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Data Element
FTX078
FTX.003.078
Definition | This is the identifier that corresponds with the payee's role in relation to the Medicaid/CHIP system. The payee is the individual or entity that is receiving a payment. The payee is the object of the transaction, as opposed to the payer who is the subject taking the action of making a payment. This will typically correspond to the X12 820 Premium Receiver. |
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Size | X(30) |
FLF Start Position | 299 |
FLF Stop Position | 328 |
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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FTX033 | FTX.002.033 | PAYEE-ID | FTX00002 | INDIVIDUAL-CAPITATION-PMPM |
FTX119 | FTX.004.119 | PAYEE-ID | FTX00004 | GROUP-INSURANCE-PREMIUM-PAYMENT |
FTX163 | FTX.005.163 | PAYEE-ID | FTX00005 | COST-SHARING-OFFSET |
FTX206 | FTX.006.206 | PAYEE-ID | FTX00006 | VALUE-BASED-PAYMENT |
FTX250 | FTX.007.250 | PAYEE-ID | FTX00007 | STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM |
FTX293 | FTX.008.293 | PAYEE-ID | FTX00008 | COST-SETTLEMENT-PAYMENT |
FTX332 | FTX.009.332 | PAYEE-ID | FTX00009 | FQHC-WRAP-PAYMENT |
FTX373 | FTX.095.373 | PAYEE-ID | FTX00095 | MISCELLANEOUS-PAYMENT |