FTX.095.374

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TMSIS Dataguide

Medicaid.gov

Version:

PAYEE-ID-TYPE

Data Element

DE Number

FTX374

System DE Number

FTX.095.374

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	This is a qualifier that indicates what type of ID the payee ID is. For example, if the payee ID represents a provider ID, then the payee ID type will indicate that the payee ID should be interpreted as a provider ID. For PCCM financial transactions, states may use Payee ID Type “05”, “06”.
Size	X(2)
FLF Start Position	431
FLF Stop Position	432
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 2 characters 2. Value must be in Payee Identifier Type List (VVL) 3. If value equals "01", then Payee Identifier must equal Submitting State (FTX.095.358) 4. If value equals "02", then Payee Identifier must equal State Plan Identification Number (MCR.002.019) 5. If value in [04,05], then Payee Identifier must equal Submitting State Provider Identifier (PRV.002.019) 6. If value equals "06", then Payee Identifier must equal Provider Identifier (PRV.005.081) where Provider Identifier Type (PRV.005.077) equals "2" 7. If value equals "07", then Payee Identifier must equal Insurance Carrier Identification Number (TPL.006.075) 8. If value equals "08", then Payee Identifier must equal MSIS Identification Number (ELG.002.019) 9. 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-8364	If a financial transaction is from an FTX file, then the payee ID type value reported must be compatible with specified T-MSIS picture format: X(2).
RULE-8550	If the payee id type is populated on the Miscellaneous Payment Transaction from a FTX file, then the payee id type reported must be found in the list of valid values.

Measure ID	Measure Name
RULE-8727	% of records with a PAYEE ID that is not found on the provider file during the payment period start date (FTX00095) (PAYEE-ID = '04', '05')

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
FTX034	FTX.002.034	PAYEE-ID-TYPE	FTX00002	INDIVIDUAL-CAPITATION-PMPM
FTX079	FTX.003.079	PAYEE-ID-TYPE	FTX00003	INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT
FTX120	FTX.004.120	PAYEE-ID-TYPE	FTX00004	GROUP-INSURANCE-PREMIUM-PAYMENT
FTX164	FTX.005.164	PAYEE-ID-TYPE	FTX00005	COST-SHARING-OFFSET
FTX207	FTX.006.207	PAYEE-ID-TYPE	FTX00006	VALUE-BASED-PAYMENT
FTX251	FTX.007.251	PAYEE-ID-TYPE	FTX00007	STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM
FTX294	FTX.008.294	PAYEE-ID-TYPE	FTX00008	COST-SETTLEMENT-PAYMENT
FTX333	FTX.009.333	PAYEE-ID-TYPE	FTX00009	FQHC-WRAP-PAYMENT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
02/17/2026	4.0.28	FTX.095.374	UPDATE	Definition	This is a qualifier that indicates what type of ID the payee ID is. For example, if the payee ID represents a provider ID, then the payee ID type will indicate that the payee ID should be interpreted as a provider ID.	This is a qualifier that indicates what type of ID the payee ID is. For example, if the payee ID represents a provider ID, then the payee ID type will indicate that the payee ID should be interpreted as a provider ID. For PCCM financial transactions, states may use Payee ID Type “05”, “06”.
12/19/2024	4.0.1	FTX.095.374	UPDATE	Coding requirement	1. Value must be 2 characters2. Value must be in Payee Identifier Type List (VVL)3. If value equals "01", then Payee Identifier must equal Submitting State (FTX.001.007)4. If value equals "02", then Payee Identifier must equal State Plan Identification Number (MCR.002.019)5. If value in [04,05], then Payee Identifier must equal Submitting State Provider Identifier (PRV.002.019)6. If value equals "06", then Payee Identifier must equal Provider Identifier (PRV.005.081) where Provider Identifier Type (PRV.005.077) equals "2"7. If value equals "07", then Payee Identifier must equal Insurance Carrier Identification Number (TPL.006.075)8. If value equals "08", then Payee Identifier must equal MSIS Identification Number (ELG.002.019)9. Mandatory	1. Value must be 2 characters2. Value must be in Payee Identifier Type List (VVL)3. If value equals "01", then Payee Identifier must equal Submitting State (FTX.095.358)4. If value equals "02", then Payee Identifier must equal State Plan Identification Number (MCR.002.019)5. If value in [04,05], then Payee Identifier must equal Submitting State Provider Identifier (PRV.002.019)6. If value equals "06", then Payee Identifier must equal Provider Identifier (PRV.005.081) where Provider Identifier Type (PRV.005.077) equals "2"7. If value equals "07", then Payee Identifier must equal Insurance Carrier Identification Number (TPL.006.075)8. If value equals "08", then Payee Identifier must equal MSIS Identification Number (ELG.002.019)9. Mandatory
09/16/2024	4.0.0	FTX.095.374	UPDATE	File segment	None	76
09/16/2024	4.0.0	FTX.095.374	ADD	N/A		Created