FTX.003.073

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TMSIS Dataguide

Medicaid.gov

Version:

CHECK-EFF-DATE

Data Element

DE Number

FTX073

System DE Number

FTX.003.073

File Name

FTX - FINANCIAL TRANSACTION

File Segment Number

File Segment Name

INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The date a check is issued to the payee. In the case of electronic funds transfer, it is the date the transfer is made.
Size	9(8)
FLF Start Position	144
FLF Stop Position	151
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. The date must be a valid calendar date in the form "CCYYMMDD" 2. Must have an associated Check Number 3. Situational 4. Value of the CC component must be equal to "20"

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date

RULE ID	RULE Definition
RULE-8070	If a financial transaction is from an FTX file, then the check effecive date value reported must be a valid date of the form CCYYMMDD.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP106	CIP.002.106	CHECK-EFF-DATE	CIP00002	CLAIM-HEADER-RECORD-IP
CLT058	CLT.002.058	CHECK-EFF-DATE	CLT00002	CLAIM-HEADER-RECORD-LT
COT043	COT.002.043	CHECK-EFF-DATE	COT00002	CLAIM-HEADER-RECORD-OT
CRX034	CRX.002.034	CHECK-EFF-DATE	CRX00002	CLAIM-HEADER-RECORD-RX
FTX026	FTX.002.026	CHECK-EFF-DATE	FTX00002	INDIVIDUAL-CAPITATION-PMPM
FTX114	FTX.004.114	CHECK-EFF-DATE	FTX00004	GROUP-INSURANCE-PREMIUM-PAYMENT
FTX158	FTX.005.158	CHECK-EFF-DATE	FTX00005	COST-SHARING-OFFSET
FTX201	FTX.006.201	CHECK-EFF-DATE	FTX00006	VALUE-BASED-PAYMENT
FTX245	FTX.007.245	CHECK-EFF-DATE	FTX00007	STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM
FTX288	FTX.008.288	CHECK-EFF-DATE	FTX00008	COST-SETTLEMENT-PAYMENT
FTX327	FTX.009.327	CHECK-EFF-DATE	FTX00009	FQHC-WRAP-PAYMENT
FTX366	FTX.095.366	CHECK-EFF-DATE	FTX00095	MISCELLANEOUS-PAYMENT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
07/10/2025	4.0.13	FTX.003.073	UPDATE	Necessity	Conditional	Situational
07/10/2025	4.0.13	FTX.003.073	UPDATE	Coding requirement	1. The date must be a valid calendar date in the form "CCYYMMDD"2. Must have an associated Check Number3. Conditional4. Value of the CC component must be equal to "20"	1. The date must be a valid calendar date in the form "CCYYMMDD"2. Must have an associated Check Number3. Situational4. Value of the CC component must be equal to "20"
09/16/2024	4.0.0	FTX.003.073	UPDATE	File segment	None	69
09/16/2024	4.0.0	FTX.003.073	ADD	N/A		Created