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TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-683

Validation Rule
Last updated

Tier 2.0
Tier Description Relational error
Error Category E2001
Error Category Message Values inconsistently specified (single record type, single record)
Rule Type One Record Type (Single Record)
File Segment Number CIP00002
Data Element Name CLAIM-HEADER-RECORD-IP.WAIVER-ID
Validation Logic 'if CLAIM-HEADER-RECORD-IP.CLAIM-STATUS-CATEGORY does not equal 'F2' and CLAIM-HEADER-RECORD-IP has a valid, non-null value for WAIVER-TYPE, then CLAIM-HEADER-RECORD-IP has a valid, non-null value for WAIVER-ID'
Rule Definition If the waiver type is populated on a non-denied claim from an IP file, then the waiver ID must be populated.
Denominator Logic # of IP headers with CLAIM-HEADER-RECORD-IP.WAIVER-TYPE equal to a valid, non-null value AND with CLAIM-HEADER-RECORD-IP.CLAIM-STATUS-CATEGORY not equal to 'F2'