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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 Segment Number

FTX00003

Last updated

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
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