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TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-626

Validation Rule
Last updated

No Updates

Tier 1.0
Tier Description Formatting Error
Error Category E1001
Error Category Message Value illegal for specified data type
Rule Type Parse Rule
File Segment Number CIP00002
Data Element Name CLAIM-HEADER-RECORD-IP.OCCURRENCE-CODE-EFF-DATE-10
Validation Logic if CLAIM-HEADER-RECORD-IP.CLAIM-STATUS-CATEGORY does not equal 'F2', then Value must be a valid date of the form CCYYMMDD
Rule Definition If a claim is a non-denied claim from an IP file, then the occurrence code effective date 10 value reported must be a valid date of the form CCYYMMDD
Denominator Logic # of IP claim headers with CLAIM-HEADER-RECORD-IP.CLAIM-STATUS-CATEGORY not equal to 'F2'