Official websites use .gov
A
.gov website belongs to an official government
organization in the United States.
Secure .gov websites use HTTPS
A
lock () or https:// means you've safely connected to
the .gov website. Share sensitive information only on official,
secure websites.
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 | FTX00003 |
Data Element Name | INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT.MBESCBES-CATEGORY-OF-SERVICE |
Validation Logic | 'if the MBESCBES-CATEGORY-OF-SERVICE field is populated and INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT.MBESCBES-FORM-GROUP equals '1' and INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT.MBESCBES-FORM equals '64.9BASE', then the value must be contained in the set of valid values with id: '64.9BASE-FORM' and (if INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT.PREMIUM-PERIOD-END-DATE is non-null then INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT.PREMIUM-PERIOD-END-DATE >= Valid Values Effective-Date and INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT.PREMIUM-PERIOD-END-DATE <= Valid Values End-Date)' |
Rule Definition | If the MBESCBES category of service is populated and MBESCBES form is '64.9BASE' on the Individual Health Insurance Premium Payment Transaction from a FTX file, then the MBESCBES category of service reported must be found in the list of valid values for '64.9BASE-FORM'. |
Denominator Logic | # of FTX Individual Health Insurance Premium Payment Transactions with INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT.MBESCBES-CATEGORY-OF-SERVICE equal to a valid, non-null value and with INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT.MBESCBES-FORM-GROUP is equal to '1' and with INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT.MBESCBES-FORM is equal to '64.9BASE' |