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Tier | 0 |
---|---|
Tier Description | File specification error |
Error Category | E0003 |
Error Category Message | Duplicate record identifier (RECORD-NUM or primary key values) |
Rule Type | One Record Type (Multi Record) |
File Segment Number | CRX00002 |
Data Element Name | CLAIM-HEADER-RECORD-RX.SUBMITTING-STATE • CLAIM-HEADER-RECORD-RX.ICN-ORIG • CLAIM-HEADER-RECORD-RX.ICN-ADJ • CLAIM-HEADER-RECORD-RX.ADJUDICATION-DATE • CLAIM-HEADER-RECORD-RX.ADJUSTMENT-IND |
Validation Logic | Fields SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE,ADJUSTMENT-IND should be unique across all records of type CLAIM-HEADER-RECORD-RX |
Rule Definition | If a claim header is from an RX file, then submitting state, original ICN, adjustment ICN, adjudication date, and adjustment indicator values reported must be unique across all RX claim headers. |
Denominator Logic | # of RX claim headers |