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Data Element
FTX098
FTX.003.098
Definition | The field denotes the claims/transaction processing system in which the claims/transactions were originally processed. |
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Size | X(2) |
FLF Start Position | 735 |
FLF Stop Position | 736 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must be 2 characters 2. Value must be in Source Location List (VVL) 3. Mandatory |
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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CIP104 | CIP.002.104 | SOURCE-LOCATION | CIP00002 | CLAIM-HEADER-RECORD-IP |
CLT056 | CLT.002.056 | SOURCE-LOCATION | CLT00002 | CLAIM-HEADER-RECORD-LT |
COT041 | COT.002.041 | SOURCE-LOCATION | COT00002 | CLAIM-HEADER-RECORD-OT |
CRX032 | CRX.002.032 | SOURCE-LOCATION | CRX00002 | CLAIM-HEADER-RECORD-RX |
FTX054 | FTX.002.054 | SOURCE-LOCATION | FTX00002 | INDIVIDUAL-CAPITATION-PMPM |
FTX142 | FTX.004.142 | SOURCE-LOCATION | FTX00004 | GROUP-INSURANCE-PREMIUM-PAYMENT |
FTX185 | FTX.005.185 | SOURCE-LOCATION | FTX00005 | COST-SHARING-OFFSET |
FTX227 | FTX.006.227 | SOURCE-LOCATION | FTX00006 | VALUE-BASED-PAYMENT |
FTX271 | FTX.007.271 | SOURCE-LOCATION | FTX00007 | STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM |
FTX311 | FTX.008.311 | SOURCE-LOCATION | FTX00008 | COST-SETTLEMENT-PAYMENT |
FTX350 | FTX.009.350 | SOURCE-LOCATION | FTX00009 | FQHC-WRAP-PAYMENT |
FTX399 | FTX.095.399 | SOURCE-LOCATION | FTX00095 | MISCELLANEOUS-PAYMENT |