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| RowNo |
This column contains the unique identifier for each V2.0 validation rule.
V2.0 Rule Id |
V2.0 Error Tier |
V2.0 Error Tier Name |
V2.0 Error Category |
V2.0 Error Category Name |
The gray-colored columns (columns "C", "D", "E", "F" and "G") classify the V2.0 validation rules.
V2.0 Rule Type |
V2.0 Primary Record Type |
The salmon-colored columns (columns "H", "I", "O" and "P") identify the primary segment/field being evaluated.
V2.0 Primary Record Type Id |
V2.0 Secondary Record Type |
The bronze-colored columns (columns "J", "K", "L", "M", "Q", "R", "S" and "T") identify the secondary & tertiary segments/fields being evaluated.
V2.0 Secondary Record Type Id |
V2.0 Tertiary Record Type |
V2.0 Tertiary Record Type Id |
The blue-colored column (column "N") describes the rules' validation logic.
(See the tab entitled "Reading the Validation Logic" for help in understanding the V2.0 rule nomenclature.)
V2.0 Validation Logic |
V2.0 Primary Record Type Fields |
V2.0 Primary Record Type Fields (ids) |
V2.0 Secondary Record Type Fields |
V2.0 Secondary Record Type Fields (ids) |
V2.0 Tertiary Record Type Fields |
V2.0 Tertiary Record Type Fields (ids) |
V2.0 Primary Record Type Group Fields |
V2.0 Primary Record Type Group Fields (ids) |
V2.0 Secondary Record Type Group Fields |
V2.0 Secondary Record Type Group Fields (ids) |
V2.0 Primary to Tertiary Type Group Fields |
The pink-colored columns (columns "U", "V", "W", "X", "Y" and "Z") identify the fields that make up the segment keys.
V2.0 Primary to Tertiary Type Group Fields (ids) |
V2.0 Tertiary Type Group Fields |
The purple-colored columns (columns "AA" and "AB") identify the fields needed to tie segments together.
V2.0 Tertiary Type Group Fields (ids) |
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|
| 1 |
RULE-1 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
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|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.PROCEDURE-CODE-DATE-1), then fns.isLessThanOrEqual(@secondaryRecord.PROCEDURE-CODE-DATE-1, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
PROCEDURE-CODE-DATE-1 |
CIP073 |
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|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CIP017,CIP022 |
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| 2 |
RULE-304 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-IP |
CIP00001 |
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Value must be a valid date of the form CCYYMMDD |
DATE-FILE-CREATED |
CIP008 |
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| 3 |
RULE-308 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-IP |
CIP00001 |
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|
|
Value must be a valid date of the form CCYYMMDD |
START-OF-TIME-PERIOD |
CIP009 |
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| 4 |
RULE-312 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-IP |
CIP00001 |
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|
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Value must be a valid date of the form CCYYMMDD |
END-OF-TIME-PERIOD |
CIP010 |
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| 5 |
RULE-319 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
FILE-HEADER-RECORD-IP |
CIP00001 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
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|
'if fns.hasValue(@primaryRecord.SSN-INDICATOR) && fns.hasValue(@secondaryRecord.SSN-INDICATOR), then fns.isEqual(@primaryRecord.SSN-INDICATOR, @secondaryRecord.SSN-INDICATOR)' |
SSN-INDICATOR |
CIP012 |
SSN-INDICATOR |
ELG012 |
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SUBMITTING-STATE,START-OF-TIME-PERIOD,END-OF-TIME-PERIOD |
CIP007,CIP009,CIP010 |
SUBMITTING-STATE,START-OF-TIME-PERIOD,END-OF-TIME-PERIOD |
ELG007,ELG009,ELG010 |
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| 6 |
RULE-320 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-IP |
CIP00001 |
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Value must be compatible with specified T-MSIS picture format: 9(11) |
TOT-REC-CNT |
CIP013 |
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| 7 |
RULE-325 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
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If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
CIP017 |
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| 8 |
RULE-326 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
FILE-HEADER-RECORD-IP |
CIP00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
