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TMSIS Dataguide Medicaid.gov

Version:

4.0.20

RULE-2380

Validation Rule
Last updated

No Updates

Tier 2.0
Tier Description Relational error
Error Category E2001
Error Category Message Values inconsistently specified (single record type, single record)
Rule Type One Record Type (Single Record)
File Segment Number ELG00014
Data Element Name
Validation Logic 'if MANAGED-CARE-PARTICIPATION has a null or invalid value for MANAGED-CARE-PLAN-ID, then MANAGED-CARE-PARTICIPATION has a null or invalid value for ENROLLED-MANAGED-CARE-PLAN-TYPE'
Rule Definition If the managed care plan ID is null or invalid on a managed care participation segment on from an EL file, then the value for enrolled managed care plan type must be null or invalid.
Denominator Logic # of MANAGED-CARE-PARTICIPATION segments with MANAGED-CARE-PARTICIPATION.MANAGED-CARE-PLAN-ID equal to a null, invalid value