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TMSIS Dataguide Medicaid.gov

Version:

4.0.20

RULE-6566

Validation Rule
Last updated

Tier 1.0
Tier Description Formatting Error
Error Category E1001
Error Category Message Value illegal for specified data type
Rule Type Parse Rule
File Segment Number CIP00002
Data Element Name CLAIM-LINE-RECORD-IP.IMMUNIZATION-TYPE
Validation Logic if CLAIM-HEADER-RECORD-IP.CLAIM-STATUS-CATEGORY does not equal 'F2' and CLAIM-LINE-RECORD-IP.CLAIM-LINE-STATUS is not equal to one of the following: '26', '87', '542', '585', '654', then Value must be compatible with specified T-MSIS picture format: X(2)
Rule Definition If a claim line is a non-denied claim line from an IP file, then the immunization type value reported must be compatible with specified T-MSIS picture format: X(2).
Denominator Logic # of IP claim lines with CLAIM-HEADER-RECORD-IP.CLAIM-STATUS-CATEGORY not equal to 'F2' and with CLAIM-LINE-RECORD-IP.CLAIM-LINE-STATUS not in: '26', '87', '542', '585', '654'