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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

RULE-8667

Validation Rule
Last updated

No Updates

Tier 1.1
Tier Description Missing Value Error
Error Category E1105
Error Category Message Data Element Value is Missing
Rule Type One Record Type (Single Record)
File Segment Number FTX00004
Data Element Name GROUP-INSURANCE-PREMIUM-PAYMENT.MBESCBES-CATEGORY-OF-SERVICE
Validation Logic 'if GROUP-INSURANCE-PREMIUM-PAYMENT.POLICY-OWNER-CODE equals '01', then If the GROUP-INSURANCE-PREMIUM-PAYMENT segment is populated, then GROUP-INSURANCE-PREMIUM-PAYMENT has a non-null value for MBESCBES-CATEGORY-OF-SERVICE'
Rule Definition If the Group Insurance Premium Payment Transactions segment is populated and policy owner code is self from a FTX file, then the MBESCBES-CATEGORY-OF-SERVICE must be populated
Denominator Logic # of FTX Group Insurance Premium Payment Transactions with POLICY-OWNER-CODE is equal to '01'