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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.OCCURRENCE-CODE-EFF-DATE-05 • CLAIM-HEADER-RECORD-OT.OCCURRENCE-CODE-END-DATE-05 |
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 OCCURRENCE-CODE-EFF-DATE-05 and CLAIM-HEADER-RECORD-OT has a valid, non-null value for OCCURRENCE-CODE-END-DATE-05, then CLAIM-HEADER-RECORD-OT.OCCURRENCE-CODE-EFF-DATE-05 is less than or equal to CLAIM-HEADER-RECORD-OT.OCCURRENCE-CODE-END-DATE-05' |
Rule Definition | If a non-denied OT claim has a value populated for occurrence code effective date 05 and occurrence code end date 05, then occurrence code effective date 05 is less than or equal to occurrence code end date 05. |
Denominator Logic | # of OT claim headers with CLAIM-HEADER-RECORD-OT.CLAIM-STATUS-CATEGORY not equal to 'F2' and with CLAIM-HEADER-RECORD-OT.OCCURRENCE-CODE-EFF-DATE-05 equal to a valid, non-null value and with CLAIM-HEADER-RECORD-OT.OCCURRENCE-CODE-END-DATE-05 equal to a valid, non-null value |