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TMSIS Dataguide Medicaid.gov

Version:

4.0.20

RULE-326

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 CIP00002
Data Element Name CLAIM-HEADER-RECORD-IP.SUBMITTING-STATE • FILE-HEADER-RECORD-IP.SUBMITTING-STATE
Validation Logic 'if CLAIM-HEADER-RECORD-IP has a valid, non-null value for SUBMITTING-STATE and FILE-HEADER-RECORD-IP has a valid, non-null value for SUBMITTING-STATE, then CLAIM-HEADER-RECORD-IP.SUBMITTING-STATE equals FILE-HEADER-RECORD-IP.SUBMITTING-STATE'
Rule Definition If submitting state is populated on a claim header record IP segment, then the submitting state reported on the claim header record IP segment must match the submitting state on the file header.
Denominator Logic # of IP claim headers with CLAIM-HEADER-RECORD-IP.SUBMITTING-STATE equal to a valid, non-null value and with FILE-HEADER-RECORD-IP.SUBMITTING-STATE equal to a valid, non-null value