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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.CLAIM-PYMT-REM-CODE-1 • CLAIM-HEADER-RECORD-LT.CLAIM-PYMT-REM-CODE-2 • CLAIM-HEADER-RECORD-LT.CLAIM-PYMT-REM-CODE-3 • CLAIM-HEADER-RECORD-LT.CLAIM-PYMT-REM-CODE-4 |
Validation Logic | 'if CLAIM-HEADER-RECORD-LT.CLAIM-STATUS-CATEGORY does not equal 'F2', then The values of the following fields should be unique for each CLAIM-HEADER-RECORD-LT record: CLAIM-PYMT-REM-CODE-1, CLAIM-PYMT-REM-CODE-2, CLAIM-PYMT-REM-CODE-3, CLAIM-PYMT-REM-CODE-4' |
Rule Definition | If more than one CLAIM-PYMT-REM-CODE is populated on a non-denied LT claim, then each of the CLAIM-PYMT-REM-CODE values must be unique. |
Denominator Logic | # of LT claim headers with CLAIM-HEADER-RECORD-LT.CLAIM-STATUS-CATEGORY not equal to 'F2' |