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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

RULE-7546

Validation Rule
Last updated

No Updates

Tier 2.0
Tier Description Relational error
Error Category E2001
Error Category Message Values inconsistently specified (single record type, single record)
Rule Type One Record Type (Single Record)
File Segment Number CLT00003
Data Element Name CLAIM-LINE-RECORD-LT.LINE-ADJUSTMENT-IND
Validation Logic 'if CLAIM-LINE-RECORD-LT.CLAIM-LINE-STATUS equals '686', then CLAIM-LINE-RECORD-LT.LINE-ADJUSTMENT-IND equals '1''
Rule Definition If a segment is an LT claim line, and claim line status is equal to '686' (void claim), then the line adjustment indicator must be equal to '1' (void).
Denominator Logic # of LT claim lines with CLAIM-LINE-RECORD-LT.CLAIM-LINE-STATUS is equal to '686'