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TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-1337

Data Quality Measure
Last updated

No Updates

Key Information

Measure Name % of claim headers with an MSIS ID not enrolled on Beginning Date of Service
File Type Multiple Files
Measure ID RULE-1337
Measure Type Claims percentage
Content area ELG ALL MULTI

Validation

Validation Type Inferential

Measure Priority

Measure Priority Critical
Focus Area N/A
Category File integrity

Claim Information

Claim Type Medicaid,FFS or Medicaid,Cap or Medicaid,Enc or Medicaid,Supp or CHIP,FFS or CHIP,Cap or CHIP,Enc or CHIP,Supp
Adjustment Type Non-void
Crossover Type All Indicators

Thresholds

Minimum 0
Maximum 0.02
TA Minimun 0
TA Maximum 0.02
Longitudinal Threshold N/A
For TA
(for including in compliance training) 		TA- Inferential
For TA
(Longitudinal) 		No

Data Elements

DD Data Element MSIS-IDENTIFICATION-NUM • BEGINNING-DATE-OF-SERVICE • MSIS-IDENTIFICATION-NUM • ENROLLMENT-EFF-DATE • ENROLLMENT-END-DATE
DD Data Element Number COT022 • COT033 • ELG251 • ELG253 • ELG254

Annotation N/A
Specification RULE-1337