RULE-1211

Tier	1.1
Tier Description	Value Error
Error Category	E1103
Error Category Message	Value not in specified valid value set
Rule Type	Valid Value
File Segment Number	CLT00003
Data Element Name	CLAIM-LINE-RECORD-LT.LINE-ADJUSTMENT-IND
Validation Logic	'If the LINE-ADJUSTMENT-IND field is populated, the value must be contained in the set of valid values with id: 'LINE-ADJUSTMENT-IND' and (if CLAIM-LINE-RECORD-LT.ENDING-DATE-OF-SERVICE is non-null then CLAIM-LINE-RECORD-LT.ENDING-DATE-OF-SERVICE >= Valid Values Effective-Date and CLAIM-LINE-RECORD-LT.ENDING-DATE-OF-SERVICE <= Valid Values End-Date)'
Rule Definition	If the line adjustment indicator is populated on a claim line from an LT file, then the line adjustment indicator value reported must be in the list of valid values for line adjustment indicator.
Denominator Logic	# of LT claim lines with CLAIM-LINE-RECORD-LT.LINE-ADJUSTMENT-IND equal to a valid, non-null value

Published Date	Data Guide Version	Validation Rule	Action	Field	Before	After
01/31/2020	2.4.0	RULE-1211	UPDATE	Data Dictionary - Validation Rules	If the field is populated, the value must be contained in the set of valid values with id: 'LINE-ADJUSTMENT-IND'.	If the field is populated, the value must be contained in the set of valid values with id: 'LINE-ADJUSTMENT-IND'. and CLAIM-LINE-RECORD-LT.ENDING-DATE-OF-SERVICE has non null value and CLAIM-LINE-RECORD-LT.ENDING-DATE-OF-SERVICE must be >= Valid Values Effective-Date and CLAIM-LINE-RECORD-LT.ENDING-DATE-OF-SERVICE <= Valid Values End-Date
08/30/2018	2.3.0	RULE-1211	UPDATE	Data Dictionary - Validation Rules	If the field is populated, the value must be contained in the set of valid values with id: 'LINE-ADJUSTMENT-IND	if CLAIM-HEADER-RECORD-LT.CLAIM-STATUS-CATEGORY does not equal 'F2' and CLAIM-LINE-RECORD-LT.CLAIM-LINE-STATUS is not equal to one of the following: '26', '87', '542', '585', '654', then If the field is populated, the value must be contained in the set of valid values with id: 'LINE-ADJUSTMENT-IND
07/20/2018	2.3.0	RULE-1211	UPDATE	Data Dictionary - Validation Rules	LINE-ADJUSTMENT-IND (CLT) if CLAIM-HEADER-RECORD-LT.CLAIM-STATUS-CATEGORY does not equal 'F2' and CLAIM-LINE-RECORD-LT.CLAIM-LINE-STATUS is not equal to one of the following: '26', '87', '542', '585', '654', then If the field is populated, the value must be contained in the set of valid values with id: 'LINE-ADJUSTMENT-IND	LINE-ADJUSTMENT-IND (CLT) If the field is populated, the value must be contained in the set of valid values with id: 'LINE-ADJUSTMENT-IND
11/23/2018	2.3.0	RULE-1211	UPDATE	Data Dictionary - Validation Rules	if CLAIM-HEADER-RECORD-LT.CLAIM-STATUS-CATEGORY does not equal 'F2' and CLAIM-LINE-RECORD-LT.CLAIM-LINE-STATUS is not equal to one of the following: '26', '87', '542', '585', '654', then If the field is populated, the value must be contained in the set of valid values with id: 'LINE-ADJUSTMENT-IND	If the field is populated, the value must be contained in the set of valid values with id: 'LINE-ADJUSTMENT-IND'. Note: With this deployment, these are the valid values for LINE-ADJUSTMENT-IND: 0 – Original 1 – Void 4 – Debit Adjustment 5 –Credit Gross Adjustment 6 - Debit Gross Adjustment The following valid values were removed from LINE-ADJUSTMENT-IND in Data Dictionary version 2.1 published November 2017. States should no longer report these valid values for (LINE-)ADJUSTMENT-IND. 2 - Resubmittal 3 – Credit Adjustment