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TMSIS Dataguide Medicaid.gov
Version 3.38.0

RULE-7635

Data Quality Measure
Last updated

Key Information

Measure Name % of claim headers that have no corresponding non-denied claim lines
File Type COT
Measure ID RULE-7635
Measure Type Claims Percentage
Content area ALL

Validation

Validation Type Inferential

Measure Priority

Measure Priority Critical
Focus Area N/A
Category File integrity

Claim Information

Claim Type Medicaid,FFS or Medicaid,Cap or Medicaid,Enc or Medicaid,Serv or Medicaid,Supp or CHIP,FFS or CHIP,Cap or CHIP,Enc or CHIP,Serv or CHIP,Supp
Adjustment Type All Adjustment Types
Crossover Type All Indicators

Thresholds

Minimum 0
Maximum 0.001
TA Minimun 0
TA Maximum 0.001
Longitudinal Threshold N/A
For TA
(for including in compliance training) 		TA- Inferential
For TA
(Longitudinal) 		No

Data Elements

DD Data Element
DD Data Element Number

Annotation N/A
Specification RULE-7635