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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

PAYEE-TAX-ID-TYPE

Data Element

DE Number

FTX338

System DE Number

FTX.009.338

File Name

FTX - FINANCIAL TRANSACTION

File Segment Number

FTX00009

File Segment Name

FQHC-WRAP-PAYMENT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition This is a qualifier that indicates what type of tax ID the payee tax ID is. For example, if the payee tax ID represents a SSN, then the payee tax ID type will indicate that the payee tax ID should be interpreted as a SSN.
Size X(2)
FLF Start Position 563
FLF Stop Position 564
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be 2 characters
2. Value must be in Payee Tax ID Type 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
FTX039 FTX.002.039 PAYEE-TAX-ID-TYPE FTX00002 INDIVIDUAL-CAPITATION-PMPM
FTX082 FTX.003.082 PAYEE-TAX-ID-TYPE FTX00003 INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT
FTX123 FTX.004.123 PAYEE-TAX-ID-TYPE FTX00004 GROUP-INSURANCE-PREMIUM-PAYMENT
FTX169 FTX.005.169 PAYEE-TAX-ID-TYPE FTX00005 COST-SHARING-OFFSET
FTX212 FTX.006.212 PAYEE-TAX-ID-TYPE FTX00006 VALUE-BASED-PAYMENT
FTX256 FTX.007.256 PAYEE-TAX-ID-TYPE FTX00007 STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM
FTX299 FTX.008.299 PAYEE-TAX-ID-TYPE FTX00008 COST-SETTLEMENT-PAYMENT
FTX379 FTX.095.379 PAYEE-TAX-ID-TYPE FTX00095 MISCELLANEOUS-PAYMENT