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TMSIS Dataguide Medicaid.gov

Version:

4.0.20

RULE-1753

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 CRX00002
Data Element Name CLAIM-HEADER-RECORD-RX.ICN-ORIG
Validation Logic 'if CLAIM-HEADER-RECORD-RX has a valid, non-null value for ICN-ORIG, then CLAIM-HEADER-RECORD-RX.ICN-ORIG does not contain any pipe (|) or asterisk (*) characters'
Rule Definition If the icn orig is populated on a non-denied claim from an RX file, then the icn orig reported must not contain any pipe or asterisk characters.
Denominator Logic # of RX claim headers with CLAIM-HEADER-RECORD-RX.ICN-ORIG equal to a valid, non-null value