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Data Element
FTX084
FTX.003.084
Definition | The state-assigned identification number of the Third Party Liability (TPL) Entity. |
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Size | X(12) |
FLF Start Position | 563 |
FLF Stop Position | 574 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must be 12 characters or less 2. Value must not contain a pipe or asterisk symbols 3. Mandatory |
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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FTX125 | FTX.004.125 | INSURANCE-CARRIER-ID-NUM | FTX00004 | GROUP-INSURANCE-PREMIUM-PAYMENT |
FTX382 | FTX.095.382 | INSURANCE-CARRIER-ID-NUM | FTX00095 | MISCELLANEOUS-PAYMENT |
TPL033 | TPL.003.033 | INSURANCE-CARRIER-ID-NUM | TPL00003 | TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL055 | TPL.004.055 | INSURANCE-CARRIER-ID-NUM | TPL00004 | TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES |
TPL075 | TPL.006.075 | INSURANCE-CARRIER-ID-NUM | TPL00006 | TPL-ENTITY-CONTACT-INFORMATION |