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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

RULE-8860

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 MCR00010
Data Element Name MANAGED-CARE-ID.MANAGED-CARE-PLAN-OTHER-ID-TYPE
Validation Logic 'if the MANAGED-CARE-PLAN-OTHER-ID-TYPE field is populated, then the value must be contained in the set of valid values with id: 'MANAGED-CARE-PLAN-OTHER-ID-TYPE' and (if MANAGED-CARE-ID.MANAGED-CARE-ID-EFF-DATE is non-null then MANAGED-CARE-ID.MANAGED-CARE-ID-EFF-DATE >= Valid Values Effective-Date and MANAGED-CARE-ID.MANAGED-CARE-ID-EFF-DATE <= Valid Values End-Date)'
Rule Definition If the managed care plan other ID type is populated on the Managed Care ID segment from a MCR file, then the managed care plan other ID type reported must be found in the list of valid values.
Denominator Logic # of MCR Managed Care ID segments with MANAGED-CARE-ID.MANAGED-CARE-PLAN-OTHER-ID-TYPE equal to a valid, non-null value