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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

RULE-8475

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 FTX00006
Data Element Name VALUE-BASED-PAYMENT.ADJUSTMENT-IND
Validation Logic 'If the ADJUSTMENT-IND field is populated, the value must be contained in the set of valid values with id: 'ADJUSTMENT-IND' and (if VALUE-BASED-PAYMENT.PERFORMANCE-PERIOD-END-DATE is non-null then VALUE-BASED-PAYMENT.PERFORMANCE-PERIOD-END-DATE >= Valid Values Effective-Date and VALUE-BASED-PAYMENT.PERFORMANCE-PERIOD-END-DATE <= Valid Values End-Date)'
Rule Definition If the adjustment indicator is populated on the Value Based Payment Transaction from a FTX file, then the adjustment indicator reported must be found in the list of valid values.
Denominator Logic # of FTX Value Based Payment Transactions with VALUE-BASED-PAYMENT.ADJUSTMENT-IND equal to a valid, non-null value