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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

RULE-8798

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 FTX00006
Data Element Name VALUE-BASED-PAYMENT.PAYER-ID • VALUE-BASED-PAYMENT.SUBMITTING-STATE
Validation Logic 'if VALUE-BASED-PAYMENT has a valid, non-null value for PAYER-ID and VALUE-BASED-PAYMENT.PAYER-ID-TYPE equals '01' and VALUE-BASED-PAYMENT.ADJUSTMENT-IND does not equal '1', then VALUE-BASED-PAYMENT.PAYER-ID equals VALUE-BASED-PAYMENT.SUBMITTING-STATE'
Rule Definition If a financial transaction is a non-void, and the PAYER ID is populated on Value Based 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 Value Based Payment Transactions with VALUE-BASED-PAYMENT has a valid, non-null value for PAYER-ID and with VALUE-BASED-PAYMENT.PAYER-ID-TYPE is equal to '01'and with VALUE-BASED-PAYMENT.ADJUSTMENT-IND does not equal to '1'