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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 | COT00002 |
Data Element Name | CLAIM-HEADER-RECORD-OT.MSIS-IDENTIFICATION-NUM |
Validation Logic | 'if CLAIM-HEADER-RECORD-OT.CLAIM-STATUS-CATEGORY does not equal 'F2' and CLAIM-HEADER-RECORD-OT.TYPE-OF-CLAIM is equal to one of the following: '4', 'D', 'X' and CLAIM-HEADER-RECORD-OT has a valid, non-null value for MSIS-IDENTIFICATION-NUM, then CLAIM-HEADER-RECORD-OT.MSIS-IDENTIFICATION-NUM starts with the '&' symbol' |
Rule Definition | If the MSIS ID is populated on a non-denied service tracking claim from an OT file, then the MSIS ID must begin with an '&' symbol. |
Denominator Logic | # of OT claim headers with CLAIM-HEADER-RECORD-OT.CLAIM-STATUS-CATEGORY not equal to 'F2' AND with CLAIM-HEADER-RECORD-OT.TYPE-OF-CLAIM is in '4', 'D', 'X' AND with CLAIM-HEADER-RECORD-OT.MSIS-IDENTIFICATION-NUM equal to a valid, non-null value |