CIP017 |
SUBMITTING-STATE |
CIP007 |
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| 9 |
RULE-327 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
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|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
CIP018 |
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| 10 |
RULE-328 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
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Field RECORD-NUMBER should be unique across all records of type CLAIM-HEADER-RECORD-IP |
RECORD-NUMBER |
CIP018 |
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| 11 |
RULE-329 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
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'if fns.hasValue(@val.ICN-ORIG), then fns.matches(@val.ICN-ORIG, "^[^|*]*$")' |
ICN-ORIG |
CIP019 |
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| 12 |
RULE-330 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
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'if fns.hasValue(@val.ICN-ADJ), then fns.matches(@val.ICN-ADJ, "^[^|*]*$")' |
ICN-ADJ |
CIP020 |
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| 13 |
RULE-334 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
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|
'if fns.isEqualToAny(@val.TYPE-OF-CLAIM, "4", "D", "X"), then fns.matches(@val.MSIS-IDENTIFICATION-NUM, "^&.*$")' |
TYPE-OF-CLAIM,MSIS-IDENTIFICATION-NUM |
CIP100,CIP022 |
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| 14 |
RULE-335 |
3 |
Relational error |
E3001 |
Missing corresponding record (multi file) (ex. missing eligibility record for claim header) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
For every record of type CLAIM-HEADER-RECORD-IP, there must be a valid record of type PRIMARY-DEMOGRAPHICS-ELIGIBILITY that matches on the join keys |
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|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CIP017,CIP022 |
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| 15 |
RULE-336 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
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|
|
If the field is populated, the value must be contained in the set of valid values with id: CROSSOVER-INDICATOR |
CROSSOVER-INDICATOR |
CIP023 |
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| 16 |
RULE-337 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
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|
If the field is populated, the value must be contained in the set of valid values with id: TYPE-OF-HOSPITAL |
TYPE-OF-HOSPITAL |
CIP024 |
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| 17 |
RULE-338 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
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|
If the field is populated, the value must be contained in the set of valid values with id: 1115A-DEMONSTRATION-IND |
1115A-DEMONSTRATION-IND |
CIP025 |
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| 18 |
RULE-339 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
1115A-DEMONSTRATION-INFORMATION |
ELG00018 |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
'if !fns.hasValue(@primaryRecord.1115A-DEMONSTRATION-IND) || fns.isEqual(@primaryRecord.1115A-DEMONSTRATION-IND, "0"), then !fns.hasValue(@secondaryRecord.1115A-DEMONSTRATION-IND) || fns.isEqual(@secondaryRecord.1115A-DEMONSTRATION-IND, "0")' |
1115A-DEMONSTRATION-IND |
ELG233 |
1115A-DEMONSTRATION-IND |
CIP025 |
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|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG230,ELG232 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CIP017,CIP022 |
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| 19 |
RULE-340 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
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|
|
If the field is populated, the value must be contained in the set of valid values with id: ADJUSTMENT-IND |
ADJUSTMENT-IND |
CIP026 |
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| 20 |
RULE-341 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
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|
If the field is populated, the value must be contained in the set of valid values with id: ADJUSTMENT-REASON-CODE |
ADJUSTMENT-REASON-CODE |
CIP027 |
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| 21 |
RULE-342 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
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|
|
If the field is populated, the value must be contained in the set of valid values with id: ADMISSION-TYPE |
ADMISSION-TYPE |
CIP028 |
