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TMSIS Dataguide Medicaid.gov

Version:

4.0.20

RULE-3095

Validation Rule
Last updated

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 TPL00003
Data Element Name TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO.POLICY-OWNER-LAST-NAME
Validation Logic 'if TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO has a valid, non-null value for POLICY-OWNER-LAST-NAME, then TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO.POLICY-OWNER-LAST-NAME does not contain any pipe (|) characters'
Rule Definition If policy owner last name is populated on a TPL Medicaid Eligible Person Health Insurance segment from a TPL file then the Eligible Person Health Insurance policy owner last name must not contain any pipe characters.
Denominator Logic # of TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO segments with TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO.POLICY-OWNER-LAST-NAME equal to a valid, non-null value