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TMSIS Dataguide Medicaid.gov
Version 3.29.0

RULE-7531

Validation Rule
Last updated

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 ELG00004
Data Element Name ENROLLMENT-TIME-SPAN-SEGMENT.SUBMITTING-STATE • ENROLLMENT-TIME-SPAN-SEGMENT.MSIS-IDENTIFICATION-NUM
Validation Logic if ENROLLMENT-TIME-SPAN-SEGMENT has a non-null value for MSIS-IDENTIFICATION-NUM, then for every record of type ENROLLMENT-TIME-SPAN-SEGMENT, there must be a valid record of type ELIGIBLE-CONTACT-INFORMATION that matches on the join keys(ELIGIBLE-CONTACT-INFORMATION[SUBMITTING-STATE, MSIS-IDENTIFICATION-NUM], ENROLLMENT-TIME-SPAN-SEGMENT[SUBMITTING-STATE, MSIS-IDENTIFICATION-NUM]) and ELIGIBLE-CONTACT-INFORMATION.ELIGIBLE-ADDR-TYPE equals '01'
Rule Definition If the MSIS ID is populated on an enrollment time span segment from an ELG file, and the eligible contact information segment matches on join keys then the eligible contact information address type is equal to the primary home address.
Denominator Logic # of ENROLLMENT-TIME-SPAN segments with ENROLLMENT-TIME-SPAN has a non-null value for MSIS-IDENTIFICATION-NUM