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TMSIS Dataguide Medicaid.gov

Version:

4.0.20

RULE-1332

Validation Rule
Last updated

No Updates

Tier 1.1
Tier Description Value Error
Error Category E1102
Error Category Message Value does not match specification
Rule Type One Record Type (Single Record)
File Segment Number COT00002
Data Element Name CLAIM-HEADER-RECORD-OT.ICN-ADJ
Validation Logic 'if CLAIM-HEADER-RECORD-OT has a valid, non-null value for ICN-ADJ, then CLAIM-HEADER-RECORD-OT.ICN-ADJ does not contain any pipe (|) or asterisk (*) characters'
Rule Definition If the icn adj is populated on a non-denied claim from an OT file, then the icn adj reported must not contain any pipe or asterisk characters.
Denominator Logic # of OT claim headers with CLAIM-HEADER-RECORD-OT.ICN-ADJ equal to a valid, non-null value