RULE-7850

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RULE-7850

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	Two Record Type (1 to 1)
File Segment Number	COT00002
Data Element Name	CLAIM-LINE-RECORD-OT.LINE-ADJUSTMENT-IND
Validation Logic	'if CLAIM-HEADER-RECORD-OT.TYPE-OF-CLAIM is equal to one of the following: '1', 'A', then CLAIM-LINE-RECORD-OT has a non-null value for LINE-ADJUSTMENT-IND'
Rule Definition	If a segment is an OT claim line, and the type of claim is a fee for service, the line adjustment indicator must be populated.
Denominator Logic	# of OT claim lines CLAIM-HEADER-RECORD-OT.TYPE-OF-CLAIM is equal to one of the following: '1', 'A'

Published Date	Data Guide Version	Validation Rule	Action	Field	Before	After
03/31/2023	3.5.0	Rule-7850	ADD	Data Dictionary - Validation Rules	N/A	If CLAIM-HEADER-RECORD-OT.TYPE-OF-CLAIM is equal to one of the following: '1', 'A' then CLAIM-LINE-RECORD-OT.LINE-ADJUSTMENT-IND must have a non-null value