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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 | FTX00002 |
Data Element Name | INDIVIDUAL-CAPITATION-PMPM.PAYEE-ID • INDIVIDUAL-CAPITATION-PMPM.SUBMITTING-STATE |
Validation Logic | 'if INDIVIDUAL-CAPITATION-PMPM has a valid, non-null value for PAYEE-ID and INDIVIDUAL-CAPITATION-PMPM.PAYEE-ID-TYPE equals '01' and INDIVIDUAL-CAPITATION-PMPM.ADJUSTMENT-IND does not equal '1', then INDIVIDUAL-CAPITATION-PMPM.PAYEE-ID equals INDIVIDUAL-CAPITATION-PMPM.SUBMITTING-STATE' |
Rule Definition | If a financial transaction is a non-void, and the PAYEE ID is populated on Individual Capitation Payment segment from the FTX file and the PAYEE ID Type is State, then the PAYEE ID value reported must be equal to the value populated for submitting state. |
Denominator Logic | # of FTX Individual Capitation Payment Transactions with INDIVIDUAL-CAPITATION-PMPM has a valid, non-null value for PAYEE-ID and with INDIVIDUAL-CAPITATION-PMPM.PAYEE-ID-TYPE is equal to '01' and with INDIVIDUAL-CAPITATION-PMPM.ADJUSTMENT-IND is not equal to '1' |