potentially disabling conditions.
2.  Urgent
The patient requires immediate attention for the care and treatment of a physical or mental disorder.
3.  Elective
The patient’s condition permits adequate time to schedule the services.
4.  Newborn
Use of this code necessitates the use of special POINT OF ORIGIN codes (1 through 4).
5.  Trauma Center
Visit to a trauma center/hospital as licensed or designated by the state or local Government authority authorized to do so, or as verified by the American College of Surgeons and involving trauma activation.
Algorithm
N/A
Subordinate And/Or Group Elements
Subordinate
Group
N/A
TYPE OF BILL
DATA ELEMENT DEFINITION
ELEMENT NAME:  TYPE OF BILL
Notes And Special Instructions:
N/A
Records/Locator Numbers
Record Name
Locator#
Occurrences
Required
Institutional
1-245
1
Yes
Primary Picture (Format)
Group
Definition
Field that contains elements that define details of a patient’s stay in the institution.
Code/Value Specifications
N/A
Algorithm
N/A
Subordinate And/Or Group Elements
Subordinate
Group
FREQUENCY CODE
TYPE OF ADMISSION
N/A
DATA ELEMENT DEFINITION
ELEMENT NAME:  TYPE OF INSTITUTION
Notes And Special Instructions:
N/A
Records/Locator Numbers
Record Name
Locator#
Occurrences
Required
Institutional
1-235
1
Yes
Primary Picture (Format)
Two (2) alphanumeric characters.
Definition
Code describing the type of institution for institutional providers.
Code/Value Specifications
Refer to Addendum D, Figure 2.D-1.
Algorithm
N/A
Subordinate And/Or Group Elements
Subordinate
Group
N/A
N/A
DATA ELEMENT DEFINITION
ELEMENT NAME:  TYPE OF SERVICE
Notes And Special Instructions:
1  If the first position value of TYPE OF SERVICE code is P, the second position must be H.
2  If the second position value TYPE OF SERVICE code C is used on TED records for other than ADFMs. Do not report in conjunction with first position code A.
Records/Locator Numbers
Record Name
Locator#
Occurrences
Required
Non-Institutional
2-280
Up to 99
Yes
Primary Picture (Format)
Two (2) alphanumeric characters.
Definition
Code to indicate the type of service provided. Contractors should use their best business practices to assign second position type of service value.
Code/Value Specifications
TYPE OF SERVICE CODES - FIRST POSITION VALUES
A
Ambulatory surgery cost-shared as inpatient (ADFMs only)
I
Inpatient
K
Emergency Room Admission cost-shared as inpatient.
M
Outpatient maternity care cost-shared as inpatient
N
Outpatient cost-shared as inpatient
O
Outpatient, excluding M, N, or P
P1
Outpatient partial psychiatric hospitalization care cost-shared as inpatient
TYPE OF SERVICE CODES - SECOND POSITION VALUES
1
Medical Care
2
Surgery
3
Consultation
4
Diagnostic/Therapeutic X-Ray
5
Diagnostic Laboratory
6
Radiation Therapy
7
Anesthesia
8
Assistance at Surgery
9
Other Medical Services & Supplies
A
DME Rental/Purchase
B
Retail Drugs, Supplies, Prescription Authorizations, and Reviews
C2
Ambulatory Surgery
D
Hospice
E
Second Opinion on Elective Surgery
F
Maternity
G
Dental
H
Mental Health Care
I
Ambulance
J
ECHO (formerly PFPWD)
K
Physical/Occupational Therapy
L
Speech Therapy
M
Mail Order Pharmacy (MOP) Drugs, Supplies, Prescription Authorizations, and Reviews
Algorithm
N/A
Subordinate And/Or Group Elements
Subordinate
Group
N/A
N/A
DATA ELEMENT DEFINITION
ELEMENT NAME:  TYPE OF SUBMISSION
Notes And Special Instructions:
1  TYPE OF SUBMISSION codes B and E are to be used when reporting a cancellation or adjustment for a claim that was initially processed using HCSR Record format. Refer to Section 1.1 for further instructions. TYPE OF SUBMISSION codes B and E are not valid if Beginning Date of Care is on or after October 1, 2010.
2  See Addendum M for the data requirements for complete claim denials.
Records/Locator Numbers
Record Name
Locator#
Occurrences
Required
Institutional
Non-Institutional
1-165
2-100
1
1
Yes
Yes
Primary Picture (Format)
One (1) alphanumeric character.
Definition
Code indicating the TED record submission type.
Code/Value Specifications
A
Adjustment to TED record data
B1
Adjustment to non-TED record (HCSR) data
C
Complete cancellation to TED record data
D2
Complete denial initial TED record submission
E1
Complete cancellation of non-TED record (HCSR) data
I
Initial TED record submission
O
Zero Government payment TED record due to 100% OHI
R
Resubmission of an initial TED record (TYPE OF SUBMISSION was ‘I’) that was rejected due to errors
Algorithm
N/A
Subordinate And/Or Group Elements
Subordinate
Group
N/A
PROCESSING INFORMATION
DATA ELEMENT DEFINITION
ELEMENT NAME:  UNITS OF SERVICE BY REVENUE CODE
Notes And Special Instructions:
1  For complete claim denials when the appropriate value is not available, report 0000000001.
Records/Locator Numbers
Record Name
Locator#
Occurrences
Required
Institutional
1-390
Up to 450
Yes1
Primary Picture (Format)
Ten (10) signed numeric digits.
Definition
The number of services rendered by revenue category to or for the patient to include items such as numbers of accommodation days, pints of blood, treatments, etc.
Code/Value Specifications
N/A
Algorithm
N/A
Subordinate And/Or Group Elements
Subordinate
Group
N/A
N/A
- END -

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