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Tier | 3.0 |
---|---|
Tier Description | Relational error |
Error Category | E3001 |
Error Category Message | Missing corresponding record (2 record types, multi file) (ex. missing eligibility record for claim header) |
Rule Type | Child Parent Rule |
File Segment Number | ELG00002 |
Data Element Name | TPL-MEDICAID-ELIGIBLE-PERSON-MAIN.SUBMITTING-STATE • TPL-MEDICAID-ELIGIBLE-PERSON-MAIN.MSIS-IDENTIFICATION-NUM |
Validation Logic | record TPL-MEDICAID-ELIGIBLE-PERSON-MAIN has corresponding parent record PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
Rule Definition | All TPL medicaid eligible person main segments must have a corresponding primary demographics eligibility segment where the TPL medicaid eligible person main effective and end dates are within the primary demographics eligibility effective and end dates. Note: Primary demographics eligibility dates can be consecutive or overlapping. |
Denominator Logic | # of TPL-MEDICAID-ELIGIBLE-PERSON-MAIN segments |