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TMSIS Dataguide Medicaid.gov
Version 3.28.0

RULE-7856

Validation Rule
Last updated

Tier 1.1
Tier Description Missing Value Error
Error Category E1105
Error Category Message Data Element Value is Missing
Rule Type Two Record Type (1 to 1)
File Segment Number CIP00002
Data Element Name CLAIM-LINE-RECORD-IP.LINE-ADJUSTMENT-IND
Validation Logic 'if CLAIM-HEADER-RECORD-IP.TYPE-OF-CLAIM is equal to one of the following: '5', 'E', then CLAIM-LINE-RECORD-IP has a non-null value for LINE-ADJUSTMENT-IND'
Rule Definition If a segment is an IP claim line, and the type of claim is a supplemental, the line adjustment indicator must be populated.
Denominator Logic # of IP claim lines with CLAIM-HEADER-RECORD-IP.TYPE-OF-CLAIM is equal to one of the following: '5', 'E'