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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

RULE-8800

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 FTX00008
Data Element Name COST-SETTLEMENT-PAYMENT.PAYER-ID • COST-SETTLEMENT-PAYMENT.SUBMITTING-STATE
Validation Logic 'if COST-SETTLEMENT-PAYMENT has a valid, non-null value for PAYER-ID and COST-SETTLEMENT-PAYMENT.PAYER-ID-TYPE equals '01' and COST-SETTLEMENT-PAYMENT.ADJUSTMENT-IND does not equal '1', then COST-SETTLEMENT-PAYMENT.PAYER-ID equals COST-SETTLEMENT-PAYMENT.SUBMITTING-STATE'
Rule Definition If a financial transaction is a non-void, and the PAYER ID is populated on Cost Settlement 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 Cost Settlement Payment Transactions with COST-SETTLEMENT-PAYMENT has a valid, non-null value for PAYER-ID and with COST-SETTLEMENT-PAYMENT.PAYER-ID-TYPE is equal to '01' and with COST-SETTLEMENT-PAYMENT.ADJUSTMENT-IND does not equal to '1'