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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 | CRX00002 |
Data Element Name | CLAIM-LINE-RECORD-RX.OTHER-TPL-COLLECTION |
Validation Logic | if CLAIM-HEADER-RECORD-RX.CLAIM-STATUS-CATEGORY does not equal 'F2' and CLAIM-LINE-RECORD-RX.CLAIM-LINE-STATUS is not equal to one of the following: '26', '87', '542', '585', '654', then Value must be compatible with specified T-MSIS picture format: X(3) |
Rule Definition | If a claim line is a non-denied claim line from an RX file, then the other TPL collection value reported must be compatible with specified T-MSIS picture format: X(3). |
Denominator Logic | # of RX claim lines with CLAIM-HEADER-RECORD-RX.CLAIM-STATUS-CATEGORY not equal to 'F2' and with CLAIM-LINE-RECORD-RX.CLAIM-LINE-STATUS not in: '26', '87', '542', '585', '654' |