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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

RULE-8436

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 FTX00003
Data Element Name INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT.FUNDING-SOURCE-NONFEDERAL-SHARE
Validation Logic 'If the FUNDING-SOURCE-NONFEDERAL-SHARE field is populated, the value must be contained in the set of valid values with id: 'FUNDING-SOURCE-NONFEDERAL-SHARE' and (if INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT.PREMIUM-PERIOD-END-DATE is non-null then INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT.PREMIUM-PERIOD-END-DATE >= Valid Values Effective-Date and INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT.PREMIUM-PERIOD-END-DATE <= Valid Values End-Date)'
Rule Definition If the funding source nonfederal share is populated on the Individual Health Insurance Premium Payment Transaction from a FTX file, then the funding source nonfederal share reported must be found in the list of valid values.
Denominator Logic # of FTX Individual Health Insurance Premium Payment Transactions with INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT.FUNDING-SOURCE-NONFEDERAL-SHARE equal to a valid, non-null value