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TMSIS Dataguide Medicaid.gov
Version 3.30.0

RULE-3126

Validation Rule
Last updated

No Updates

Tier 2.0
Tier Description Relational error
Error Category E2001
Error Category Message Values inconsistently specified (single record type, single record)
Rule Type One Record Type (Single Record)
File Segment Number TPL00004
Data Element Name TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES.INSURANCE-CATEGORIES-EFF-DATETPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES.INSURANCE-CATEGORIES-END-DATE
Validation Logic 'if TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES has a valid, non-null value for INSURANCE-CATEGORIES-EFF-DATE and TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES has a valid, non-null value for INSURANCE-CATEGORIES-END-DATE, then TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES.INSURANCE-CATEGORIES-EFF-DATE is less than or equal to TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES.INSURANCE-CATEGORIES-END-DATE'
Rule Definition If insurance categories effective date and insurance categories end date are populated on a TPL Medicaid eligible person health insurance coverage categories segment from a TPL file, then the insurance categories effective date value reported must be before or equal to the insurance categories end date value reported.
Denominator Logic # of TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES segments with TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES.INSURANCE-CATEGORIES-EFF-DATE equal to a valid, non-null value AND with TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES.INSURANCE-CATEGORIES-END-DATE equal to a valid, non-null value