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TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-3170

Validation Rule
Last updated

Tier 1.1
Tier Description Value Error
Error Category E1103
Error Category Message Value not in specified valid value set
Rule Type Valid Value
File Segment Number TPL00006
Data Element Name TPL-ENTITY-CONTACT-INFORMATION.INSURANCE-CARRIER-STATE
Validation Logic 'If the INSURANCE-CARRIER-STATE field is populated, the value must be contained in the set of valid values with id: 'STATE' and (if TPL-ENTITY-CONTACT-INFORMATION.TPL-ENTITY-CONTACT-INFO-EFF-DATE is non-null then TPL-ENTITY-CONTACT-INFORMATION.TPL-ENTITY-CONTACT-INFO-EFF-DATE >= Valid Values Effective-Date and TPL-ENTITY-CONTACT-INFORMATION.TPL-ENTITY-CONTACT-INFO-EFF-DATE <= Valid Values End-Date)'
Rule Definition If the insurance carrier state is populated on a TPL entity contact information file, then the insurance carrier state reported must be found in the list of valid values.
Denominator Logic # of TPL-ENTITY-CONTACT-INFORMATION segments with TPL-ENTITY-CONTACT-INFORMATION.STATE equal to a valid, non-null value