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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 | CRX00002 |
Data Element Name | CLAIM-HEADER-RECORD-RX.ADJUSTMENT-IND |
Validation Logic | 'if CLAIM-HEADER-RECORD-RX.TYPE-OF-CLAIM is equal to one of the following: '4', 'D', then CLAIM-HEADER-RECORD-RX has a non-null value for ADJUSTMENT-IND' |
Rule Definition | If a segment is an RX claim header, and the type of claim is a service tracking, the adjustment indicator must be populated. |
Denominator Logic | # of RX claim headers with CLAIM-HEADER-RECORD-RX.TYPE-OF-CLAIM is equal to one of the following: '4', 'D' |