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Tier | 2.1 |
---|---|
Tier Description | Relational error |
Error Category | E2101 |
Error Category Message | Missing parent record (single file) |
Rule Type | Child Parent Rule |
File Segment Number | COT00002 |
Data Element Name | CLAIM-LINE-RECORD-OT.SUBMITTING-STATE • CLAIM-LINE-RECORD-OT.ICN-ORIG • CLAIM-LINE-RECORD-OT.ICN-ADJ • CLAIM-LINE-RECORD-OT.ADJUDICATION-DATE • CLAIM-LINE-RECORD-OT.LINE-ADJUSTMENT-IND |
Validation Logic | if CLAIM-LINE-RECORD-OT.CLAIM-LINE-STATUS is not equal to one of the following: '26', '87', '542', '585', '654', then record CLAIM-LINE-RECORD-OT has corresponding parent record CLAIM-HEADER-RECORD-OT |
Rule Definition | All non-denied OT claim line records must have a corresponding parent record. |
Denominator Logic | # of OT claim headers with CLAIM-LINE-RECORD-OT.CLAIM-LINE-STATUS not in: '26', '87', '542', '585', '654' |