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TMSIS Dataguide Medicaid.gov

Version:

3.40.0

RULE-9228 *DEPRECATED*

Data Quality Measure
Last updated

Key Information

Measure Name % of claim headers that are not FFS claims or managed care encounters
File Type CRX
Measure ID RULE-9228
Measure Type Claims Percentage
Content area MCR MULTI FFS

Validation

Validation Type Inferential

Measure Priority

Measure Priority N/A
Focus Area N/A
Category File integrity

Claim Information

Claim Type Medicaid,FFS or Medicaid,Enc or CHIP,FFS or CHIP,Enc
Adjustment Type N/A
Crossover Type N/A

Thresholds

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

Data Elements

DD Data Element CLAIM-STATUS • CLAIM-DENIED-INDICATOR • DATA-DICTIONARY-VERSION • TYPE-OF-CLAIM • CLAIM-STATUS-CATEGORY
DD Data Element Number CRX030 • CRX094 • CRX002 • CRX029 • CRX031

Annotation N/A
Specification RULE-9228