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Data Element
FTX083
FTX.003.083
Definition | This is a description of what the PAYEE-TAX-ID-TYPE represents when the PAYEE-TAX-ID-TYPE was reported with a payee tax ID type of "Other". |
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Size | X(100) |
FLF Start Position | 463 |
FLF Stop Position | 562 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must be 100 characters or less 2. Value must be populated when Payee Tax Identifier Type equals "95" 3. Conditional |
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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FTX040 | FTX.002.040 | PAYEE-TAX-ID-TYPE-OTHER-TEXT | FTX00002 | INDIVIDUAL-CAPITATION-PMPM |
FTX124 | FTX.004.124 | PAYEE-TAX-ID-TYPE-OTHER-TEXT | FTX00004 | GROUP-INSURANCE-PREMIUM-PAYMENT |
FTX170 | FTX.005.170 | PAYEE-TAX-ID-TYPE-OTHER-TEXT | FTX00005 | COST-SHARING-OFFSET |
FTX213 | FTX.006.213 | PAYEE-TAX-ID-TYPE-OTHER-TEXT | FTX00006 | VALUE-BASED-PAYMENT |
FTX257 | FTX.007.257 | PAYEE-TAX-ID-TYPE-OTHER-TEXT | FTX00007 | STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM |
FTX300 | FTX.008.300 | PAYEE-TAX-ID-TYPE-OTHER-TEXT | FTX00008 | COST-SETTLEMENT-PAYMENT |
FTX339 | FTX.009.339 | PAYEE-TAX-ID-TYPE-OTHER-TEXT | FTX00009 | FQHC-WRAP-PAYMENT |
FTX380 | FTX.095.380 | PAYEE-TAX-ID-TYPE-OTHER-TEXT | FTX00095 | MISCELLANEOUS-PAYMENT |