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TMSIS Dataguide Medicaid.gov
Version 3.28.0

RULE-3171

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 TPL00006
Data Element Name TPL-ENTITY-CONTACT-INFORMATION.INSURANCE-CARRIER-ZIP-CODE
Validation Logic 'if TPL-ENTITY-CONTACT-INFORMATION has a valid, non-null value for INSURANCE-CARRIER-ZIP-CODE, then TPL-ENTITY-CONTACT-INFORMATION.INSURANCE-CARRIER-ZIP-CODE is either a 5-digit or 9-digit number'
Rule Definition If the insurance carrier zip code is populated on the TPL entity contact information file, then the insurance carrier zip code reported must not contain any pipe or asterisk characters.
Denominator Logic # of TPL-ENTITY-CONTACT-INFORMATION segments with TPL-ENTITY-CONTACT-INFORMATION.INSURANCE-CARRIER-ZIP-CODE equal to a valid, non-null value