FTX.003.081

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TMSIS Dataguide

Medicaid.gov

Version:

PAYEE-TAX-ID

Data Element

DE Number

FTX081

System DE Number

FTX.003.081

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 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

RULE ID	RULE Definition
RULE-8078	If a financial transaction is from an FTX file, then the payee tax id value reported must be compatible with specified T-MSIS picture format: X(30).

Measure ID	Measure Name

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

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
03/14/2025	4.0.4	FTX.003.081	UPDATE	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 either receiving a payment or having a previous payment recouped. The payee is the object of the transaction, as opposed to the payer who is the subject taking the action of either making a payment or taking a recoupment. This will typically belong to the entity identified as the X12 820 Premium Receiver.	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.
09/16/2024	4.0.0	FTX.003.081	UPDATE	File segment	None	69
09/16/2024	4.0.0	FTX.003.081	ADD	N/A		Created