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TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-7907

Data Quality Measure
Last updated

Key Information

Measure Name % of claim headers with Billing Provider NPI Number in an invalid format
File Type COT
Measure ID RULE-7907
Measure Type Claims Percentage
Content area MCR

Validation

Validation Type Inferential

Measure Priority

Measure Priority High
Focus Area Managed care
Category Provider information

Claim Information

Claim Type Medicaid,Enc or CHIP,Enc
Adjustment Type All Adjustment Types
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 BILLING-PROV-NPI-NUM
DD Data Element Number COT113

Annotation N/A
Specification RULE-7907