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TMSIS Dataguide Medicaid.gov
Version 3.38.0

RULE-1197

Validation Rule
Last updated

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 CLT00003
Data Element Name CLAIM-LINE-RECORD-LT.SUBMITTING-STATE
Validation Logic 'If the SUBMITTING-STATE field is populated, the value must be contained in the set of valid values with id: 'STATE' and (if CLAIM-LINE-RECORD-LT.ENDING-DATE-OF-SERVICE is non-null then CLAIM-LINE-RECORD-LT.ENDING-DATE-OF-SERVICE >= Valid Values Effective-Date and CLAIM-LINE-RECORD-LT.ENDING-DATE-OF-SERVICE <= Valid Values End-Date)'
Rule Definition If the submitting state is populated on a non-denied claim line from an LT file, then the submitting state reported must be found in the list of valid values.
Denominator Logic # of LT claim lines with CLAIM-LINE-RECORD-LT.STATE equal to a valid, non-null value