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Data Element
FTX102
FTX.003.102
Definition | This represents any notes from the state's ledger/accounting system associated with the payment. |
---|---|
Size | X(500) |
FLF Start Position | 854 |
FLF Stop Position | 1353 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must be 500 characters or less 2. 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 |
---|---|---|---|---|
FTX061 | FTX.002.061 | MEMO | FTX00002 | INDIVIDUAL-CAPITATION-PMPM |
FTX146 | FTX.004.146 | MEMO | FTX00004 | GROUP-INSURANCE-PREMIUM-PAYMENT |
FTX189 | FTX.005.189 | MEMO | FTX00005 | COST-SHARING-OFFSET |
FTX233 | FTX.006.233 | MEMO | FTX00006 | VALUE-BASED-PAYMENT |
FTX276 | FTX.007.276 | MEMO | FTX00007 | STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM |
FTX315 | FTX.008.315 | MEMO | FTX00008 | COST-SETTLEMENT-PAYMENT |
FTX354 | FTX.009.354 | MEMO | FTX00009 | FQHC-WRAP-PAYMENT |
FTX404 | FTX.095.404 | MEMO | FTX00095 | MISCELLANEOUS-PAYMENT |