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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

RULE-2554

Validation Rule
Last updated

No Updates

Tier 2.1
Tier Description Relational error
Error Category E2102
Error Category Message Values inconsistently specified (multi record, single file)
Rule Type Two Record Type (1 to 1)
File Segment Number MCR00002
Data Element Name MANAGED-CARE-MAIN.SUBMITTING-STATE • FILE-HEADER-RECORD-MANAGED-CARE.SUBMITTING-STATE
Validation Logic 'if MANAGED-CARE-MAIN has a valid, non-null value for SUBMITTING-STATE and FILE-HEADER-RECORD-MANAGED-CARE has a valid, non-null value for SUBMITTING-STATE, then MANAGED-CARE-MAIN.SUBMITTING-STATE refers to the same state as FILE-HEADER-RECORD-MANAGED-CARE.SUBMITTING-STATE'
Rule Definition If submitting state is populated on a managed care main segment, then the submitting state reported on the managed care main segment must match the submitting state on the file header.
Denominator Logic # of MANAGED-CARE-MAIN segments with MANAGED-CARE-MAIN.SUBMITTING-STATE equal to a valid, non-null value and with FILE-HEADER-RECORD-ELIGIBILITY.SUBMITTING-STATE equal to a valid, non-null value