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TMSIS Dataguide Medicaid.gov
Version 3.38.0

RULE-3102

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 TPL00003
Data Element Name TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO.INSURANCE-COVERAGE-EFF-DATE • TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO.INSURANCE-COVERAGE-END-DATE
Validation Logic 'if TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO has a valid, non-null value for INSURANCE-COVERAGE-EFF-DATE and TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO has a valid, non-null value for INSURANCE-COVERAGE-END-DATE, then TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO.INSURANCE-COVERAGE-EFF-DATE is less than or equal to TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO.INSURANCE-COVERAGE-END-DATE'
Rule Definition If insurance coverage effective date and insurance coverage end date are populated on a TPL Medicaid eligible person health insurance coverage information segment from a TPL file, then the insurance coverage effective date value reported must be before or equal to the insurance coverage end date value reported.
Denominator Logic # of TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO segments with TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO.INSURANCE-COVERAGE-EFF-DATE equal to a valid, non-null value AND with TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO.INSURANCE-COVERAGE-END-DATE equal to a valid, non-null value