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TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-501

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 CIP00002
Data Element Name CLAIM-HEADER-RECORD-IP.DISCHARGE-DATE
Validation Logic 'if CLAIM-HEADER-RECORD-IP.CLAIM-STATUS-CATEGORY does not equal 'F2' and CLAIM-HEADER-RECORD-IP has a valid, non-null value for DISCHARGE-HOUR, then CLAIM-HEADER-RECORD-IP has a valid, non-null value for DISCHARGE-DATE'
Rule Definition If discharge hour is populated on a non-denied claim from an IP file, then discharge date must also be populated.
Denominator Logic # of IP claim headers with CLAIM-HEADER-RECORD-IP.CLAIM-STATUS-CATEGORY not equal to 'F2' AND with CLAIM-HEADER-RECORD-IP.DISCHARGE-HOUR equal to a valid, non-null value