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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 | MCR00002 |
Data Element Name | MANAGED-CARE-MAIN.MANAGED-CARE-PLAN-TYPE |
Validation Logic | 'If the MANAGED-CARE-PLAN-TYPE field is populated, the value must be contained in the set of valid values with id: 'MANAGED-CARE-PLAN-TYPE' and (if MANAGED-CARE-MAIN.MANAGED-CARE-MAIN-REC-EFF-DATE is non-null then MANAGED-CARE-MAIN.MANAGED-CARE-MAIN-REC-EFF-DATE >= Valid Values Effective-Date and MANAGED-CARE-MAIN.MANAGED-CARE-MAIN-REC-EFF-DATE <= Valid Values End-Date)' |
Rule Definition | If managed care plan type is populated on a managed care main segment from an MCR file, then the managed care plan type value reported must be in the list of valid values for managed care plan type. |
Denominator Logic | # of MANAGED-CARE-MAIN segments with MANAGED-CARE-MAIN.MANAGED-CARE-PLAN-TYPE equal to a valid, non-null value |