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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

PAYMENT-OR-RECOUPMENT-DATE

Data Element

DE Number

FTX286

System DE Number

FTX.008.286

File Name

FTX - FINANCIAL TRANSACTION

File Segment Number

FTX00008

File Segment Name

COST-SETTLEMENT-PAYMENT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition The date that the payment or recoupment 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. Mandatory
3. Value of the CC component must be equal to "20"
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
FTX024 FTX.002.024 PAYMENT-OR-RECOUPMENT-DATE FTX00002 INDIVIDUAL-CAPITATION-PMPM
FTX071 FTX.003.071 PAYMENT-OR-RECOUPMENT-DATE FTX00003 INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT
FTX156 FTX.005.156 PAYMENT-OR-RECOUPMENT-DATE FTX00005 COST-SHARING-OFFSET
FTX199 FTX.006.199 PAYMENT-OR-RECOUPMENT-DATE FTX00006 VALUE-BASED-PAYMENT
FTX243 FTX.007.243 PAYMENT-OR-RECOUPMENT-DATE FTX00007 STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM
FTX325 FTX.009.325 PAYMENT-OR-RECOUPMENT-DATE FTX00009 FQHC-WRAP-PAYMENT
FTX364 FTX.095.364 PAYMENT-OR-RECOUPMENT-DATE FTX00095 MISCELLANEOUS-PAYMENT