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TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-2869

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 PRV00004
Data Element Name PROV-LICENSING-INFO.SUBMITTING-STATE • FILE-HEADER-RECORD-PROVIDER.SUBMITTING-STATE
Validation Logic 'if PROV-LICENSING-INFO has a valid, non-null value for SUBMITTING-STATE and FILE-HEADER-RECORD-PROVIDER has a valid, non-null value for SUBMITTING-STATE, then PROV-LICENSING-INFO.SUBMITTING-STATE refers to the same state as FILE-HEADER-RECORD-PROVIDER.SUBMITTING-STATE'
Rule Definition If submitting state is populated on a provider licensing information segment, then the submitting state reported on the provider licensing information segment must match the submitting state on the file header.
Denominator Logic # of PROV-LICENSING-INFO segments with PROV-LICENSING-INFO.SUBMITTING-STATE equal to a valid, non-null value and with FILE-HEADER-RECORD-ELIGIBILITY.SUBMITTING-STATE equal to a valid, non-null value