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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

RULE-8799

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 FTX00007
Data Element Name STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM.PAYER-ID • STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM.SUBMITTING-STATE
Validation Logic 'if STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM has a valid, non-null value for PAYER-ID and STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM.PAYER-ID-TYPE equals '01' and STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM.ADJUSTMENT-IND does not equal '1', then STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM.PAYER-ID equals STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM.SUBMITTING-STATE'
Rule Definition If a financial transaction is a non-void, and the PAYER ID is populated on State Directed Payment Separate Payment Term 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 State Directed Payment Separate Payment Term Transactions with STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM has a valid, non-null value for PAYER-ID and with STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM.PAYER-ID-TYPE is equal to '01' and with STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM.ADJUSTMENT-IND does not equal to '1'