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TMSIS Dataguide Medicaid.gov

Version:

4.0.20

RULE-7912

Data Quality Measure
Last updated

Key Information

Measure Name % of claim headers with Billing Provider NPI Number in an invalid format
File Type CRX
Measure ID RULE-7912
Measure Type Claims Percentage
Content area FFS

Validation

Validation Type Inferential

Measure Priority

Measure Priority High
Focus Area N/A
Category Provider information

Claim Information

Claim Type Medicaid,FFS or CHIP,FFS
Adjustment Type All Adjustment Types
Crossover Type All Indicators

Thresholds

Minimum 0
Maximum 0.01
TA Minimun 0
TA Maximum 0.01
Longitudinal Threshold N/A
For TA
(for including in compliance training) 		TA- Inferential
For TA
(Longitudinal) 		No

Data Elements

DD Data Element BILLING-PROV-NPI-NUM
DD Data Element Number CRX071

Annotation N/A
Specification RULE-7912