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TMSIS Dataguide Medicaid.gov

Version:

PAYMENT-PERIOD-TYPE-OTHER-TEXT

Data Element

DE Number

FTX262

System DE Number

FTX.007.262

File Segment Number

FTX00007

Last updated

Definition This is a description of the type of financial transaction when the PAYMENT-PERIOD-TYPE is "Other".
Size X(100)
FLF Start Position 783
FLF Stop Position 882
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be 100 characters or less
2. Value must be populated when Payment Period Type equals "95"
3. Conditional
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
FTX387 FTX.095.387 PAYMENT-PERIOD-TYPE-OTHER-TEXT FTX00095 MISCELLANEOUS-PAYMENT