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Tier | 2.0 |
---|---|
Tier Description | Relational error |
Error Category | E2001 |
Error Category Message | Values inconsistently specified (single record type, single record) |
Rule Type | One Record Type (Single Record) |
File Segment Number | CLT00002 |
Data Element Name | CLAIM-HEADER-RECORD-LT.OCCURRENCE-CODE-EFF-DATE-09 • CLAIM-HEADER-RECORD-LT.OCCURRENCE-CODE-END-DATE-09 |
Validation Logic | 'if CLAIM-HEADER-RECORD-LT.CLAIM-STATUS-CATEGORY does not equal 'F2' and CLAIM-HEADER-RECORD-LT has a valid, non-null value for OCCURRENCE-CODE-EFF-DATE-09 and CLAIM-HEADER-RECORD-LT has a valid, non-null value for OCCURRENCE-CODE-END-DATE-09, then CLAIM-HEADER-RECORD-LT.OCCURRENCE-CODE-EFF-DATE-09 is less than or equal to CLAIM-HEADER-RECORD-LT.OCCURRENCE-CODE-END-DATE-09' |
Rule Definition | If a non-denied LT claim has a value populated for occurrence code effective date 09 and occurrence code end date 09, then occurrence code effective date 09 is less than or equal to occurrence code end date 09. |
Denominator Logic | # of LT claim headers with CLAIM-HEADER-RECORD-LT.CLAIM-STATUS-CATEGORY not equal to 'F2' and with CLAIM-HEADER-RECORD-LT.OCCURRENCE-CODE-EFF-DATE-09 has a valid, non-null value and with CLAIM-HEADER-RECORD-LT.OCCURRENCE-CODE-END-DATE-09 has a valid, non-null value |