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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

RULE-2133

Validation Rule
Last updated

No Updates

Tier 2.0
Tier Description Relational error
Error Category E2002
Error Category Message Values inconsistently specified (single record type, multiple records)
Rule Type One Record Type (Multi Record)
File Segment Number ELG00005
Data Element Name ELIGIBILITY-DETERMINANTS.SUBMITTING-STATE • ELIGIBILITY-DETERMINANTS.MSIS-IDENTIFICATION-NUM • ELIGIBILITY-DETERMINANTS.MSIS-CASE-NUM • ELIGIBILITY-DETERMINANTS.PRIMARY-ELIGIBILITY-GROUP-IND
Validation Logic 'if the size of ELIGIBILITY-DETERMINANTS is equal to 1 with the same segment keys SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM,MSIS-CASE-NUM, then ELIGIBILITY-DETERMINANTS.PRIMARY-ELIGIBILITY-GROUP-IND is equal to '1''
Rule Definition If there is only one eligibility determinants segment, with segment keys submitting state, MSIS ID and MSIS case number, then the primary eligibility group indicator is equal to '1'
Denominator Logic # of ELIGIBILITY-DETERMINANTS segments with only one ELIGIBILITY-DETERMINANTS record segment identified via segment key data elements SUBMITTING-STATE, MSIS-IDENTIFICATION-NUM, and MSIS-CASE-NUM