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TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-7575

Data Quality Measure
Last updated

No Updates

Key Information

Measure Name % of denied claim lines that have no corresponding claim header
File Type CLT
Measure ID RULE-7575
Measure Type Claims percentage
Content area ALL

Validation

Validation Type Inferential

Measure Priority

Measure Priority Critical
Focus Area N/A
Category File integrity

Claim Information

Claim Type N/A
Adjustment Type All Adjustment Types
Crossover Type All Indicators

Thresholds

Minimum 0
Maximum 0.001
TA Minimun 0
TA Maximum 0.001
Longitudinal Threshold N/A
For TA
(for including in compliance training)
TA- Inferential
For TA
(Longitudinal)
No

Data Elements

DD Data Element
DD Data Element Number

Annotation N/A
Specification RULE-7575