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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 | CLT00002 |
Data Element Name | CLAIM-HEADER-RECORD-LT.ADJUSTMENT-REASON-CODE |
Validation Logic | if CLAIM-HEADER-RECORD-LT.CLAIM-STATUS-CATEGORY does not equal 'F2', then Value must be compatible with specified T-MSIS picture format: X(3) |
Rule Definition | If a claim is a non-denied claim from an LT file, then the adjustment reason code value reported must be compatible with specified T-MSIS picture format: X(3). |
Denominator Logic | # of LT claim headers with if CLAIM-HEADER-RECORD-LT.CLAIM-STATUS-CATEGORY not equal to 'F2' |