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TMSIS Dataguide Medicaid.gov

Version:

PAYER-ID

Data Element

DE Number

FTX075

System DE Number

FTX.003.075

File Segment Number

FTX00003

Last updated

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
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