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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

RULE-2958

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 PRV00007
Data Element Name PROV-MEDICAID-ENROLLMENT.PROV-ENROLLMENT-METHOD
Validation Logic 'If the PROV-ENROLLMENT-METHOD field is populated, the value must be contained in the set of valid values with id: 'PROV-ENROLLMENT-METHOD' and (if PROV-MEDICAID-ENROLLMENT.PROV-MEDICAID-EFF-DATE is non-null then PROV-MEDICAID-ENROLLMENT.PROV-MEDICAID-EFF-DATE >= Valid Values Effective-Date and PROV-MEDICAID-ENROLLMENT.PROV-MEDICAID-EFF-DATE <= Valid Values End-Date)'
Rule Definition If the provider enrollment method is populated on a provider medicaid enrollment file, then the provider enrollment method reported must be found in the list of valid values.
Denominator Logic # of PROV-MEDICAID-ENROLLMENT segments with PROV-MEDICAID-ENROLLMENT.PROV-ENROLLMENT-METHOD equal to a valid, non-nul l value