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Data Element
FTX081
FTX.003.081
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. |
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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 |
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DE Number | System DE Number | DE Name | File Segment Number | File Segment Name |
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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 |