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Tier | 1.1 |
---|---|
Tier Description | Missing Value Error |
Error Category | E1105 |
Error Category Message | Data Element Value is Missing |
Rule Type | One Record Type (Single Record) |
File Segment Number | COT00002 |
Data Element Name | CLAIM-HEADER-RECORD-OT.ADJUSTMENT-IND |
Validation Logic | 'if CLAIM-HEADER-RECORD-OT.TYPE-OF-CLAIM is equal to one of the following: '5', 'E', then CLAIM-HEADER-RECORD-OT has a non-null value for ADJUSTMENT-IND' |
Rule Definition | If a segment is an OT claim header, and the type of claim is a supplemental, the adjustment indicator must be populated. |
Denominator Logic | # of OT claim headers with CLAIM-HEADER-RECORD-OT.TYPE-OF-CLAIM is equal to one of the following: '5', 'E' |