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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-HEADER-RECORD-RX.CLAIM-DENIED-INDICATOR |
Validation Logic | if CLAIM-HEADER-RECORD-RX.CLAIM-STATUS-CATEGORY does not equal 'F2', then Value must be compatible with specified T-MSIS picture format: X(1) |
Rule Definition | The format for CLAIM-DENIED-INDICATOR on a non-denied RX claim was expected to be submitted as X(1). |
Denominator Logic | # of RX claim headers with CLAIM-HEADER-RECORD-RX.CLAIM-STATUS-CATEGORY not equal to 'F2' |