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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

RULE-8826

Validation Rule
Last updated

No Updates

Tier 1.1
Tier Description Value Error
Error Category E1103
Error Category Message Value not in specified valid value set
Rule Type Valid Value
File Segment Number PRV00002
Data Element Name PROV-ATTRIBUTES-MAIN.ATYPICAL-PROV-IND
Validation Logic 'If the ATYPICAL-PROV-IND field is populated, the value must be contained in the set of valid values with id: 'ATYPICAL-PROV-IND' and (if PROV-ATTRIBUTES-MAIN.PROV-ATTRIBUTES-EFF-DATE is non-null then PROV-ATTRIBUTES-MAIN.PROV-ATTRIBUTES-EFF-DATE >= Valid Values Effective-Date and PROV-ATTRIBUTES-MAIN.PROV-ATTRIBUTES-EFF-DATE <= Valid Values End-Date)'
Rule Definition If the atypical provider indicator is populated on the Provider Attribute Main segment from a PRV file, then the atypical provider indicator reported must be found in the list of valid values.
Denominator Logic # of PROV-ATTRIBUTES-MAIN segments with PROV-ATTRIBUTES-MAIN.ATYPICAL-PROV-IND equal to valid, not-null value