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TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-798

Validation Rule
Last updated

Tier 2.1
Tier Description Relational error
Error Category E2102
Error Category Message Values inconsistently specified (multi record, single file)
Rule Type Two Record Type (1 to 1)
File Segment Number CIP00002
Data Element Name CLAIM-LINE-RECORD-IP.REVENUE-CHARGE
Validation Logic 'if CLAIM-LINE-RECORD-IP.CLAIM-LINE-STATUS is not equal to one of the following: '26', '87', '542', '585', '654' and CLAIM-HEADER-RECORD-IP.CLAIM-STATUS-CATEGORY does not equal 'F2' and CLAIM-LINE-RECORD-IP has a valid, non-null value for REVENUE-CODE, then CLAIM-LINE-RECORD-IP has a valid, non-null value for REVENUE-CHARGE'
Rule Definition If revenue code is populated on a non-denied claim line from an IP file, then revenue charge must be populated.
Denominator Logic # of IP claim lines with CLAIM-LINE-RECORD-IP.CLAIM-LINE-STATUS not in: '26', '87', '542', '585', '654' AND with CLAIM-HEADER-RECORD-IP.CLAIM-STATUS-CATEGORY not equal to 'F2' AND with CLAIM-LINE-RECORD-IP.REVENUE-CODE equal to a valid, non-null value