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Tier | 3.0 |
---|---|
Tier Description | Relational error |
Error Category | E3002 |
Error Category Message | Values inconsistently specified (multiple record types, multi file) |
Rule Type | Two Record Type (1 to 1) |
File Segment Number | ELG00002 |
Data Element Name | PRIMARY-DEMOGRAPHICS-ELIGIBILITY.DATE-OF-DEATH • CLAIM-HEADER-RECORD-IP.PROCEDURE-CODE-DATE-4 |
Validation Logic | 'if CLAIM-HEADER-RECORD-IP.CLAIM-STATUS-CATEGORY does not equal 'F2' and PRIMARY-DEMOGRAPHICS-ELIGIBILITY has a valid, non-null value for DATE-OF-DEATH and CLAIM-HEADER-RECORD-IP has a valid, non-null value for PROCEDURE-CODE-DATE-4, then CLAIM-HEADER-RECORD-IP.PROCEDURE-CODE-DATE-4 is less than or equal to PRIMARY-DEMOGRAPHICS-ELIGIBILITY.DATE-OF-DEATH' |
Rule Definition | If a non-denied IP claim has a value populated for procedure code date 4 and the primary demographics eligibility segment has a value populated for date of death, then the procedure code date 4 is less that or equal to the date of death. |
Denominator Logic | # of IP claim headers with CLAIM-HEADER-RECORD-IP.CLAIM-STATUS-CATEGORY not equal to 'F2' and with PRIMARY-DEMOGRAPHICS-ELIGIBILITY.DATE-OF-DEATH equal to a valid, non-null value and with CLAIM-HEADER-RECORD-IP.PROCEDURE-CODE-DATE-4 equal to a valid, non-null value |