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Data Element
FTX075
FTX.003.075
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. |
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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 |
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DE Number | System DE Number | DE Name | File Segment Number | File Segment Name |
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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 |