FTX.004.112

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TMSIS Dataguide

Medicaid.gov

Version:

PAYMENT-DATE

Data Element

DE Number

FTX112

System DE Number

FTX.004.112

File Name

FTX - FINANCIAL TRANSACTION

File Segment Number

File Segment Name

GROUP-INSURANCE-PREMIUM-PAYMENT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The date that the payment was executed by the payer.
Size	9(8)
FLF Start Position	123
FLF Stop Position	130
Segment Key Field Identifier	5
Coding Requirements	1. The date must be a valid calendar date in the form "CCYYMMDD" 2. Value of the CC component must be equal to "20" 3. 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-8108	If a financial transaction is from an FTX file, then the payment or recoupment date value reported must be a valid date of the form CCYYMMDD.
RULE-8640	If the Group Insurance Premium Payment Transactions segment is populated from a FTX file, then the PAYMENT-DATE must be populated
RULE-8712	If a financial transaction is from an FTX file Group Insurance Premium Payment segment, then submitting state, original ICN, adjustment ICN, payment date, adjustment indicator, msis identification number, and ssn values reported must be unique across all financial transactions in Group Insurance Premium Payment segment.

Measure ID	Measure Name
RULE-8640	% of records missing PAYMENT-DATE

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
03/14/2025	4.0.4	FTX.004.112	UPDATE	Definition	The date that the payment or recoupment was executed by the payer.	The date that the payment was executed by the payer.
09/16/2024	4.0.0	FTX.004.112	UPDATE	File segment	None	70
09/16/2024	4.0.0	FTX.004.112	ADD	N/A		Created