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TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-7170

Validation Rule
Last updated

No Updates

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 PRV00005
Data Element Name PROV-IDENTIFIERS.PROV-IDENTIFIER
Validation Logic 'if PROV-IDENTIFIERS.PROV-IDENTIFIER-TYPE equals '2', then PROV-IDENTIFIERS.PROV-IDENTIFIER is a valid National Provider Identifier (NPI) number'
Rule Definition If the provider identifier type is '2' on a provider identifiers segment from a PRV file, then the value for the provider identifer must be a valid NPI number.
Denominator Logic # of PROV-IDENTIFIERS segments with PROV-IDENTIFIERS.PROV-IDENTIFIER-TYPE equal '2'