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TMSIS Dataguide Medicaid.gov

Version:

4.0.20

RULE-3096

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 TPL00002
Data Element Name TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO.POLICY-OWNER-LAST-NAME
Validation Logic 'if TPL-MEDICAID-ELIGIBLE-PERSON-MAIN.TPL-HEALTH-INSURANCE-COVERAGE-IND equals '1', then TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO has a valid, non-null value for POLICY-OWNER-LAST-NAME'
Rule Definition If the TPL medicaid eligible person main has a TPL health insurance coverage indicator equal to medicaid/CHIP eligible indivdual has TPL insurance coverage, then the TPL medicaid eligible person health insurance coverage information segment must have a value populated for policy owner last name.
Denominator Logic # of TPL-MEDICAID-ELIGIBLE-PERSON-MAIN segments with TPL-MEDICAID-ELIGIBLE-PERSON-MAIN.TPL-HEALTH-INSURANCE-COVERAGE-IND equal to '1'