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| 22 |
RULE-343 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
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|
|
If the field is populated, the value must be contained in the set of valid values with id: DRG-DESCRIPTION |
DRG-DESCRIPTION |
CIP029 |
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| 23 |
RULE-344 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
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|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE |
ADMITTING-DIAGNOSIS-CODE |
CIP030 |
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| 24 |
RULE-346 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
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|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE-FLAG |
ADMITTING-DIAGNOSIS-CODE-FLAG |
CIP031 |
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| 25 |
RULE-347 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
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|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE |
DIAGNOSIS-CODE-1 |
CIP032 |
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| 26 |
RULE-349 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
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|
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If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE-FLAG |
DIAGNOSIS-CODE-FLAG-1 |
CIP033 |
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| 27 |
RULE-350 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
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|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-POA-FLAG |
DIAGNOSIS-POA-FLAG-1 |
CIP034 |
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| 28 |
RULE-351 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
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|
|
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If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE |
DIAGNOSIS-CODE-2 |
CIP035 |
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| 29 |
RULE-353 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
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|
|
|
The values of the following fields should be unique (non-repeating) within each record: DIAGNOSIS-CODE-1,DIAGNOSIS-CODE-2,DIAGNOSIS-CODE-3,DIAGNOSIS-CODE-4,DIAGNOSIS-CODE-5,DIAGNOSIS-CODE-6,DIAGNOSIS-CODE-7,DIAGNOSIS-CODE-8,DIAGNOSIS-CODE-9,DIAGNOSIS-CODE-10,DIAGNOSIS-CODE-11,DIAGNOSIS-CODE-12 |
DIAGNOSIS-CODE-1,DIAGNOSIS-CODE-2,DIAGNOSIS-CODE-3,DIAGNOSIS-CODE-4,DIAGNOSIS-CODE-5,DIAGNOSIS-CODE-6,DIAGNOSIS-CODE-7,DIAGNOSIS-CODE-8,DIAGNOSIS-CODE-9,DIAGNOSIS-CODE-10,DIAGNOSIS-CODE-11,DIAGNOSIS-CODE-12 |
CIP032,CIP035,CIP038,CIP041,CIP044,CIP047,CIP050,CIP053,CIP056,CIP059,CIP062,CIP065 |
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| 30 |
RULE-354 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if !fns.hasValue(@val.DIAGNOSIS-CODE-1), then !fns.hasValue(@val.DIAGNOSIS-CODE-2)' |
DIAGNOSIS-CODE-1,DIAGNOSIS-CODE-2 |
CIP032,CIP035 |
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| 31 |
RULE-355 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE-FLAG |
DIAGNOSIS-CODE-FLAG-2 |
CIP036 |
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|
| 32 |
RULE-356 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-POA-FLAG |
DIAGNOSIS-POA-FLAG-2 |
CIP037 |
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|
|
|
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|
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|
| 33 |
RULE-357 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE |
DIAGNOSIS-CODE-3 |
CIP038 |
|
|
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|
|
|
|
|
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|
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|
|
|
|
| 34 |
RULE-360 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if !fns.hasValue(@val.DIAGNOSIS-CODE-2), then !fns.hasValue(@val.DIAGNOSIS-CODE-3)' |
DIAGNOSIS-CODE-2,DIAGNOSIS-CODE-3 |
CIP035,CIP038 |
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|
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|
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| 35 |
RULE-361 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE-FLAG |
DIAGNOSIS-CODE-FLAG-3 |
CIP039 |
|
|
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|
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|
|
| 36 |
RULE-362 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-POA-FLAG |
DIAGNOSIS-POA-FLAG-3 |
CIP040 |
|
|
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|
