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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

RULE-8483

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.MBESCBES-FORM
Validation Logic 'if the MBESCBES-FORM field is populated and VALUE-BASED-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 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 MBESCBES form is populated and MBESCBES form group is '3' on the Value Based Payment Transaction from a FTX file, then the MBESCBES form reported must be found in the list of valid values for 'MBESCBES-FORMGP-3'.
Denominator Logic # of FTX Value Based Payment Transactions with VALUE-BASED-PAYMENT.MBESCBES-FORM equal to a valid, non-null value and with VALUE-BASED-PAYMENT.MBESCBES-FORM-GROUP is equal to '3'