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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

RULE-7702 *DEPRECATED*

Data Quality Measure
Last updated

Key Information

Measure Name % of claim headers with a valid value for Plan ID Number that do not have a corresponding MCR Managed Care Main segment for the same time period
File Type Multiple Files
Measure ID RULE-7702
Measure Type Claims Percentage
Content area ALL MCR MULTI

Validation

Validation Type Inferential

Measure Priority

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

Claim Information

Claim Type N/A
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 MANAGED-CARE-CONTRACT-EFF-DATE • MANAGED-CARE-CONTRACT-END-DATE • BEGINNING-DATE-OF-SERVICE • PLAN-ID-NUMBER
DD Data Element Number MCR020 • MCR021 • COT033 • COT066

Annotation N/A
Specification N/A