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Tier | 1.1 |
---|---|
Tier Description | Value Error |
Error Category | E1102 |
Error Category Message | Value does not match specification |
Rule Type | One Record Type (Single Record) |
File Segment Number | TPL00003 |
Data Element Name | TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO.INSURANCE-PLAN-ID |
Validation Logic | 'if TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO has a valid, non-null value for INSURANCE-PLAN-ID, then TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO.INSURANCE-PLAN-ID does not contain any pipe (|) or asterisk (*) characters' |
Rule Definition | If the insurance plan id is populated on a non-denied claim from an IP file, then the insurance plan id reported must not contain any pipe or asterisk characters. |
Denominator Logic | # of TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO segments with TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO.INSURANCE-PLAN-ID equal to a valid, non-null value |