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TMSIS Dataguide Medicaid.gov

Version:

PAYEE-TAX-ID

Data Element

DE Number

FTX081

System DE Number

FTX.003.081

File Segment Number

FTX00003

Last updated

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 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 belong to the entity identified as the X12 820 Premium Receiver.
Size X(30)
FLF Start Position 431
FLF Stop Position 460
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be 30 characters or less
2. Mandatory
3. If Payee Tax ID Type equals "01", then value must be 9-digits and meet the requirements of a valid SSN per SSA requirements
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
FTX038 FTX.002.038 PAYEE-TAX-ID FTX00002 INDIVIDUAL-CAPITATION-PMPM
FTX122 FTX.004.122 PAYEE-TAX-ID FTX00004 GROUP-INSURANCE-PREMIUM-PAYMENT
FTX168 FTX.005.168 PAYEE-TAX-ID FTX00005 COST-SHARING-OFFSET
FTX211 FTX.006.211 PAYEE-TAX-ID FTX00006 VALUE-BASED-PAYMENT
FTX255 FTX.007.255 PAYEE-TAX-ID FTX00007 STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM
FTX298 FTX.008.298 PAYEE-TAX-ID FTX00008 COST-SETTLEMENT-PAYMENT
FTX337 FTX.009.337 PAYEE-TAX-ID FTX00009 FQHC-WRAP-PAYMENT
FTX378 FTX.095.378 PAYEE-TAX-ID FTX00095 MISCELLANEOUS-PAYMENT