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TMSIS Dataguide Medicaid.gov

Version:

4.0.20

RULE-7568

Data Quality Measure
Last updated

No Updates

Key Information

Measure Name % of denied claim headers where Total Medicaid Paid Amount is non-missing and non-zero
File Type CRX
Measure ID RULE-7568
Measure Type Claims percentage
Content area ALL

Validation

Validation Type Inferential

Measure Priority

Measure Priority Medium
Focus Area N/A
Category Expenditures

Claim Information

Claim Type N/A
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 TOT-MEDICAID-PAID-AMT
DD Data Element Number CRX041

Annotation N/A
Specification RULE-7568