| 37 |
RULE-363 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE |
DIAGNOSIS-CODE-4 |
CIP041 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 38 |
RULE-366 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if !fns.hasValue(@val.DIAGNOSIS-CODE-3), then !fns.hasValue(@val.DIAGNOSIS-CODE-4)' |
DIAGNOSIS-CODE-3,DIAGNOSIS-CODE-4 |
CIP038,CIP041 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 39 |
RULE-367 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE-FLAG |
DIAGNOSIS-CODE-FLAG-4 |
CIP042 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 40 |
RULE-368 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-POA-FLAG |
DIAGNOSIS-POA-FLAG-4 |
CIP043 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 41 |
RULE-369 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE |
DIAGNOSIS-CODE-5 |
CIP044 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 42 |
RULE-372 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if !fns.hasValue(@val.DIAGNOSIS-CODE-4), then !fns.hasValue(@val.DIAGNOSIS-CODE-5)' |
DIAGNOSIS-CODE-4,DIAGNOSIS-CODE-5 |
CIP041,CIP044 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 43 |
RULE-373 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE-FLAG |
DIAGNOSIS-CODE-FLAG-5 |
CIP045 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 44 |
RULE-374 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-POA-FLAG |
DIAGNOSIS-POA-FLAG-5 |
CIP046 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 45 |
RULE-375 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE |
DIAGNOSIS-CODE-6 |
CIP047 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 46 |
RULE-378 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if !fns.hasValue(@val.DIAGNOSIS-CODE-5), then !fns.hasValue(@val.DIAGNOSIS-CODE-6)' |
DIAGNOSIS-CODE-5,DIAGNOSIS-CODE-6 |
CIP044,CIP047 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 47 |
RULE-379 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE-FLAG |
DIAGNOSIS-CODE-FLAG-6 |
CIP048 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 48 |
RULE-380 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE |
DIAGNOSIS-CODE-7 |
CIP050 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 49 |
RULE-383 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if !fns.hasValue(@val.DIAGNOSIS-CODE-6), then !fns.hasValue(@val.DIAGNOSIS-CODE-7)' |
DIAGNOSIS-CODE-6,DIAGNOSIS-CODE-7 |
CIP047,CIP050 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 50 |
RULE-384 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE-FLAG |
DIAGNOSIS-CODE-FLAG-7 |
CIP051 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 51 |
RULE-385 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE |
DIAGNOSIS-CODE-8 |
CIP053 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 52 |
RULE-388 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if !fns.hasValue(@val.DIAGNOSIS-CODE-7), then !fns.hasValue(@val.DIAGNOSIS-CODE-8)' |
DIAGNOSIS-CODE-7,DIAGNOSIS-CODE-8 |
CIP050,CIP053 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 53 |
RULE-389 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE-FLAG |
DIAGNOSIS-CODE-FLAG-8 |
CIP054 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 54 |
RULE-390 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE |
DIAGNOSIS-CODE-9 |
CIP056 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 55 |
RULE-393 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if !fns.hasValue(@val.DIAGNOSIS-CODE-8), then !fns.hasValue(@val.DIAGNOSIS-CODE-9)' |
DIAGNOSIS-CODE-8,DIAGNOSIS-CODE-9 |
CIP053,CIP056 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 56 |
RULE-394 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE-FLAG |
DIAGNOSIS-CODE-FLAG-9 |
CIP057 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 57 |
RULE-395 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE |
DIAGNOSIS-CODE-10 |
CIP059 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 58 |
RULE-398 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if !fns.hasValue(@val.DIAGNOSIS-CODE-9), then !fns.hasValue(@val.DIAGNOSIS-CODE-10)' |
DIAGNOSIS-CODE-9,DIAGNOSIS-CODE-10 |
CIP056,CIP059 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 59 |
RULE-399 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE-FLAG |
DIAGNOSIS-CODE-FLAG-10 |
CIP060 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 60 |
RULE-400 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE |
DIAGNOSIS-CODE-11 |
CIP062 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 61 |
RULE-403 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if !fns.hasValue(@val.DIAGNOSIS-CODE-10), then !fns.hasValue(@val.DIAGNOSIS-CODE-11)' |
