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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 | PRV00007 |
Data Element Name | PROV-MEDICAID-ENROLLMENT.STATE-PLAN-ENROLLMENT |
Validation Logic | , when records are partitioned into a group where PROV-MEDICAID-ENROLLMENT.STATE-PLAN-ENROLLMENT equals '3', and another group where PROV-MEDICAID-ENROLLMENT.STATE-PLAN-ENROLLMENT is equal to one of the following: '1', '2' then,'PROV-MEDICAID-ENROLLMENT.STATE-SUBMITTED-SEGMENT-EFFECTIVE-PERIOD-START-DATE and PROV-MEDICAID-ENROLLMENT.STATE-SUBMITTED-SEGMENT-EFFECTIVE-PERIOD-END-DATE from the first partition are non-overlapping with PROV-MEDICAID-ENROLLMENT.STATE-SUBMITTED-SEGMENT-EFFECTIVE-PERIOD-START-DATE and PROV-MEDICAID-ENROLLMENT.STATE-SUBMITTED-SEGMENT-EFFECTIVE-PERIOD-END-DATE from the second partition' |
Rule Definition | If the business key fields match on more than one provider medicaid enrollment segment in a PRV file, then the segment effective and end date values reported must not overlap. |
Denominator Logic | # of PROV-MEDICAID-ENROLLMENT segments with the distinct combination of SUBMITTING-STATE, SUBMITTING-STATE-PROV-ID, PROV-MEDICAID-ENROLLMENT-STATUS-CODE, and STATE-PLAN-ENROLLMENT equals '3' and with same distinct combination of SUBMITTING-STATE, SUBMITTING-STATE-PROV-ID, PROV-MEDICAID-ENROLLMENT-STATUS-CODE and STATE-PLAN-ENROLLMENT is equal to one of the following: '1', '2' |