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TMSIS Dataguide Medicaid.gov

Version:

4.0.20

RULE-2893

Validation Rule
Last updated

Tier 1.1
Tier Description Value Error
Error Category E1103
Error Category Message Value not in specified valid value set
Rule Type Valid Value
File Segment Number PRV00005
Data Element Name PROV-IDENTIFIERS.SUBMITTING-STATE
Validation Logic 'If the SUBMITTING-STATE field is populated, the value must be contained in the set of valid values with id: 'STATE' and (if PROV-IDENTIFIERS.PROV-IDENTIFIER-EFF-DATE is non-null then PROV-IDENTIFIERS.PROV-IDENTIFIER-EFF-DATE >= Valid Values Effective-Date and PROV-IDENTIFIERS.PROV-IDENTIFIER-EFF-DATE <= Valid Values End-Date)'
Rule Definition If the submitting state is populated on a provider identifiers file, then the submitting state reported must be found in the list of valid values.
Denominator Logic # of PROV-IDENTIFIERS segments with PROV-IDENTIFIERS.STATE equal to a valid, non-null value