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Data Element
FTX175
FTX.005.175
Definition | The date representing the end of the period covered by the capitation payment or premium payment that the beneficiary is offsetting; for example, the last day of the calendar month of beneficiary enrollment in the managed care plan to which the off-setting amount is applied. If returning money to the beneficiary, this is the date representing the end of the period for which the beneficiary had previously made an offsetting payment that is now being returned to them. |
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Size | 9(8) |
FLF Start Position | 813 |
FLF Stop Position | 820 |
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 Cost Settlement 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 |
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DE Number | System DE Number | DE Name | File Segment Number | File Segment Name |
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