FTX.003.075

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TMSIS Dataguide

Medicaid.gov

Version:

PAYER-ID

Data Element

DE Number

FTX075

System DE Number

FTX.003.075

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	This is the identifier that corresponds with the payer's role in relation to the Medicaid/CHIP system. The payer is the subject taking the action of making a payment, as opposed to the payee who is the object of the transaction. The payer is the entity that is making a payment. The payee is the individual or entity that is receiving a payment. This will typically correspond to the X12 820 Premium Payer.
Size	X(30)
FLF Start Position	167
FLF Stop Position	196
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 30 characters or less 2. Mandatory

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

RULE ID	RULE Definition
RULE-8072	If a financial transaction is from an FTX file, then the payer id value reported must be compatible with specified T-MSIS picture format: X(30).
RULE-8795	If a financial transaction is a non-void, and the PAYER ID is populated on Individual Health Insurance Premium Payment segment from the FTX file and the PAYER ID Type is State, then the PAYER ID value reported must be equal to the value populated for submitting state.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
FTX028	FTX.002.028	PAYER-ID	FTX00002	INDIVIDUAL-CAPITATION-PMPM
FTX116	FTX.004.116	PAYER-ID	FTX00004	GROUP-INSURANCE-PREMIUM-PAYMENT
FTX160	FTX.005.160	PAYER-ID	FTX00005	COST-SHARING-OFFSET
FTX203	FTX.006.203	PAYER-ID	FTX00006	VALUE-BASED-PAYMENT
FTX247	FTX.007.247	PAYER-ID	FTX00007	STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM
FTX290	FTX.008.290	PAYER-ID	FTX00008	COST-SETTLEMENT-PAYMENT
FTX329	FTX.009.329	PAYER-ID	FTX00009	FQHC-WRAP-PAYMENT
FTX368	FTX.095.368	PAYER-ID	FTX00095	MISCELLANEOUS-PAYMENT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
03/14/2025	4.0.4	FTX.003.075	UPDATE	Definition	This is the identifier that corresponds with the payer's role in relation to the Medicaid/CHIP system. The payer is the subject taking the action of either making a payment or taking a recoupment, as opposed to the payee who is the object of the transaction. The payer is the entity that is either making a payment or recouping a payment from another entity or individual. The payee is the individual or entity that is either receiving a payment or having a previous payment recouped. This will typically correspond to the X12 820 Premium Payer.	This is the identifier that corresponds with the payer's role in relation to the Medicaid/CHIP system. The payer is the subject taking the action of making a payment, as opposed to the payee who is the object of the transaction. The payer is the entity that is making a payment. The payee is the individual or entity that is receiving a payment. This will typically correspond to the X12 820 Premium Payer.
09/16/2024	4.0.0	FTX.003.075	UPDATE	File segment	None	69
09/16/2024	4.0.0	FTX.003.075	ADD	N/A		Created