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TMSIS Dataguide Medicaid.gov

Version:

RULE-8712

Validation Rule
Last updated

No Updates

Tier 0
Tier Description File specification error
Error Category E0003
Error Category Message Duplicate record identifier (RECORD-NUM or primary key values)
Rule Type One Record Type (Multi Record)
File Segment Number FTX00004
Data Element Name GROUP-INSURANCE-PREMIUM-PAYMENT.SUBMITTING-STATEGROUP-INSURANCE-PREMIUM-PAYMENT.ICN-ORIGGROUP-INSURANCE-PREMIUM-PAYMENT.ICN-ADJGROUP-INSURANCE-PREMIUM-PAYMENT.PAYMENT-DATEGROUP-INSURANCE-PREMIUM-PAYMENT.ADJUSTMENT-INDGROUP-INSURANCE-PREMIUM-PAYMENT.MSIS-IDENTIFICATION-NUMGROUP-INSURANCE-PREMIUM-PAYMENT.SSN
Validation Logic Fields SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,PAYMENT-DATE,ADJUSTMENT-IND,MSIS-IDENTIFICATION-NUM,SSN should be unique across all records of type GROUP-INSURANCE-PREMIUM-PAYMENT
Rule Definition If a financial transaction is from an FTX file Group Insurance Premium Payment segment, then submitting state, original ICN, adjustment ICN, payment date, adjustment indicator, msis identification number, and ssn values reported must be unique across all financial transactions in Group Insurance Premium Payment segment.
Denominator Logic # of FTX Group Insurance Premium Payment Transactions