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TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-2803

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 PRV00002
Data Element Name PROV-ATTRIBUTES-MAIN.FACILITY-GROUP-INDIVIDUAL-CODE
Validation Logic 'If the FACILITY-GROUP-INDIVIDUAL-CODE field is populated, the value must be contained in the set of valid values with id: 'FACILITY-GROUP-INDIVIDUAL-CODE' and (if PROV-ATTRIBUTES-MAIN.PROV-ATTRIBUTES-EFF-DATE is non-null then PROV-ATTRIBUTES-MAIN.PROV-ATTRIBUTES-EFF-DATE >= Valid Values Effective-Date and PROV-ATTRIBUTES-MAIN.PROV-ATTRIBUTES-EFF-DATE <= Valid Values End-Date)'
Rule Definition If facility group individual code is populated on a provider attributes main segment from a PRV file, then the facility group individual code value reported must be in the list of valid values for facility group individual code.
Denominator Logic # of PROV-ATTRIBUTES-MAIN segments with PROV-ATTRIBUTES-MAIN.FACILITY-GROUP-INDIVIDUAL-CODE equal to a valid, non-null value