FTX.003.079

An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock () or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

TMSIS Dataguide

Medicaid.gov

Version:

PAYEE-ID-TYPE

Data Element

DE Number

FTX079

System DE Number

FTX.003.079

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 a qualifier that indicates what type of ID the payee ID is. For example, if the payee ID represents a provider ID, then the payee ID type will indicate that the payee ID should be interpreted as a provider ID.
Size	X(2)
FLF Start Position	329
FLF Stop Position	330
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 2 characters 2. Value must be in Payee Identifier Type List (VVL) 3. If value equals "01", then Payee Identifier must equal Submitting State (FTX.003.065) 4. If value equals "02", then Payee Identifier must equal State Plan Identification Number (MCR.002.019) 5. If value in [04,05], then Payee Identifier must equal Submitting State Provider Identifier (PRV.002.019) 6. If value equals "06", then Payee Identifier must equal Provider Identifier (PRV.005.081) where Provider Identifier Type (PRV.005.077) equals "2" 7. If value equals "07", then Payee Identifier must equal Insurance Carrier Identification Number (TPL.006.075) 8. If value equals "08", then Payee Identifier must equal MSIS Identification Number (ELG.002.019) 9. 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-8076	If a financial transaction is from an FTX file, then the payee id type value reported must be compatible with specified T-MSIS picture format: X(2).
RULE-8427	If the payee id type is populated on the Individual Health Insurance Premium Payment Transaction from a FTX file, then the payee id type reported must be found in the list of valid values.

Measure ID	Measure Name
RULE-8720	% of records with a PAYEE ID that is not found on the provider file during the premium period start date

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
FTX034	FTX.002.034	PAYEE-ID-TYPE	FTX00002	INDIVIDUAL-CAPITATION-PMPM
FTX120	FTX.004.120	PAYEE-ID-TYPE	FTX00004	GROUP-INSURANCE-PREMIUM-PAYMENT
FTX164	FTX.005.164	PAYEE-ID-TYPE	FTX00005	COST-SHARING-OFFSET
FTX207	FTX.006.207	PAYEE-ID-TYPE	FTX00006	VALUE-BASED-PAYMENT
FTX251	FTX.007.251	PAYEE-ID-TYPE	FTX00007	STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM
FTX294	FTX.008.294	PAYEE-ID-TYPE	FTX00008	COST-SETTLEMENT-PAYMENT
FTX333	FTX.009.333	PAYEE-ID-TYPE	FTX00009	FQHC-WRAP-PAYMENT
FTX374	FTX.095.374	PAYEE-ID-TYPE	FTX00095	MISCELLANEOUS-PAYMENT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
12/19/2024	4.0.1	FTX.003.079	UPDATE	Coding requirement	1. Value must be 2 characters2. Value must be in Payee Identifier Type List (VVL)3. If value equals "01", then Payee Identifier must equal Submitting State (FTX.001.007)4. If value equals "02", then Payee Identifier must equal State Plan Identification Number (MCR.002.019)5. If value in [04,05], then Payee Identifier must equal Submitting State Provider Identifier (PRV.002.019)6. If value equals "06", then Payee Identifier must equal Provider Identifier (PRV.005.081) where Provider Identifier Type (PRV.005.077) equals "2"7. If value equals "07", then Payee Identifier must equal Insurance Carrier Identification Number (TPL.006.075)8. If value equals "08", then Payee Identifier must equal MSIS Identification Number (ELG.002.019)9. Mandatory	1. Value must be 2 characters2. Value must be in Payee Identifier Type List (VVL)3. If value equals "01", then Payee Identifier must equal Submitting State (FTX.003.065)4. If value equals "02", then Payee Identifier must equal State Plan Identification Number (MCR.002.019)5. If value in [04,05], then Payee Identifier must equal Submitting State Provider Identifier (PRV.002.019)6. If value equals "06", then Payee Identifier must equal Provider Identifier (PRV.005.081) where Provider Identifier Type (PRV.005.077) equals "2"7. If value equals "07", then Payee Identifier must equal Insurance Carrier Identification Number (TPL.006.075)8. If value equals "08", then Payee Identifier must equal MSIS Identification Number (ELG.002.019)9. Mandatory
09/16/2024	4.0.0	FTX.003.079	UPDATE	File segment	None	69
09/16/2024	4.0.0	FTX.003.079	ADD	N/A		Created