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TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-2624

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 MCR00004
Data Element Name MANAGED-CARE-SERVICE-AREA.SUBMITTING-STATE • FILE-HEADER-RECORD-MANAGED-CARE.SUBMITTING-STATE
Validation Logic 'if MANAGED-CARE-SERVICE-AREA has a valid, non-null value for SUBMITTING-STATE and FILE-HEADER-RECORD-MANAGED-CARE has a valid, non-null value for SUBMITTING-STATE, then MANAGED-CARE-SERVICE-AREA.SUBMITTING-STATE refers to the same state as FILE-HEADER-RECORD-MANAGED-CARE.SUBMITTING-STATE'
Rule Definition If submitting state is populated on a managed care service area segment, then the submitting state reported on the managed care service area segment must match the submitting state on the file header.
Denominator Logic # of MANAGED-CARE-SERVICE-AREA segments with MANAGED-CARE-SERVICE-AREA.SUBMITTING-STATE equal to a valid, non-null value and with FILE-HEADER-RECORD-ELIGIBILITY.SUBMITTING-STATE equal to a valid, non-null value