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TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-7539

Validation Rule
Last updated

Tier 2.1
Tier Description Relational error
Error Category E2101
Error Category Message Missing parent record (single file)
Rule Type Two Record Type (1 to 1)
File Segment Number ELG00021
Data Element Name ENROLLMENT-TIME-SPAN-SEGMENT.SUBMITTING-STATEENROLLMENT-TIME-SPAN-SEGMENT.ENROLLMENT-EFF-DATEENROLLMENT-TIME-SPAN-SEGMENT.ENROLLMENT-END-DATEVARIABLE-DEMOGRAPHICS-ELIGIBILITY.VARIABLE-DEMOGRAPHIC-ELEMENT-EFF-DATEVARIABLE-DEMOGRAPHICS-ELIGIBILITY.VARIABLE-DEMOGRAPHIC-ELEMENT-END-DATEFILE-HEADER-RECORD-ELIGIBILITY.END-OF-TIME-PERIODENROLLMENT-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 VARIABLE-DEMOGRAPHICS-ELIGIBILITY that matches on the join keys and (ENROLLMENT-TIME-SPAN-SEGMENT.ENROLLMENT-EFF-DATE >= VARIABLE-DEMOGRAPHICS-ELIGIBILITY.VARIABLE-DEMOGRAPHIC-ELEMENT-EFF-DATE and ENROLLMENT-TIME-SPAN-SEGMENT.ENROLLMENT-END-DATE <= VARIABLE-DEMOGRAPHICS-ELIGIBILITY.VARIABLE-DEMOGRAPHIC-ELEMENT-END-DATE)
Rule Definition If MSIS ID is populated on an enrollment time span segment from an ELG file, then the effective date and end date on the enrollment time span segment must fall within the effective and end dates of one or more continuous variable demographics eligibility segments and the MSIS ID is populated in the variable demographics eligibility segment.
Denominator Logic # of ENROLLMENT-TIME-SPAN segments with ENROLLMENT-TIME-SPAN has a non-null value for MSIS-IDENTIFICATION-NUM