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Tier | 2.1 |
---|---|
Tier Description | Relational error |
Error Category | E2102 |
Error Category Message | Values inconsistently specified (multi record, single file) |
Rule Type | Two Record Type (1 to 1) |
File Segment Number | TPL00002 |
Data Element Name | TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO.POLICY-OWNER-LAST-NAME |
Validation Logic | 'if TPL-MEDICAID-ELIGIBLE-PERSON-MAIN.TPL-HEALTH-INSURANCE-COVERAGE-IND equals '1', then TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO has a valid, non-null value for POLICY-OWNER-LAST-NAME' |
Rule Definition | If the TPL medicaid eligible person main has a TPL health insurance coverage indicator equal to medicaid/CHIP eligible indivdual has TPL insurance coverage, then the TPL medicaid eligible person health insurance coverage information segment must have a value populated for policy owner last name. |
Denominator Logic | # of TPL-MEDICAID-ELIGIBLE-PERSON-MAIN segments with TPL-MEDICAID-ELIGIBLE-PERSON-MAIN.TPL-HEALTH-INSURANCE-COVERAGE-IND equal to '1' |