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TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-2956

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 PRV00007
Data Element Name PROV-MEDICAID-ENROLLMENT.PROV-MEDICAID-ENROLLMENT-STATUS-CODE
Validation Logic 'If the PROV-MEDICAID-ENROLLMENT-STATUS-CODE field is populated, the value must be contained in the set of valid values with id: 'PROV-MEDICAID-ENROLLMENT-STATUS-CODE' and (if PROV-MEDICAID-ENROLLMENT.PROV-MEDICAID-EFF-DATE is non-null then PROV-MEDICAID-ENROLLMENT.PROV-MEDICAID-EFF-DATE >= Valid Values Effective-Date and PROV-MEDICAID-ENROLLMENT.PROV-MEDICAID-EFF-DATE <= Valid Values End-Date)'
Rule Definition If the provider medicaid enrollment status code is populated on a provider medicaid enrollment file, then the provider medicaid enrollment status code reported must be found in the list of valid values.
Denominator Logic # of PROV-MEDICAID-ENROLLMENT segments with PROV-MEDICAID-ENROLLMENT.PROV-MEDICAID-ENROLLMENT-STATUS-CODE equal to a valid, non-null value