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TMSIS Dataguide Medicaid.gov
Version 3.36.0

RULE-6074

Validation Rule
Last updated

08/21/2020

Tier 2.1
Tier Description Relational error
Error Category E2102
Error Category Message Values inconsistently specified (multi record, single file)
Rule Type Two Record Type (1 to 1)
File Segment Number COT00002
Data Element Name CLAIM-LINE-RECORD-OT.ORIGINATION-ADDR-LN1 • CLAIM-LINE-RECORD-OT.ORIGINATION-ADDR-LN2
Validation Logic 'if CLAIM-LINE-RECORD-OT.CLAIM-LINE-STATUS is not equal to one of the following: '26', '87', '542', '585', '654' and CLAIM-HEADER-RECORD-OT.CLAIM-STATUS-CATEGORY does not equal 'F2', then CLAIM-LINE-RECORD-OT.ORIGINATION-ADDR-LN1 does not equal CLAIM-LINE-RECORD-OT.ORIGINATION-ADDR-LN2'
Rule Definition If a non-denied OT claim line origination address line 2 is populated, then origination address line 2 is not equal to origination address line1.
Denominator Logic # of OT claim headers with CLAIM-LINE-RECORD-OT.CLAIM-LINE-STATUS not in: '26', '87', '542', '585', '654' and with CLAIM-HEADER-RECORD-OT.CLAIM-STATUS-CATEGORY not equal to 'F2'