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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

INSURANCE-PLAN-ID

Data Element

DE Number

FTX085

System DE Number

FTX.003.085

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 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. Conditional
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
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