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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

PAYMENT-OR-RECOUPMENT-AMOUNT

Data Element

DE Number

FTX157

System DE Number

FTX.005.157

File Name

FTX - FINANCIAL TRANSACTION

File Segment Number

FTX00005

File Segment Name

COST-SHARING-OFFSET

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition The dollar amount being paid to the payee or recouped from the payee for a previous payment. A recoupment should be reported as a negative amount.
Size S9(11)V99
FLF Start Position 131
FLF Stop Position 143
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be between -99999999999.99 and 99999999999.99
2. Value must be expressed as a number with 2-digit precision (e.g. 100.50)
3. 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
FTX025 FTX.002.025 PAYMENT-OR-RECOUPMENT-AMOUNT FTX00002 INDIVIDUAL-CAPITATION-PMPM
FTX200 FTX.006.200 PAYMENT-OR-RECOUPMENT-AMOUNT FTX00006 VALUE-BASED-PAYMENT
FTX244 FTX.007.244 PAYMENT-OR-RECOUPMENT-AMOUNT FTX00007 STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM
FTX287 FTX.008.287 PAYMENT-OR-RECOUPMENT-AMOUNT FTX00008 COST-SETTLEMENT-PAYMENT
FTX326 FTX.009.326 PAYMENT-OR-RECOUPMENT-AMOUNT FTX00009 FQHC-WRAP-PAYMENT
FTX365 FTX.095.365 PAYMENT-OR-RECOUPMENT-AMOUNT FTX00095 MISCELLANEOUS-PAYMENT