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TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-7605

Validation Rule
Last updated

Tier 1.0
Tier Description Formatting Error
Error Category E1001
Error Category Message Value illegal for specified data type
Rule Type Parse Rule
File Segment Number CLT00002
Data Element Name CLAIM-HEADER-RECORD-LT.TOT-BENEFICIARY-COPAYMENT-LIABLE-AMOUNT
Validation Logic if CLAIM-HEADER-RECORD-LT.CLAIM-STATUS-CATEGORY does not equal 'F2', then Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99
Rule Definition If a claim is a non-denied claim from an LT file, then the total beneficiary copayment liable amount value reported must be compatible with specified T-MSIS picture format: S9(11)V99.
Denominator Logic # of LT claim headers with CLAIM-HEADER-RECORD-LT.CLAIM-STATUS-CATEGORY does not equal 'F2'