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Tier | 2.0 |
---|---|
Tier Description | Relational error |
Error Category | E2001 |
Error Category Message | Values inconsistently specified (single record type, single record) |
Rule Type | One Record Type (Single Record) |
File Segment Number | CRX00003 |
Data Element Name | CLAIM-LINE-RECORD-RX.LINE-ADJUSTMENT-IND |
Validation Logic | 'if CLAIM-LINE-RECORD-RX.CLAIM-LINE-STATUS equals '686', then CLAIM-LINE-RECORD-RX.LINE-ADJUSTMENT-IND equals '1'' |
Rule Definition | If a segment is an RX claim line, and claim line status is equal to '686' (void claim), then the line adjustment indicator must be equal to '1' (void). |
Denominator Logic | # of RX claim lines with CLAIM-LINE-RECORD-RX.CLAIM-LINE-STATUS is equal to '686' |