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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

RULE-8802

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 FTX00095
Data Element Name MISCELLANEOUS-PAYMENT.PAYER-ID • MISCELLANEOUS-PAYMENT.SUBMITTING-STATE
Validation Logic 'if MISCELLANEOUS-PAYMENT has a valid, non-null value for PAYER-ID and MISCELLANEOUS-PAYMENT.PAYER-ID-TYPE equals '01' and MISCELLANEOUS-PAYMENT.ADJUSTMENT-IND does not equal '1', then MISCELLANEOUS-PAYMENT.PAYER-ID equals MISCELLANEOUS-PAYMENT.SUBMITTING-STATE'
Rule Definition If a financial transaction is a non-void, and the PAYER ID is populated on Miscellaneous 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 Miscellaneous Payment Transactions with MISCELLANEOUS-PAYMENT has a valid, non-null value for PAYER-ID and with MISCELLANEOUS-PAYMENT.PAYER-ID-TYPE is equal to '01' and with MISCELLANEOUS-PAYMENT.ADJUSTMENT-IND does not equal to '1'