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TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-7792

Data Quality Measure
Last updated

Key Information

Measure Name % of claim headers with PAYMENT-LEVEL-IND = 2 where the sum of Medicaid Paid Amount from the lines does not equal Total Medicaid Paid Amount from the header
File Type COT
Measure ID RULE-7792
Measure Type Claims Percentage
Content area FFS

Validation

Validation Type Inferential

Measure Priority

Measure Priority High
Focus Area N/A
Category Expenditures

Claim Information

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

Thresholds

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

Data Elements

DD Data Element TOT-MEDICAID-PAID-AMT • MEDICAID-PAID-AMT
DD Data Element Number COT050 • COT178

Annotation N/A
Specification RULE-7792