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TMSIS Dataguide Medicaid.gov

Version:

4.0.20

RULE-3144

Validation Rule
Last updated

Tier 1.1
Tier Description Value Error
Error Category E1103
Error Category Message Value not in specified valid value set
Rule Type Valid Value
File Segment Number TPL00005
Data Element Name TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION.TYPE-OF-OTHER-THIRD-PARTY-LIABILITY
Validation Logic 'If the TYPE-OF-OTHER-THIRD-PARTY-LIABILITY field is populated, the value must be contained in the set of valid values with id: 'TYPE-OF-OTHER-THIRD-PARTY-LIABILITY' and (if TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION.OTHER-TPL-EFF-DATE is non-null then TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION.OTHER-TPL-EFF-DATE >= Valid Values Effective-Date and TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION.OTHER-TPL-EFF-DATE <= Valid Values End-Date)'
Rule Definition If the type of other third party liability is populated on a TPL medicaid eligible other third party coverage information file, then the type of other third party liability reported must be found in the list of valid values.
Denominator Logic # of TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION segments with TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION.TYPE-OF-OTHER-THIRD-PARTY-LIABILITY equal to a valid, non-null value