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TMSIS Dataguide Medicaid.gov
Version 3.38.0

RULE-875

Validation Rule
Last updated

No Updates

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 CLT00002
Data Element Name CLAIM-HEADER-RECORD-LT.SUBMITTING-STATE • FILE-HEADER-RECORD-LT.SUBMITTING-STATE
Validation Logic 'if CLAIM-HEADER-RECORD-LT has a valid, non-null value for SUBMITTING-STATE and FILE-HEADER-RECORD-LT has a valid, non-null value for SUBMITTING-STATE, then CLAIM-HEADER-RECORD-LT.SUBMITTING-STATE refers to the same state as FILE-HEADER-RECORD-LT.SUBMITTING-STATE'
Rule Definition If submitting state is populated on a claim header record LT segment, then the submitting state reported on the claim header record LT segment must match the submitting state on the file header.
Denominator Logic # of LT claim headers with CLAIM-HEADER-RECORD-LT.SUBMITTING-STATE equal to a valid, non-null value and with FILE-HEADER-RECORD-LT.SUBMITTING-STATE equal to a valid, non-null value