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TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-761

Validation Rule
Last updated

Tier 1.1
Tier Description Value Error
Error Category E1103
Error Category Message Value not in specified valid value set
Rule Type Valid Value
File Segment Number CIP00003
Data Element Name CLAIM-LINE-RECORD-IP.SUBMITTING-STATE
Validation Logic 'If the SUBMITTING-STATE field is populated, the value must be contained in the set of valid values with id: 'STATE' and (if CLAIM-LINE-RECORD-IP.ENDING-DATE-OF-SERVICE is non-null then CLAIM-LINE-RECORD-IP.ENDING-DATE-OF-SERVICE >= Valid Values Effective-Date and CLAIM-LINE-RECORD-IP.ENDING-DATE-OF-SERVICE <= Valid Values End-Date)'
Rule Definition If the submitting state is populated on a non-denied claim from an IP file, then the submitting state value reported must be in the list of valid values.
Denominator Logic # of IP claim lines with CLAIM-LINE-RECORD-IP.STATE equal to a valid, non-null value