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TMSIS Dataguide Medicaid.gov

Version:

4.0.20

RULE-2949

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 PRV00007
Data Element Name PROV-MEDICAID-ENROLLMENT.PROV-MEDICAID-EFF-DATE • PROV-MEDICAID-ENROLLMENT.PROV-MEDICAID-END-DATE
Validation Logic 'if PROV-MEDICAID-ENROLLMENT has a valid, non-null value for PROV-MEDICAID-EFF-DATE and PROV-MEDICAID-ENROLLMENT has a valid, non-null value for PROV-MEDICAID-END-DATE, then PROV-MEDICAID-ENROLLMENT.PROV-MEDICAID-EFF-DATE is less than or equal to PROV-MEDICAID-ENROLLMENT.PROV-MEDICAID-END-DATE'
Rule Definition If provider Medicaid effective date and provider Medicaid end date are populated on a provider Medicaid enrollment segment from a PRV file, then the provider Medicaid effective date value reported must be before or equal to the provider Medicaid end date value reported.
Denominator Logic # of PROV-MEDICAID-ENROLLMENT segments with PROV-MEDICAID-ENROLLMENT.PROV-MEDICAID-EFF-DATE equal to a valid, non-null value AND with PROV-MEDICAID-ENROLLMENT.PROV-MEDICAID-END-DATE equal to a valid, non-null value