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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

RULE-2653

Validation Rule
Last updated

No Updates

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 MCR00005
Data Element Name MANAGED-CARE-OPERATING-AUTHORITY.OPERATING-AUTHORITY
Validation Logic 'If the OPERATING-AUTHORITY field is populated, the value must be contained in the set of valid values with id: 'OPERATING-AUTHORITY' and (if MANAGED-CARE-OPERATING-AUTHORITY.MANAGED-CARE-OP-AUTHORITY-EFF-DATE is non-null then MANAGED-CARE-OPERATING-AUTHORITY.MANAGED-CARE-OP-AUTHORITY-EFF-DATE >= Valid Values Effective-Date and MANAGED-CARE-OPERATING-AUTHORITY.MANAGED-CARE-OP-AUTHORITY-EFF-DATE <= Valid Values End-Date)'
Rule Definition If the operating authority is populated on a managed care operating authority file, then the operating authority reported must be found in the list of valid values.
Denominator Logic # of MANAGED-CARE-OPERATING-AUTHORITY segments with MANAGED-CARE-OPERATING-AUTHORITY.OPERATING-AUTHORITY equal to a valid, non-null value