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TMSIS Dataguide Medicaid.gov
Version 3.27.0

MCR-59-004-4 *DEPRECATED*

Data Quality Measure
Last updated

No Updates

Key Information

Measure Name % of claim headers where the sum of Medicaid Paid Amount from the lines does not equal Total Medicaid Paid Amount from the header
File Type CRX
Measure ID MCR-59-004-4
Measure Type Claims Percentage
Content area MCR

Validation

Validation Type Inferential

Measure Priority

Measure Priority N/A
Focus Area N/A
Category N/A

Claim Information

Claim Type Medicaid,Enc or CHIP,Enc
Adjustment Type Original
Crossover Type All Indicators

Thresholds

Minimum 0
Maximum 0.01
TA Minimun
TA Maximum
Longitudinal Threshold N/A
For TA
(for including in compliance training) 		No
For TA
(Longitudinal) 		No

Data Elements

DD Data Element MEDICAID-PAID-AMT • TOT-MEDICAID-PAID-AMT
DD Data Element Number CRX125 • CRX041

Annotation N/A
Specification N/A