DIAGNOSIS-CODE-10,DIAGNOSIS-CODE-11 |
CIP059,CIP062 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 62 |
RULE-404 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE-FLAG |
DIAGNOSIS-CODE-FLAG-11 |
CIP063 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 63 |
RULE-405 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE |
DIAGNOSIS-CODE-12 |
CIP065 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 64 |
RULE-408 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if !fns.hasValue(@val.DIAGNOSIS-CODE-11), then !fns.hasValue(@val.DIAGNOSIS-CODE-12)' |
DIAGNOSIS-CODE-11,DIAGNOSIS-CODE-12 |
CIP062,CIP065 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 65 |
RULE-409 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE-FLAG |
DIAGNOSIS-CODE-FLAG-12 |
CIP066 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 66 |
RULE-410 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.DIAGNOSIS-RELATED-GROUP), then fns.isPositive(@val.DIAGNOSIS-RELATED-GROUP)' |
DIAGNOSIS-RELATED-GROUP |
CIP068 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 67 |
RULE-411 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'fns.isValidDiagnosisRelatedGroupIndicator(@val.SUBMITTING-STATE, @val.DIAGNOSIS-RELATED-GROUP-IND)' |
SUBMITTING-STATE,DIAGNOSIS-RELATED-GROUP-IND |
CIP017,CIP069 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 68 |
RULE-412 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.DIAGNOSIS-RELATED-GROUP), then fns.hasValue(@val.DIAGNOSIS-RELATED-GROUP-IND)' |
DIAGNOSIS-RELATED-GROUP,DIAGNOSIS-RELATED-GROUP-IND |
CIP068,CIP069 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 69 |
RULE-413 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROCEDURE-CODE |
PROCEDURE-CODE-1 |
CIP070 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 70 |
RULE-414 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if and only if fns.hasValue(@val.PROCEDURE-CODE-FLAG-1), then fns.hasValue(@val.PROCEDURE-CODE-1)' |
PROCEDURE-CODE-FLAG-1,PROCEDURE-CODE-1 |
CIP072,CIP070 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 71 |
RULE-416 |
1.1 |
Value Error |
E1104 |
Value not valid for state-supplied format (format or valid values) |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROCEDURE-CODE-MOD |
PROCEDURE-CODE-MOD-1 |
CIP071 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 72 |
RULE-417 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if !fns.hasValue(@val.PROCEDURE-CODE-1), then !fns.hasValue(@val.PROCEDURE-CODE-MOD-1)' |
PROCEDURE-CODE-1,PROCEDURE-CODE-MOD-1 |
CIP070,CIP071 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 73 |
RULE-418 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROCEDURE-CODE-FLAG |
PROCEDURE-CODE-FLAG-1 |
CIP072 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 74 |
RULE-419 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
PROCEDURE-CODE-DATE-1 |
CIP073 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 75 |
RULE-421 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if !fns.hasValue(@val.PROCEDURE-CODE-1), then !fns.hasValue(@val.PROCEDURE-CODE-DATE-1)' |
PROCEDURE-CODE-1,PROCEDURE-CODE-DATE-1 |
CIP070,CIP073 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 76 |
RULE-422 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
'if fns.hasValue(@primaryRecord.PROCEDURE-CODE-DATE-1) && fns.hasValue(@secondaryRecord.ENDING-DATE-OF-SERVICE), then fns.isLessThanOrEqual(@primaryRecord.PROCEDURE-CODE-DATE-1, @secondaryRecord.ENDING-DATE-OF-SERVICE)' |
PROCEDURE-CODE-DATE-1 |
CIP073 |
ENDING-DATE-OF-SERVICE |
CIP244 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP017,CIP019,CIP020,CIP098 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP232,CIP235,CIP236,CIP286 |
|
|
|
|
|
|
|
|
| 77 |
RULE-423 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
'if fns.hasValue(@secondaryRecord.BEGINNING-DATE-OF-SERVICE) && fns.hasValue(@primaryRecord.PROCEDURE-CODE-DATE-1), then fns.isLessThanOrEqual(@secondaryRecord.BEGINNING-DATE-OF-SERVICE, @primaryRecord.PROCEDURE-CODE-DATE-1)' |
PROCEDURE-CODE-DATE-1 |
CIP073 |
BEGINNING-DATE-OF-SERVICE |
CIP243 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP017,CIP019,CIP020,CIP098 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP232,CIP235,CIP236,CIP286 |
|
|
|
|
|
|
|
|
| 78 |
RULE-425 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROCEDURE-CODE |
PROCEDURE-CODE-2 |
CIP074 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 79 |
RULE-426 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if and only if !fns.hasValue(@val.PROCEDURE-CODE-FLAG-2), then !fns.hasValue(@val.PROCEDURE-CODE-2)' |
PROCEDURE-CODE-FLAG-2,PROCEDURE-CODE-2 |
