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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

RULE-8536

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 FTX00009
Data Element Name FQHC-WRAP-PAYMENT.MBESCBES-FORM
Validation Logic 'if the MBESCBES-FORM field is populated and FQHC-WRAP-PAYMENT.MBESCBES-FORM-GROUP equals '1', then the value must be contained in the set of valid values with id: 'MBESCBES-FORMGP-1' and (if FQHC-WRAP-PAYMENT.WRAP-PERIOD-END-DATE is non-null then FQHC-WRAP-PAYMENT.WRAP-PERIOD-END-DATE >= Valid Values Effective-Date and FQHC-WRAP-PAYMENT.WRAP-PERIOD-END-DATE <= Valid Values End-Date)'
Rule Definition If the MBESCBES form is populated and MBESCBES form group is '1' on the FQHC Wrap Payment Transaction from a FTX file, then the MBESCBES form reported must be found in the list of valid values for 'MBESCBES-FORMGP-1'.
Denominator Logic # of FTX FQHC Wrap Payment Transactions with FQHC-WRAP-PAYMENT.MBESCBES-FORM equal to a valid, non-null value and with FQHC-WRAP-PAYMENT.MBESCBES-FORM-GROUP is equal to '1'