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TMSIS Dataguide Medicaid.gov
Version 3.38.0

RULE-3147

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 TPL00005
Data Element Name TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION.OTHER-TPL-EFF-DATE • TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION.OTHER-TPL-END-DATE
Validation Logic 'if TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION has a valid, non-null value for OTHER-TPL-EFF-DATE and TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION has a valid, non-null value for OTHER-TPL-END-DATE, then TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION.OTHER-TPL-EFF-DATE is less than or equal to TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION.OTHER-TPL-END-DATE'
Rule Definition If other TPL effective date and other TPL end date are populated on a TPL Medicaid eligible other third party coverage information segment from a TPL file, then the other TPL effective date value reported must be before or equal to the other TPL end date value reported.
Denominator Logic # of TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION segments with TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION.OTHER-TPL-EFF-DATE equal to a valid, non-null value AND with TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION.OTHER-TPL-END-DATE equal to a valid, non-null value