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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

RULE-8796

Validation Rule
Last updated

No Updates

Tier 2.0
Tier Description Relational error
Error Category E2001
Error Category Message Values inconsistently specified (single record type, single record)
Rule Type One Record Type (Single Record)
File Segment Number FTX00004
Data Element Name GROUP-INSURANCE-PREMIUM-PAYMENT.PAYER-ID • GROUP-INSURANCE-PREMIUM-PAYMENT.SUBMITTING-STATE
Validation Logic 'if GROUP-INSURANCE-PREMIUM-PAYMENT has a valid, non-null value for PAYER-ID and GROUP-INSURANCE-PREMIUM-PAYMENT.PAYER-ID-TYPE equals '01' and GROUP-INSURANCE-PREMIUM-PAYMENT.ADJUSTMENT-IND does not equal '1', then GROUP-INSURANCE-PREMIUM-PAYMENT.PAYER-ID equals GROUP-INSURANCE-PREMIUM-PAYMENT.SUBMITTING-STATE'
Rule Definition If a financial transaction is a non-void, and the PAYER ID is populated on Group Insurance Premium Payment segment from the FTX file and the PAYER ID Type is State, then the PAYER ID value reported must be equal to the value populated for submitting state.
Denominator Logic # of FTX Group Insurance Premium Payment Transactions with GROUP-INSURANCE-PREMIUM-PAYMENT has a valid, non-null value for PAYER-ID and with GROUP-INSURANCE-PREMIUM-PAYMENT.PAYER-ID-TYPE is equal to '01' and with GROUP-INSURANCE-PREMIUM-PAYMENT.ADJUSTMENT-IND does not equal to '1'