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TMSIS Dataguide Medicaid.gov

Version:

4.0.20

RULE-7370

Validation Rule
Last updated

Tier 1.1
Tier Description Missing Value Error
Error Category E1105
Error Category Message Data Element Value is Missing
Rule Type One Record Type (Single Record)
File Segment Number ELG00005
Data Element Name ELIGIBILITY-DETERMINANTS.RESTRICTED-BENEFITS-CODE
Validation Logic 'if ELIGIBILITY-DETERMINANTS has a non-null value for MSIS-IDENTIFICATION-NUM, then ELIGIBILITY-DETERMINANTS has a non-null value for RESTRICTED-BENEFITS-CODE'
Rule Definition If a segment is a eligibility determinants segment from an ELG file, and the MSIS ID is populated,then the restricted benefits code must be populated.
Denominator Logic # of ELIGIBILITY-DETERMINANTS segments with ELIGIBILITY-DETERMINANTS has a non-null value for MSIS-IDENTIFICATION-NUM