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Data Element
FTX074
FTX.003.074
Definition | The check or electronic funds transfer number. |
---|---|
Size | X(15) |
FLF Start Position | 152 |
FLF Stop Position | 166 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must be 15 characters or less 2. When populated, value must have an associated Check Effective Date 3. Value must not contain a pipe or asterisk symbols 4. Conditional |
Valid Value Code Set | Valid Value Code | Valid Value Name | Valid Value Description | Effective Start Date | Effective End Date |
---|
DE Number | System DE Number | DE Name | File Segment Number | File Segment Name |
---|---|---|---|---|
CIP105 | CIP.002.105 | CHECK-NUM | CIP00002 | CLAIM-HEADER-RECORD-IP |
CLT057 | CLT.002.057 | CHECK-NUM | CLT00002 | CLAIM-HEADER-RECORD-LT |
COT042 | COT.002.042 | CHECK-NUM | COT00002 | CLAIM-HEADER-RECORD-OT |
CRX033 | CRX.002.033 | CHECK-NUM | CRX00002 | CLAIM-HEADER-RECORD-RX |
FTX027 | FTX.002.027 | CHECK-NUM | FTX00002 | INDIVIDUAL-CAPITATION-PMPM |
FTX115 | FTX.004.115 | CHECK-NUM | FTX00004 | GROUP-INSURANCE-PREMIUM-PAYMENT |
FTX159 | FTX.005.159 | CHECK-NUM | FTX00005 | COST-SHARING-OFFSET |
FTX202 | FTX.006.202 | CHECK-NUM | FTX00006 | VALUE-BASED-PAYMENT |
FTX246 | FTX.007.246 | CHECK-NUM | FTX00007 | STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM |
FTX289 | FTX.008.289 | CHECK-NUM | FTX00008 | COST-SETTLEMENT-PAYMENT |
FTX328 | FTX.009.328 | CHECK-NUM | FTX00009 | FQHC-WRAP-PAYMENT |
FTX367 | FTX.095.367 | CHECK-NUM | FTX00095 | MISCELLANEOUS-PAYMENT |