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TMSIS Dataguide Medicaid.gov

Version:

4.0.20

RULE-7728

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 PRV00002
Data Element Name PROV-ATTRIBUTES-MAIN.PROV-LAST-NAME
Validation Logic 'if PROV-ATTRIBUTES-MAIN has a non-null value for SUBMITTING-STATE-PROV-ID and PROV-ATTRIBUTES-MAIN.FACILITY-GROUP-INDIVIDUAL-CODE equals '03', then PROV-ATTRIBUTES-MAIN has a valid, non-null value for PROV-LAST-NAME'
Rule Definition If submitting state provider ID is populated and the facility group individual code on a provider attributes main segment from a PRV file is for an individual provider, then the provider last name must be a non-null value.
Denominator Logic # of PROV-ATTRIBUTES-MAIN segments with PROV-ATTRIBUTES-MAIN has a non-null value for SUBMITTING-STATE-PROV-ID and with PROV-ATTRIBUTES-MAIN.FACILITY-GROUP-INDIVIDUAL-CODE equals '03'