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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 | CRX00003 |
Data Element Name | CLAIM-LINE-RECORD-RX.SUBMITTING-STATE • CLAIM-LINE-RECORD-RX.ICN-ORIG • CLAIM-LINE-RECORD-RX.ICN-ADJ • CLAIM-LINE-RECORD-RX.ADJUDICATION-DATE • CLAIM-LINE-RECORD-RX.LINE-ADJUSTMENT-IND • CLAIM-LINE-RECORD-RX.LINE-NUM-ORIG • CLAIM-LINE-RECORD-RX.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-RX |
Rule Definition | If a claim line is from an RX 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 RX claim lines. |
Denominator Logic | # of RX claim lines |