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TMSIS Dataguide Medicaid.gov
Version 3.38.0

RULE-7542

Validation Rule
Last updated

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 CLT00002
Data Element Name CLAIM-HEADER-RECORD-LT.ADJUSTMENT-IND
Validation Logic 'if CLAIM-HEADER-RECORD-LT.CLAIM-STATUS equals '686', then CLAIM-HEADER-RECORD-LT.ADJUSTMENT-IND equals '1''
Rule Definition If a segment is an LT claim header, and claim status is equal to '686' (void claim), then adjustment indicator must be equal to '1' (void).
Denominator Logic # of LT claim headers with CLAIM-HEADER-RECORD-LT.CLAIM-STATUS is equal to '686'