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TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-2906

Validation Rule
Last updated

No Updates

Tier 2.0
Tier Description Relational error
Error Category E2001
Error Category Message Values inconsistently specified (single record type, single record)
Rule Type One Record Type (Single Record)
File Segment Number PRV00005
Data Element Name PROV-IDENTIFIERS.PROV-IDENTIFIER-ISSUING-ENTITY-ID
Validation Logic 'if PROV-IDENTIFIERS.PROV-IDENTIFIER-TYPE equals '4', then PROV-IDENTIFIERS.PROV-IDENTIFIER-ISSUING-ENTITY-ID equals 'NCPDP''
Rule Definition If provider identifier type is '4' on a provider identifiers segment from a PRV file, then the value for the provider identifer issuing entity id must be equal 'NCPDP'.
Denominator Logic # of PROV-IDENTIFIERS segments with PROV-IDENTIFIERS.PROV-IDENTIFIER-TYPE equal '4'