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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

RULE-8416

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 FTX00002
Data Element Name INDIVIDUAL-CAPITATION-PMPM.FUNDING-CODE
Validation Logic 'If the FUNDING-CODE field is populated, the value must be contained in the set of valid values with id: 'FUNDING-CODE' and (if INDIVIDUAL-CAPITATION-PMPM.CAPITATION-PERIOD-END-DATE is non-null then INDIVIDUAL-CAPITATION-PMPM.CAPITATION-PERIOD-END-DATE >= Valid Values Effective-Date and INDIVIDUAL-CAPITATION-PMPM.CAPITATION-PERIOD-END-DATE <= Valid Values End-Date)'
Rule Definition If the funding code is populated on the Individual Capitation PMPM transaction from a FTX file, then the funding code reported must be found in the list of valid values.
Denominator Logic # of FTX Individual Capitation PMPM transactions with INDIVIDUAL-CAPITATION-PMPM.FUNDING-CODE equal to a valid, non-null value