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Data Element
FTX337
FTX.009.337
| Definition | This is the identifier that corresponds with the payee's role in relation to the Medicaid/CHIP system. The payee is the individual or entity that is either receiving a payment or having a previous payment recouped. The payee is the object of the transaction, as opposed to the payer who is the subject taking the action of either making a payment or taking a recoupment. | 
|---|---|
| Size | X(30) | 
| FLF Start Position | 533 | 
| FLF Stop Position | 562 | 
| Segment Key Field Identifier | Not Applicable | 
| Coding Requirements | 1. Value must be 30 characters or less 2. Mandatory 3. If Payee Tax ID Type equals "01", then value must be 9-digits and meet the requirements of a valid SSN per SSA requirements  | 
                                    
| 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 | 
|---|---|---|---|---|
| FTX038 | FTX.002.038 | PAYEE-TAX-ID | FTX00002 | INDIVIDUAL-CAPITATION-PMPM | 
| FTX081 | FTX.003.081 | PAYEE-TAX-ID | FTX00003 | INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT | 
| FTX122 | FTX.004.122 | PAYEE-TAX-ID | FTX00004 | GROUP-INSURANCE-PREMIUM-PAYMENT | 
| FTX168 | FTX.005.168 | PAYEE-TAX-ID | FTX00005 | COST-SHARING-OFFSET | 
| FTX211 | FTX.006.211 | PAYEE-TAX-ID | FTX00006 | VALUE-BASED-PAYMENT | 
| FTX255 | FTX.007.255 | PAYEE-TAX-ID | FTX00007 | STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM | 
| FTX298 | FTX.008.298 | PAYEE-TAX-ID | FTX00008 | COST-SETTLEMENT-PAYMENT | 
| FTX378 | FTX.095.378 | PAYEE-TAX-ID | FTX00095 | MISCELLANEOUS-PAYMENT |