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TMSIS Dataguide Medicaid.gov

Version:

3.40.0

RULE-8795

Data Quality Measure
Last updated

Key Information

Measure Name % of individual health insurance premium payment segment (FTX00003) with PAYER-ID-TYPE = 1 and PAYER-ID consistent with the submitting state
File Type FTX
Measure ID RULE-8795
Measure Type Payment Transactions
Content area EXP
Grace Period Expiration 01/02/2027

Validation

Validation Type Inferential

Measure Priority

Measure Priority High
Focus Area N/A
Category File integrity

Claim Information

Claim Type N/A
Adjustment Type Non-void
Crossover Type N/A

Thresholds

Minimum 0
Maximum 0.001
TA Minimun 0
TA Maximum 0.001
Longitudinal Threshold N/A
For TA
(for including in compliance training) 		TA- Inferential
For TA
(Longitudinal) 		No

Data Elements

DD Data Element PAYER-ID • SUBMITTING-STATE
DD Data Element Number FTX075 • FTX065

Annotation N/A
Specification RULE-8795