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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

INSURANCE-CARRIER-ID-NUM

Data Element

DE Number

FTX084

System DE Number

FTX.003.084

File Name

FTX - FINANCIAL TRANSACTION

File Segment Number

FTX00003

File Segment Name

INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition The state-assigned identification number of the Third Party Liability (TPL) Entity.
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
DE Number System DE Number DE Name File Segment Number File Segment Name
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