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TMSIS Dataguide Medicaid.gov

Version:

4.0.20

RULE-2965

Validation Rule
Last updated

No Updates

Tier 2.1
Tier Description Relational error
Error Category E2102
Error Category Message Values inconsistently specified (multi record, single file)
Rule Type Two Record Type (1 to 1)
File Segment Number PRV00008
Data Element Name PROV-AFFILIATED-GROUPS.SUBMITTING-STATE • FILE-HEADER-RECORD-PROVIDER.SUBMITTING-STATE
Validation Logic 'if PROV-AFFILIATED-GROUPS has a valid, non-null value for SUBMITTING-STATE and FILE-HEADER-RECORD-PROVIDER has a valid, non-null value for SUBMITTING-STATE, then PROV-AFFILIATED-GROUPS.SUBMITTING-STATE refers to the same state as FILE-HEADER-RECORD-PROVIDER.SUBMITTING-STATE'
Rule Definition If submitting state is populated on a provider affiliated groups segment, then the submitting state reported on the provider affiliated groups segment must match the submitting state on the file header.
Denominator Logic # of PROV-AFFILIATED-GROUPS segments with PROV-AFFILIATED-GROUPS.SUBMITTING-STATE equal to a valid, non-null value and with FILE-HEADER-RECORD-ELIGIBILITY.SUBMITTING-STATE equal to a valid, non-null value