FTX.095.368

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TMSIS Dataguide

Medicaid.gov

Version:

PAYER-ID

Data Element

DE Number

FTX368

System DE Number

FTX.095.368

File Name

FTX - FINANCIAL TRANSACTION

File Segment Number

File Segment Name

MISCELLANEOUS-PAYMENT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The Record ID represents the type of segment being reported. The Record ID communicates how the contents of a given row of data should be interpreted depending on which segment type the Record ID represents. Each type of segment collects different data elements so each segment type has a distinct layout. The first 3 characters identify the relevant file (e.g., ELG, PRV, CIP, etc.). The last 5 digits are the segment identifier padded with leading zeros (e.g., 00001, 00002, 00003, etc.).
Size	X(30)
FLF Start Position	167
FLF Stop Position	196
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 30 characters or less 2. Mandatory

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date

RULE ID	RULE Definition
RULE-8358	If a financial transaction is from an FTX file, then the payer id value reported must be compatible with specified T-MSIS picture format: X(30).
RULE-8745	If a financial transaction is a non-void, and the payer ID is populated on Miscellaneous Payment segment from the FTX file and the payer id type is Sub-capitated network provider ID, then the payer ID value reported must be equal to a submitting state provider ID on a provider main attributes segment from a PRV file where the effective and end dates of the provider main attributes segment overlap with the payment period start date on the financial transaction.
RULE-8766	If a financial transaction is a non-void, and the PAYER ID is populated on Miscellaneous Payment segment from the FTX file and the PAYER ID Type is Capitated plan ID, then the PAYER ID value reported must be equal to a State Plan Identification Number on a managed care main segment from a MCR file where the managed care contract effective and end dates of the managed care main segment overlap with the payment period start date on the financial transaction.
RULE-8802	If a financial transaction is a non-void, and the PAYER ID is populated on Miscellaneous Payment segment from the FTX file and the PAYER ID Type is State, then the PAYER ID value reported must be equal to the value populated for submitting state.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
FTX028	FTX.002.028	PAYER-ID	FTX00002	INDIVIDUAL-CAPITATION-PMPM
FTX075	FTX.003.075	PAYER-ID	FTX00003	INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT
FTX116	FTX.004.116	PAYER-ID	FTX00004	GROUP-INSURANCE-PREMIUM-PAYMENT
FTX160	FTX.005.160	PAYER-ID	FTX00005	COST-SHARING-OFFSET
FTX203	FTX.006.203	PAYER-ID	FTX00006	VALUE-BASED-PAYMENT
FTX247	FTX.007.247	PAYER-ID	FTX00007	STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM
FTX290	FTX.008.290	PAYER-ID	FTX00008	COST-SETTLEMENT-PAYMENT
FTX329	FTX.009.329	PAYER-ID	FTX00009	FQHC-WRAP-PAYMENT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
10/10/2025	4.0.19	FTX.095.368	UPDATE	Definition	This is the identifier that corresponds with the payer's role in relation to the Medicaid/CHIP system. The payer is the subject taking the action of either making a payment or taking a recoupment, as opposed to the payee who is the object of the transaction. The payer is the entity that is either making a payment or recouping a payment from another entity or individual. The payee is the individual or entity that is either receiving a payment or having a previous payment recouped.	The Record ID represents the type of segment being reported. The Record ID communicates how the contents of a given row of data should be interpreted depending on which segment type the Record ID represents. Each type of segment collects different data elements so each segment type has a distinct layout. The first 3 characters identify the relevant file (e.g., ELG, PRV, CIP, etc.). The last 5 digits are the segment identifier padded with leading zeros (e.g., 00001, 00002, 00003, etc.).
05/29/2025	4.0.9	FTX.095.368	UPDATE	Definition	The Record ID represents the type of segment being reported. The Record ID communicates how the contents of a given row of data should be interpreted depending on which segment type the Record ID represents. Each type of segment collects different data elements so each segment type has a distinct layout. The first 3 characters identify the relevant file (e.g., ELG, PRV, CIP, etc.). The last 5 digits are the segment identifier padded with leading zeros (e.g., 00001, 00002, 00003, etc.).	This is the identifier that corresponds with the payer's role in relation to the Medicaid/CHIP system. The payer is the subject taking the action of either making a payment or taking a recoupment, as opposed to the payee who is the object of the transaction. The payer is the entity that is either making a payment or recouping a payment from another entity or individual. The payee is the individual or entity that is either receiving a payment or having a previous payment recouped.
09/16/2024	4.0.0	FTX.095.368	UPDATE	File segment	None	76
09/16/2024	4.0.0	FTX.095.368	ADD	N/A		Created