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Tier | 2.0 |
---|---|
Tier Description | Relational error |
Error Category | E2001 |
Error Category Message | Values inconsistently specified (single record type, single record) |
Rule Type | One Record Type (Single Record) |
File Segment Number | CLT00002 |
Data Element Name | CLAIM-HEADER-RECORD-LT.ADMISSION-DATE • CLAIM-HEADER-RECORD-LT.DISCHARGE-DATE |
Validation Logic | 'if CLAIM-HEADER-RECORD-LT.CLAIM-STATUS-CATEGORY does not equal 'F2' and CLAIM-HEADER-RECORD-LT has a valid, non-null value for DISCHARGE-DATE and CLAIM-HEADER-RECORD-LT has a valid, non-null value for ADMISSION-DATE, then CLAIM-HEADER-RECORD-LT.ADMISSION-DATE is less than or equal to CLAIM-HEADER-RECORD-LT.DISCHARGE-DATE' |
Rule Definition | If a claim is a non-denied claim from an LT file and the discharge date is populated and the admission date is populated in the claim header, then admission date is less than or equal to the discharge date. |
Denominator Logic | # of LT claim headers with CLAIM-HEADER-RECORD-LT.CLAIM-STATUS-CATEGORY not equal to 'F2' and with CLAIM-HEADER-RECORD-LT.DISCHARGE-DATE equal to a valid, non-null value and with CLAIM-HEADER-RECORD-LT.ADMISSION-DATE equal to a valid, non-null value |