RULE-7543

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RULE-7543

Validation Rule

Last updated

Tier	2.0
Tier Description	Relational error
Error Category	E2001
Error Category Message	Values inconsistently specified (single record type, single record)
Rule Type	One Record Type (Single Record)
File Segment Number	COT00002
Data Element Name	CLAIM-HEADER-RECORD-OT.ADJUSTMENT-IND
Validation Logic	'if CLAIM-HEADER-RECORD-OT.CLAIM-STATUS equals '686', then CLAIM-HEADER-RECORD-OT.ADJUSTMENT-IND equals '1''
Rule Definition	If a segment is an OT claim header, and claim status is equal to '686' (void claim), then adjustment indicator must be equal to '1' (void).
Denominator Logic	# of OT claim headers with CLAIM-HEADER-RECORD-OT.CLAIM-STATUS is equal to '686'

Published Date	Data Guide Version	Validation Rule	Action	Field	Before	After
07/23/2021	3.0.0	RULE-7543	ADD	Data Dictionary - Validation Rules	N/A	if CLAIM-HEADER-RECORD-OT.CLAIM-STATUS is equal to '686' then CLAIM-HEADER-RECORD-OT.ADJUSTMENT-IND is equal to '1'