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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

RULE-2063

Validation Rule
Last updated

No Updates

Tier 1.1
Tier Description Value Error
Error Category E1102
Error Category Message Value does not match specification
Rule Type One Record Type (Single Record)
File Segment Number ELG00003
Data Element Name VARIABLE-DEMOGRAPHICS-ELIGIBILITY.MEDICARE-HIC-NUM
Validation Logic 'if VARIABLE-DEMOGRAPHICS-ELIGIBILITY has a valid, non-null value for MEDICARE-HIC-NUM, then VARIABLE-DEMOGRAPHICS-ELIGIBILITY.MEDICARE-HIC-NUM does not contain any pipe (|) or asterisk (*) characters'
Rule Definition If the medicare hic number is populated on a non-denied claim from an IP file, then the medicare hic number reported must not contain any pipe or asterisk characters.
Denominator Logic # of PRIMARY-DEMOGRAPHICS-ELIGIBILITY segments with VARIABLE-DEMOGRAPHICS-ELIGIBILITY.MEDICARE-HIC-NUM equal to a valid, non-null value