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Tier | 2.1 |
---|---|
Tier Description | Relational error |
Error Category | E2102 |
Error Category Message | Values inconsistently specified (multi record, single file) |
Rule Type | Two Record Type (1 to 1) |
File Segment Number | COT00002 |
Data Element Name | CLAIM-LINE-RECORD-OT.ORIGINATION-ADDR-LN1 • CLAIM-LINE-RECORD-OT.ORIGINATION-ADDR-LN2 |
Validation Logic | 'if CLAIM-LINE-RECORD-OT.CLAIM-LINE-STATUS is not equal to one of the following: '26', '87', '542', '585', '654' and CLAIM-HEADER-RECORD-OT.CLAIM-STATUS-CATEGORY does not equal 'F2', then CLAIM-LINE-RECORD-OT.ORIGINATION-ADDR-LN1 does not equal CLAIM-LINE-RECORD-OT.ORIGINATION-ADDR-LN2' |
Rule Definition | If a non-denied OT claim line origination address line 2 is populated, then origination address line 2 is not equal to origination address line1. |
Denominator Logic | # of OT claim headers with CLAIM-LINE-RECORD-OT.CLAIM-LINE-STATUS not in: '26', '87', '542', '585', '654' and with CLAIM-HEADER-RECORD-OT.CLAIM-STATUS-CATEGORY not equal to 'F2' |