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TMSIS Dataguide Medicaid.gov
Version 3.29.0

RULE-7569

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 Many)
File Segment Number PRV00002
Data Element Name PROV-IDENTIFIERS.PROV-IDENTIFIER-TYPE
Validation Logic 'if PROV-ATTRIBUTES-MAIN has a non-null value for SUBMITTING-STATE-PROV-ID and PROV-ATTRIBUTES-MAIN.FACILITY-GROUP-INDIVIDUAL-CODE equals '03', then there is no more than one distinct PROV-IDENTIFIER in PROV-IDENTIFIERS segment with matching join keys, where PROV-IDENTIFIERS.PROV-IDENTIFIER-TYPE equals '2''
Rule Definition If submitting state provider is populated on a provider attributes main segment from a PRV file, and facility group individual code is equal to '03' (individual), then there is no more than one distinct provider identifier in provider identifiers segment where provider identifier type is equal to 2.
Denominator Logic # of PROV-ATTRIBUTES-MAIN segments with PROV-ATTRIBUTES-MAIN has a non-null value for SUBMITTING-STATE-PROV-ID and with PROV-ATTRIBUTES-MAIN.FACILITY-GROUP-INDIVIDUAL-CODE equals '03'