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TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-7174

Validation Rule
Last updated

No Updates

Tier 2.1
Tier Description Relational error
Error Category E2102
Error Category Message Values inconsistently specified (multi record, single file)
Rule Type Two Record Type (1 to 1)
File Segment Number PRV00002
Data Element Name PROV-AFFILIATED-PROGRAMS.SUBMITTING-STATE • PROV-AFFILIATED-PROGRAMS.AFFILIATED-PROGRAM-ID
Validation Logic if PROV-AFFILIATED-PROGRAMS.AFFILIATED-PROGRAM-TYPE equals '4' and PROV-AFFILIATED-PROGRAMS has a valid, non-null value for AFFILIATED-PROGRAM-ID, then for every record of type PROV-AFFILIATED-PROGRAMS, there must be a valid record of type PROV-ATTRIBUTES-MAIN that matches on the join keys(PROV-ATTRIBUTES-MAIN[SUBMITTING-STATE, SUBMITTING-STATE-PROV-ID], PROV-AFFILIATED-PROGRAMS[SUBMITTING-STATE, AFFILIATED-PROGRAM-ID])
Rule Definition If the provider affiliated programs segment has an affiliated program type of health home entity and the affiliated program ID is populated, then there must be a record of type provider attributes main that matches on the join keys.
Denominator Logic # of PROV-ATTRIBUTES-MAIN segments with PROV-AFFILIATED-PROGRAMS.AFFILIATED-PROGRAM-TYPE equal to '4' and with PROV-AFFILIATED-PROGRAMS.AFFILIATED-PROGRAM-ID equal to a valid, non-null value