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TMSIS Dataguide Medicaid.gov
Version 3.28.0

RULE-3121

Validation Rule
Last updated

No Updates

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 TPL00004
Data Element Name TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES.INSURANCE-PLAN-ID
Validation Logic 'if TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES has a valid, non-null value for INSURANCE-PLAN-ID, then TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES.INSURANCE-PLAN-ID does not contain any pipe (|) or asterisk (*) characters'
Rule Definition If the insurance plan id number is populated on the TPL medcaid eligible person health insurance coverage categories file, then the insurance plan id number reported must not contain any pipe or asterisk characters.
Denominator Logic # of TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES segments with TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES.INSURANCE-PLAN-ID equal to a valid, non-null value