RULE-7867

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Version 3.38.0

RULE-7867

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	Two Record Type (1 to 1)
File Segment Number	CRX00002
Data Element Name	CLAIM-LINE-RECORD-RX.LINE-ADJUSTMENT-IND
Validation Logic	'if CLAIM-HEADER-RECORD-RX.TYPE-OF-CLAIM is equal to one of the following: '4', 'D', then CLAIM-LINE-RECORD-RX has a non-null value for LINE-ADJUSTMENT-IND'
Rule Definition	If a segment is an RX claim line, and the type of claim is a service tracking, the line adjustment indicator must be populated.
Denominator Logic	# of RX claim lines CLAIM-HEADER-RECORD-RX.TYPE-OF-CLAIM is equal to one of the following: '4', 'D'

Published Date	Data Guide Version	Validation Rule	Action	Field	Before	After
03/31/2023	3.5.0	Rule-7867	ADD	Data Dictionary - Validation Rules	N/A	If CLAIM-HEADER-RECORD-RX.TYPE-OF-CLAIM is equal to one of the following: '4', 'D' then CLAIM-LINE-RECORD-RX.LINE-ADJUSTMENT-IND must have a non-null value