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TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-711

Validation Rule
Last updated

No Updates

Tier 1.1
Tier Description Value Error
Error Category E1102
Error Category Message Value does not match specification
Rule Type One Record Type (Single Record)
File Segment Number CIP00002
Data Element Name CLAIM-HEADER-RECORD-IP.DRG-REL-WEIGHT
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 DRG-REL-WEIGHT, then CLAIM-HEADER-RECORD-IP.DRG-REL-WEIGHT is greater than or equal to zero'
Rule Definition If the DRG rel weight is populated on a non-denied claim from an IP file, then the DRG rel weight value reported must be in the list of valid values.
Denominator Logic # of IP claim headers with CLAIM-HEADER-RECORD-IP.CLAIM-STATUS-CATEGORY not equal to 'F2' and with CLAIM-HEADER-RECORD-IP.DRG-REL-WEIGHT equal to a valid, non-null value