FTX.003.085

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TMSIS Dataguide

Medicaid.gov

Version:

INSURANCE-PLAN-ID

Data Element

DE Number

FTX085

System DE Number

FTX.003.085

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	The ID number issued by the Insurance carrier providing third party liability insurance coverage to beneficiaries. Typically the Plan ID/Plan Number is on the beneficiaries' insurance card.
Size	X(20)
FLF Start Position	575
FLF Stop Position	594
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must not contain a pipe or asterisk symbol 2. Value must be 20 characters or less 3. Mandatory

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date

RULE ID	RULE Definition
RULE-8082	If a financial transaction is from an FTX file, then the insurance plan id value reported must be compatible with specified T-MSIS picture format: X(20).

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
FTX126	FTX.004.126	INSURANCE-PLAN-ID	FTX00004	GROUP-INSURANCE-PREMIUM-PAYMENT
FTX172	FTX.005.172	INSURANCE-PLAN-ID	FTX00005	COST-SHARING-OFFSET
TPL034	TPL.003.034	INSURANCE-PLAN-ID	TPL00003	TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO
TPL056	TPL.004.056	INSURANCE-PLAN-ID	TPL00004	TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
10/23/2025	4.0.20	FTX.003.085	UPDATE	Necessity	Situational	Mandatory
10/23/2025	4.0.20	FTX.003.085	UPDATE	Coding requirement	1. Value must not contain a pipe or asterisk symbol2. Value must be 20 characters or less3. Situational	1. Value must not contain a pipe or asterisk symbol2. Value must be 20 characters or less3. Mandatory
07/10/2025	4.0.13	FTX.003.085	UPDATE	Necessity	Conditional	Situational
07/10/2025	4.0.13	FTX.003.085	UPDATE	Coding requirement	1. Value must not contain a pipe or asterisk symbol2. Value must be 20 characters or less3. Conditional	1. Value must not contain a pipe or asterisk symbol2. Value must be 20 characters or less3. Situational
09/16/2024	4.0.0	FTX.003.085	UPDATE	File segment	None	69
09/16/2024	4.0.0	FTX.003.085	ADD	N/A		Created