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Tier | 1.1 |
---|---|
Tier Description | Value Error |
Error Category | E1103 |
Error Category Message | Value not in specified valid value set |
Rule Type | Valid Value |
File Segment Number | CRX00003 |
Data Element Name | CLAIM-LINE-RECORD-RX.SUBMITTING-STATE |
Validation Logic | 'If the field is populated, the value must be contained in the set of valid values with id: 'STATE'' |
Rule Definition | If the submitting state is populated on a non-denied claim line from an RX file, then the submitting state reported must be found in the list of valid values. |
Denominator Logic | # of RX claim lines with CLAIM-LINE-RECORD-RX.STATE equal to a valid, non-null value |