FTX.003.089

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TMSIS Dataguide

Medicaid.gov

Version:

PREMIUM-PERIOD-END-DATE

Data Element

DE Number

FTX089

System DE Number

FTX.003.089

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 date representing the end of the period covered by the premium payment; for example, the last day of the calendar month of beneficiary coverage in the insurance plan that the payment is intended to cover (whether or not the beneficiary actually receives services during that month).
Size	9(8)
FLF Start Position	643
FLF Stop Position	650
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. The date must be a valid calendar date in the form "CCYYMMDD" 2. Value must be after or the same as the associated Premium Period Start Date 3. Value of the CC component must be equal to "20" 4. 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-8086	If a financial transaction is from an FTX file, then the premium period end date value reported must be a valid date of the form CCYYMMDD.
RULE-8657	If the Insurance Premium Payment Transaction segment is populated from a FTX file, then the PREMIUM-PERIOD-END-DATE must be populated

Measure ID	Measure Name
TPL-6-001-1	# of records with private health insurance premium with end date in the current month
TPL-6-002-4	# of records with private health insurance premium with end date in the previous month
TPL-6-003-3	# of records with private health insurance premium with end date prior to the previous month
TPL-6-004-2	# of records with private health insurance premium with end date in future month
TPL-7-001-1	# of records with private health insurance premium with end date in the current month
TPL-7-002-4	# of records with private health insurance premium with end date in the previous month
TPL-7-003-3	# of records with private health insurance premium with end date prior to the previous month
TPL-7-004-2	# of records with private health insurance premium with end date in future month
RULE-8657	% missing: PREMIUM-PERIOD-END-DATE (FTX00003)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
FTX133	FTX.004.133	PREMIUM-PERIOD-END-DATE	FTX00004	GROUP-INSURANCE-PREMIUM-PAYMENT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
03/14/2025	4.0.4	FTX.003.089	UPDATE	Definition	The date representing the end of the period covered by the premium payment or recoupment; for example, the last day of the calendar month of beneficiary coverage in the insurance plan that the payment is intended to cover (whether or not the beneficiary actually receives services during that month).	The date representing the end of the period covered by the premium payment; for example, the last day of the calendar month of beneficiary coverage in the insurance plan that the payment is intended to cover (whether or not the beneficiary actually receives services during that month).
09/16/2024	4.0.0	FTX.003.089	UPDATE	File segment	None	69
09/16/2024	4.0.0	FTX.003.089	ADD	N/A		Created