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TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-7646

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 COT
Measure ID RULE-7646
Measure Type Claims percentage
Content area ELG MCR MULTI

Validation

Validation Type Inferential

Measure Priority

Measure Priority Critical
Focus Area Managed care
Category File integrity

Claim Information

Claim Type Medicaid,Cap or CHIP,Cap
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-7646