RULE-7651

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Version 3.38.0

RULE-7651

Validation Rule

Last updated

Tier	1.1
Tier Description	Missing Value Error
Error Category	E1105
Error Category Message	Data Element Value is Missing
Rule Type	One Record Type (Single Record)
File Segment Number	COT00002
Data Element Name	CLAIM-HEADER-RECORD-OT.ADJUSTMENT-IND
Validation Logic	'if CLAIM-HEADER-RECORD-OT.TYPE-OF-CLAIM is equal to one of the following: '2', 'B', then CLAIM-HEADER-RECORD-OT has a non-null value for ADJUSTMENT-IND'
Rule Definition	If a segment is an OT claim header, and the type of claim is a capitation, then the adjustment indicator must be populated.
Denominator Logic	# of OT claim headers with CLAIM-HEADER-RECORD-OT.TYPE-OF-CLAIM is equal to one of the following: '2', 'B'

Published Date	Data Guide Version	Validation Rule	Action	Field	Before	After
06/03/2022	3.0.0	RULE-7651	ADD	Data Dictionary - Validation Rules	N/A	If CLAIM-HEADER-RECORD-OT.TYPE-OF-CLAIM is equal to one of the following: '2', 'B' then CLAIM-HEADER-RECORD-OT.ADJUSTMENT-IND must have a non-null value'