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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

RULE-7646 *DEPRECATED*

Data Quality Measure
Last updated

Key Information

Measure Name % of claim headers with an MSIS ID not enrolled on Beginning Date of Service
File Type COT
Measure ID RULE-7646
Measure Type Claims percentage
Content area ELG MCR MULTI

Validation

Validation Type Inferential

Measure Priority

Measure Priority N/A
Focus Area Managed care
Category N/A

Claim Information

Claim Type Medicaid,Cap or CHIP,Cap
Adjustment Type Non-void
Crossover Type All Indicators

Thresholds

Minimum 0
Maximum 0.02
TA Minimun
TA Maximum
Longitudinal Threshold N/A
For TA
(for including in compliance training) 		No
For TA
(Longitudinal) 		No

Data Elements

DD Data Element ENROLLMENT-EFF-DATE • BEGINNING-DATE-OF-SERVICE • MSIS-IDENTIFICATION-NUM • ENROLLMENT-END-DATE • MSIS-IDENTIFICATION-NUM
DD Data Element Number ELG253 • COT033 • ELG251 • ELG254 • COT022

Annotation N/A
Specification N/A