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TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-7188

Validation Rule
Last updated

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 CLT00003
Data Element Name CLAIM-LINE-RECORD-LT.SUBMITTING-STATE • CLAIM-LINE-RECORD-LT.ICN-ORIG • CLAIM-LINE-RECORD-LT.ICN-ADJ • CLAIM-LINE-RECORD-LT.ADJUDICATION-DATE • CLAIM-LINE-RECORD-LT.LINE-ADJUSTMENT-IND • CLAIM-LINE-RECORD-LT.LINE-NUM-ORIG • CLAIM-LINE-RECORD-LT.LINE-NUM-ADJ
Validation Logic Fields SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE,LINE-ADJUSTMENT-IND,LINE-NUM-ORIG,LINE-NUM-ADJ should be unique across all records of type CLAIM-LINE-RECORD-LT
Rule Definition If a claim line is from an LT file, then submitting state, original ICN, adjustment ICN, adjudication date, line adjustment indicator, original line ICN, and adjustment line ICN values reported must be unique across all LT claim lines.
Denominator Logic # of LT claim lines