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TMSIS Dataguide Medicaid.gov
Version 3.28.0

RULE-2570

Validation Rule
Last updated

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-PROFIT-STATUS
Validation Logic 'If the MANAGED-CARE-PROFIT-STATUS field is populated, the value must be contained in the set of valid values with id: 'MANAGED-CARE-PROFIT-STATUS' 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 the managed care profit status is populated on a managed care main file, then the managed care profit status reported must be found in the list of valid values.
Denominator Logic # of MANAGED-CARE-MAIN segments with MANAGED-CARE-MAIN.MANAGED-CARE-PROFIT-STATUS equal to a valid, non-null value