RULE-1204

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Tier	2.1
Tier Description	Relational error
Error Category	E2101
Error Category Message	Missing parent record (single file)
Rule Type	Child Parent Rule
File Segment Number	CLT00002
Data Element Name	CLAIM-LINE-RECORD-LT.SUBMITTING-STATE • CLAIM-LINE-RECORD-LT.ICN-ORIG • CLAIM-LINE-RECORD-LT.ICN-ADJ • CLAIM-LINE-RECORD-LT.ADJUDICATION-DATE • CLAIM-LINE-RECORD-LT.LINE-ADJUSTMENT-IND
Validation Logic	if CLAIM-LINE-RECORD-LT.CLAIM-LINE-STATUS is not equal to one of the following: '26', '87', '542', '585', '654', then record CLAIM-LINE-RECORD-LT has corresponding parent record CLAIM-HEADER-RECORD-LT
Rule Definition	All non-denied LT claim line records must have a corresponding parent record.
Denominator Logic	# of LT claim lines with CLAIM-LINE-RECORD-LT.CLAIM-LINE-STATUS not in: '26', '87', '542', '585', '654'

Published Date	Data Guide Version	Validation Rule	Action	Field	Before	After
08/21/2020	2.4.0	RULE-1204	UPDATE	Data Dictionary - Validation Rules	Rule only triggered on adjustment claim lines, not on original claims.	Rules will also be triggered on original claim lines and ADJUSTMENT-IND and LINE-ADJUSTMENT-IND will be used to join claim headers and claim lines for the purpose of applying line-level validation rules. if CLAIM-LINE-RECORD-LT.CLAIM-LINE-STATUS is not equal to one of the following: '26', '87', '542', '585', '654', then record CLAIM-LINE-RECORD-LT has corresponding parent record CLAIM-HEADER-RECORD-LT
02/21/2020	2.4.0	RULE-1204	UPDATE	Data Dictionary - Validation Rules	if CLAIM-LINE-RECORD-LT.CLAIM-LINE-STATUS is not equal to one of the following: '26', '87', '542', '585', '654', then record CLAIM-LINE-RECORD-LT has corresponding parent record CLAIM-HEADER-RECORD-LT Join Keys between Claim Header and Line segment: SUBMITTING-STATE ICN-ORIG ICN-ADJ ADJUDICATION-DATE	if CLAIM-LINE-RECORD-LT.CLAIM-LINE-STATUS is not equal to one of the following: '26', '87', '542', '585', '654', then record CLAIM-LINE-RECORD-LT has corresponding parent record CLAIM-HEADER-RECORD-LT Join Keys between Claim Header and Line segment: SUBMITTING-STATE ICN-ORIG ICN-ADJ ADJUDICATION-DATE ADJUSTMENT-IND (LINE-ADJUSTMENT-IND)