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TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-3090

Validation Rule
Last updated

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.MEMBER-ID
Validation Logic 'if TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO has a valid, non-null value for MEMBER-ID, then TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO.MEMBER-ID does not contain any pipe (|) characters'
Rule Definition If member ID is populated on a TPL Medicaid Eligible Person Health Insurance segment from a TPL file then the Eligible Person Health Insurance member ID must not contain any pipe characters.
Denominator Logic # of TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO segments with TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO.MEMBER-ID equal to a valid, non-null value