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TMSIS Dataguide Medicaid.gov

Version:

TRANSACTION-TYPE-OTHER-TEXT

Data Element

DE Number

FTX389

System DE Number

FTX.095.389

File Segment Number

FTX00095

File Segment Name

MISCELLANEOUS-PAYMENT

Last updated

Definition This is a description of the type of financial transaction when the TRANSACTION-TYPE is "Other".
Size X(100)
FLF Start Position 1019
FLF Stop Position 1118
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be 100 characters or less
2. Value must be populated when Transaction Type equals "95"
3. Conditional
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