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Data Element
FTX377
FTX.095.377
Definition | This is a description of what type of managed care plan or care coordination model the payee ID was reported with a payee MCR plan or other care coordination model type of "Other". |
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Size | X(100) |
FLF Start Position | 535 |
FLF Stop Position | 634 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must be 100 characters or less 2. Value must be populated when Payee MCR Plan Type equals "95" 3. Conditional |
Valid Value Code Set | Valid Value Code | Valid Value Name | Valid Value Description | Effective Start Date | Effective End Date |
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DE Number | System DE Number | DE Name | File Segment Number | File Segment Name |
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FTX037 | FTX.002.037 | PAYEE-MCR-PLAN-TYPE-OTHER-TEXT | FTX00002 | INDIVIDUAL-CAPITATION-PMPM |
FTX167 | FTX.005.167 | PAYEE-MCR-PLAN-TYPE-OTHER-TEXT | FTX00005 | COST-SHARING-OFFSET |
FTX210 | FTX.006.210 | PAYEE-MCR-PLAN-TYPE-OTHER-TEXT | FTX00006 | VALUE-BASED-PAYMENT |
FTX254 | FTX.007.254 | PAYEE-MCR-PLAN-TYPE-OTHER-TEXT | FTX00007 | STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM |
FTX297 | FTX.008.297 | PAYEE-MCR-PLAN-TYPE-OTHER-TEXT | FTX00008 | COST-SETTLEMENT-PAYMENT |
FTX336 | FTX.009.336 | PAYEE-MCR-PLAN-TYPE-OTHER-TEXT | FTX00009 | FQHC-WRAP-PAYMENT |