An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock () or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

TMSIS Dataguide Medicaid.gov

Version:

3.39.0

RULE-929

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 CLT00002
Data Element Name CLAIM-HEADER-RECORD-LT.DISCHARGE-DATE • CLAIM-HEADER-RECORD-LT.ADJUDICATION-DATE
Validation Logic 'if CLAIM-HEADER-RECORD-LT.CLAIM-STATUS-CATEGORY does not equal 'F2' and CLAIM-HEADER-RECORD-LT has a valid, non-null value for DISCHARGE-DATE and CLAIM-HEADER-RECORD-LT has a valid, non-null value for ADJUDICATION-DATE, then CLAIM-HEADER-RECORD-LT.DISCHARGE-DATE is less than or equal to CLAIM-HEADER-RECORD-LT.ADJUDICATION-DATE'
Rule Definition If discharge date and adjudication date are populated on a non-denied claim from an LT file, then the discharge date value reported must be before or equal to the adjudication date value reported.
Denominator Logic # of LT claim headers with CLAIM-HEADER-RECORD-LT.CLAIM-STATUS-CATEGORY not equal to 'F2' AND with CLAIM-HEADER-RECORD-LT.DISCHARGE-DATE equal to a valid, non-null value AND with CLAIM-HEADER-RECORD-LT.ADJUDICATION-DATE equal to a valid, non-null value