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TMSIS Dataguide Medicaid.gov

Version:

ADJUSTMENT-IND

Data Element

DE Number

FTX198

System DE Number

FTX.006.198

File Segment Number

FTX00006

File Segment Name

VALUE-BASED-PAYMENT

Last updated

Definition Indicates the type of adjustment record.
Size X(1)
FLF Start Position 122
FLF Stop Position 122
Segment Key Field Identifier 4
Coding Requirements 1. Value must be 1 character
2. Value must be in Adjustment Indicator List (VVL)
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
CIP026 CIP.002.026 ADJUSTMENT-IND CIP00002 CLAIM-HEADER-RECORD-IP
CIP327 CIP.004.327 ADJUSTMENT-IND CIP00004 CLAIM-DX-IP
CLT025 CLT.002.025 ADJUSTMENT-IND CLT00002 CLAIM-HEADER-RECORD-LT
CLT273 CLT.004.273 ADJUSTMENT-IND CLT00004 CLAIM-DX-LT
COT025 COT.002.025 ADJUSTMENT-IND COT00002 CLAIM-HEADER-RECORD-OT
COT279 COT.004.279 ADJUSTMENT-IND COT00004 CLAIM-DX-OT
CRX025 CRX.002.025 ADJUSTMENT-IND CRX00002 CLAIM-HEADER-RECORD-RX
CRX201 CRX.004.201 ADJUSTMENT-IND CRX00004 CLAIM-DX-RX
FTX023 FTX.002.023 ADJUSTMENT-IND FTX00002 INDIVIDUAL-CAPITATION-PMPM
FTX070 FTX.003.070 ADJUSTMENT-IND FTX00003 INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT
FTX111 FTX.004.111 ADJUSTMENT-IND FTX00004 GROUP-INSURANCE-PREMIUM-PAYMENT
FTX155 FTX.005.155 ADJUSTMENT-IND FTX00005 COST-SHARING-OFFSET
FTX242 FTX.007.242 ADJUSTMENT-IND FTX00007 STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM
FTX285 FTX.008.285 ADJUSTMENT-IND FTX00008 COST-SETTLEMENT-PAYMENT
FTX324 FTX.009.324 ADJUSTMENT-IND FTX00009 FQHC-WRAP-PAYMENT
FTX363 FTX.095.363 ADJUSTMENT-IND FTX00095 MISCELLANEOUS-PAYMENT