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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

RULE-8797

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 FTX00005
Data Element Name COST-SHARING-OFFSET.PAYER-ID • COST-SHARING-OFFSET.SUBMITTING-STATE
Validation Logic 'if COST-SHARING-OFFSET has a valid, non-null value for PAYER-ID and COST-SHARING-OFFSET.PAYER-ID-TYPE equals '01' and COST-SHARING-OFFSET.ADJUSTMENT-IND does not equal '1', then COST-SHARING-OFFSET.PAYER-ID equals COST-SHARING-OFFSET.SUBMITTING-STATE'
Rule Definition If a financial transaction is a non-void, and the PAYER ID is populated on Cost Sharing Offset 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 Cost Sharing Offset Transactions with COST-SHARING-OFFSET has a valid, non-null value for PAYER-ID and with COST-SHARING-OFFSET.PAYER-ID-TYPE is equal to '01' and with COST-SHARING-OFFSET.ADJUSTMENT-IND does not equal to '1'