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TMSIS Dataguide Medicaid.gov
Version 3.38.0

RULE-7899

Data Quality Measure
Last updated

Key Information

Measure Name % of claim headers with an MSIS ID not enrolled on Beginning Date of Service
File Type COT
Measure ID RULE-7899
Measure Type Claims Percentage
Content area EXP

Validation

Validation Type Inferential

Measure Priority

Measure Priority High
Focus Area N/A
Category File integrity

Claim Information

Claim Type Medicaid,Supp or CHIP,Supp
Adjustment Type Non-void
Crossover Type All Indicators

Thresholds

Minimum 0
Maximum 0.05
TA Minimun 0
TA Maximum 0.02
Longitudinal Threshold N/A
For TA
(for including in compliance training)
TA- Inferential
For TA
(Longitudinal)
No

Data Elements

DD Data Element MSIS-IDENTIFICATION-NUM • BEGINNING-DATE-OF-SERVICE
DD Data Element Number COT022COT033

Annotation N/A
Specification RULE-7899