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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

RULE-3063

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 TPL00002
Data Element Name TPL-MEDICAID-ELIGIBLE-PERSON-MAIN.TPL-OTHER-COVERAGE-IND
Validation Logic 'If the TPL-OTHER-COVERAGE-IND field is populated, the value must be contained in the set of valid values with id: 'TPL-OTHER-COVERAGE-IND' and (if TPL-MEDICAID-ELIGIBLE-PERSON-MAIN.ELIG-PRSN-MAIN-EFF-DATE is non-null then TPL-MEDICAID-ELIGIBLE-PERSON-MAIN.ELIG-PRSN-MAIN-EFF-DATE >= Valid Values Effective-Date and TPL-MEDICAID-ELIGIBLE-PERSON-MAIN.ELIG-PRSN-MAIN-EFF-DATE <= Valid Values End-Date)'
Rule Definition If the TPL other coverage indicator is populated on a TPL medicaid eligible person main file, then the TPL other coverage indicator indicator reported must be found in the list of valid values.
Denominator Logic # of TPL-MEDICAID-ELIGIBLE-PERSON-MAIN segments with TPL-MEDICAID-ELIGIBLE-PERSON-MAIN.TPL-OTHER-COVERAGE-IND equal to a valid, non-null value