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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

RULE-8476

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.PAYER-ID-TYPE
Validation Logic 'If the PAYER-ID-TYPE field is populated, the value must be contained in the set of valid values with id: 'PAYER-ID-TYPE' 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 payer id type is populated on the Value Based Payment Transaction from a FTX file, then the payer id type reported must be found in the list of valid values.
Denominator Logic # of FTX Value Based Payment Transactions with VALUE-BASED-PAYMENT.PAYER-ID-TYPE equal to a valid, non-null value