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TMSIS Dataguide Medicaid.gov
Version 3.36.0

RULE-2522

Validation Rule
Last updated

No Updates

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 1)
File Segment Number ELG00002
Data Element Name PRIMARY-DEMOGRAPHICS-ELIGIBILITY.DATE-OF-DEATHENROLLMENT-TIME-SPAN-SEGMENT.ENROLLMENT-END-DATE
Validation Logic 'if PRIMARY-DEMOGRAPHICS-ELIGIBILITY has a valid, non-null value for DATE-OF-DEATH and ENROLLMENT-TIME-SPAN-SEGMENT has a valid, non-null value for ENROLLMENT-END-DATE, then ENROLLMENT-TIME-SPAN-SEGMENT.ENROLLMENT-END-DATE is less than or equal to PRIMARY-DEMOGRAPHICS-ELIGIBILITY.DATE-OF-DEATH'
Rule Definition If date of death is populated on a primary demographics eligibility segment from an ELG file, then the enrollment end date reported on the corresponding enrollment time span segment must be before or equal to the date of death reported.
Denominator Logic # of PRIMARY-DEMOGRAPHICS-ELIGIBILITY segments with PRIMARY-DEMOGRAPHICS-ELIGIBILITY.DATE-OF-DEATH equal to a valid, non-null value AND with PRIMARY-DEMOGRAPHICS-ELIGIBILITY.PRIMARY-DEMOGRAPHIC-ELEMENT-EFF-DATE and PRIMARY-DEMOGRAPHIC-ELIGIBILITY.PRIMARY-DEMOGRAPHIC-ELEMENT-END-DATE that overlap ENROLLMENT-TIME-SPAN-SEGMENT.ENROLLMENT-EFF-DATE and ENROLLMENT-TIME-SPAN-SEGMENT.ENROLLMENT-END-DATE AND with ENROLLMENT-TIME-SPAN-SEGMENT.ENROLLMENT-END-DATE equal to a valid, non-null value