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TMSIS Dataguide Medicaid.gov

Version:

4.0.20

RULE-3066

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 TPL00002
Data Element Name TPL-MEDICAID-ELIGIBLE-PERSON-MAIN.ELIGIBLE-LAST-NAME
Validation Logic 'if TPL-MEDICAID-ELIGIBLE-PERSON-MAIN has a valid, non-null value for ELIGIBLE-LAST-NAME, then TPL-MEDICAID-ELIGIBLE-PERSON-MAIN.ELIGIBLE-LAST-NAME does not contain any pipe (|) or asterisk (*) characters'
Rule Definition If the eligible last name is populated on a non-denied claim from an IP file, then the eligible last name reported must not contain any pipe or asterisk characters.
Denominator Logic # of TPL-MEDICAID-ELIGIBLE-PERSON-MAIN segments with TPL-MEDICAID-ELIGIBLE-PERSON-MAIN.ELIGIBLE-LAST-NAME equal to a valid, non-null value