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Tier | 2.1 |
---|---|
Tier Description | Relational error |
Error Category | E2102 |
Error Category Message | Values inconsistently specified (multi record, single file) |
Rule Type | Two Record Type (1 to Many) |
File Segment Number | COT00002 |
Data Element Name | CLAIM-HEADER-RECORD-OT.CLAIM-LINE-COUNT |
Validation Logic | 'if CLAIM-HEADER-RECORD-OT.CLAIM-STATUS-CATEGORY does not equal 'F2' and CLAIM-HEADER-RECORD-OT has a valid, non-null value for CLAIM-LINE-COUNT, then CLAIM-HEADER-RECORD-OT.CLAIM-LINE-COUNT is equal to the total number of CLAIM-LINE-RECORD-OT records' |
Rule Definition | If a non-denied OT claim has a value populated for claim line count, the claim header claim line count is equal to the total number of IP claim line records. |
Denominator Logic | # of OT claim headers with CLAIM-HEADER-RECORD-OT.CLAIM-STATUS-CATEGORY not equal to 'F2' and with CLAIM-HEADER-RECORD-OT.CLAIM-LINE-COUNT equal to a valid, non-null value |