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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

RULE-8449

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 FTX00004
Data Element Name GROUP-INSURANCE-PREMIUM-PAYMENT.MBESCBES-FORM
Validation Logic 'if the MBESCBES-FORM field is populated and GROUP-INSURANCE-PREMIUM-PAYMENT.MBESCBES-FORM-GROUP equals '3', then the value must be contained in the set of valid values with id: 'MBESCBES-FORMGP-3' and (if GROUP-INSURANCE-PREMIUM-PAYMENT.PREMIUM-PERIOD-END-DATE is non-null then GROUP-INSURANCE-PREMIUM-PAYMENT.PREMIUM-PERIOD-END-DATE >= Valid Values Effective-Date and GROUP-INSURANCE-PREMIUM-PAYMENT.PREMIUM-PERIOD-END-DATE <= Valid Values End-Date)'
Rule Definition # of FTX Group Insurance Premium Payment Transactions with GROUP-INSURANCE-PREMIUM-PAYMENT.MBESCBES-FORM equal to a valid, non-null value and with GROUP-INSURANCE-PREMIUM-PAYMENT.MBESCBES-FORM-GROUP is equal to '3'
Denominator Logic If the MBESCBES form is populated and MBESCBES form group is '3' on the Group Insurance Premium Payment Transaction from a FTX file, then the MBESCBES form reported must be found in the list of valid values for 'MBESCBES-FORMGP-3'.