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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 |