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Data Element
FTX085
FTX.003.085
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. |
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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. 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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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 |