CIP076,CIP074 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 80 |
RULE-428 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
The values of the following fields should be unique (non-repeating) within each record: PROCEDURE-CODE-1,PROCEDURE-CODE-2,PROCEDURE-CODE-3,PROCEDURE-CODE-4,PROCEDURE-CODE-5,PROCEDURE-CODE-6 |
PROCEDURE-CODE-1,PROCEDURE-CODE-2,PROCEDURE-CODE-3,PROCEDURE-CODE-4,PROCEDURE-CODE-5,PROCEDURE-CODE-6 |
CIP070,CIP074,CIP078,CIP082,CIP086,CIP090 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 81 |
RULE-429 |
1.1 |
Value Error |
E1104 |
Value not valid for state-supplied format (format or valid values) |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROCEDURE-CODE-MOD |
PROCEDURE-CODE-MOD-2 |
CIP075 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 82 |
RULE-430 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if !fns.hasValue(@val.PROCEDURE-CODE-2), then !fns.hasValue(@val.PROCEDURE-CODE-MOD-2)' |
PROCEDURE-CODE-2,PROCEDURE-CODE-MOD-2 |
CIP074,CIP075 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 83 |
RULE-431 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROCEDURE-CODE-FLAG |
PROCEDURE-CODE-FLAG-2 |
CIP076 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 84 |
RULE-432 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
PROCEDURE-CODE-DATE-2 |
CIP077 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 85 |
RULE-434 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if !fns.hasValue(@val.PROCEDURE-CODE-2), then !fns.hasValue(@val.PROCEDURE-CODE-DATE-2)' |
PROCEDURE-CODE-2,PROCEDURE-CODE-DATE-2 |
CIP074,CIP077 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 86 |
RULE-435 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
'if fns.hasValue(@primaryRecord.PROCEDURE-CODE-DATE-2) && fns.hasValue(@secondaryRecord.ENDING-DATE-OF-SERVICE), then fns.isLessThanOrEqual(@primaryRecord.PROCEDURE-CODE-DATE-2, @secondaryRecord.ENDING-DATE-OF-SERVICE)' |
PROCEDURE-CODE-DATE-2 |
CIP077 |
ENDING-DATE-OF-SERVICE |
CIP244 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP017,CIP019,CIP020,CIP098 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP232,CIP235,CIP236,CIP286 |
|
|
|
|
|
|
|
|
| 87 |
RULE-436 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
'if fns.hasValue(@primaryRecord.PROCEDURE-CODE-DATE-2) && fns.hasValue(@secondaryRecord.BEGINNING-DATE-OF-SERVICE), then fns.isLessThanOrEqual(@secondaryRecord.BEGINNING-DATE-OF-SERVICE, @primaryRecord.PROCEDURE-CODE-DATE-2)' |
PROCEDURE-CODE-DATE-2 |
CIP077 |
BEGINNING-DATE-OF-SERVICE |
CIP243 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP017,CIP019,CIP020,CIP098 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP232,CIP235,CIP236,CIP286 |
|
|
|
|
|
|
|
|
| 88 |
RULE-437 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.PROCEDURE-CODE-DATE-2), then fns.isLessThanOrEqual(@secondaryRecord.PROCEDURE-CODE-DATE-2, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
PROCEDURE-CODE-DATE-2 |
CIP077 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CIP017,CIP022 |
|
|
|
|
|
|
|
|
| 89 |
RULE-438 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROCEDURE-CODE |
PROCEDURE-CODE-3 |
CIP078 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 90 |
RULE-439 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if and only if fns.hasValue(@val.PROCEDURE-CODE-FLAG-3), then fns.hasValue(@val.PROCEDURE-CODE-3)' |
PROCEDURE-CODE-FLAG-3,PROCEDURE-CODE-3 |
CIP080,CIP078 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 91 |
RULE-442 |
1.1 |
Value Error |
E1104 |
Value not valid for state-supplied format (format or valid values) |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROCEDURE-CODE-MOD |
PROCEDURE-CODE-MOD-3 |
CIP079 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 92 |
RULE-443 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if !fns.hasValue(@val.PROCEDURE-CODE-3), then !fns.hasValue(@val.PROCEDURE-CODE-MOD-3)' |
PROCEDURE-CODE-3,PROCEDURE-CODE-MOD-3 |
CIP078,CIP079 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 93 |
RULE-444 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROCEDURE-CODE-FLAG |
PROCEDURE-CODE-FLAG-3 |
CIP080 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 94 |
RULE-445 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
PROCEDURE-CODE-DATE-3 |
CIP081 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 95 |
RULE-447 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if !fns.hasValue(@val.PROCEDURE-CODE-3), then !fns.hasValue(@val.PROCEDURE-CODE-DATE-3)' |
PROCEDURE-CODE-3,PROCEDURE-CODE-DATE-3 |
CIP078,CIP081 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 96 |
RULE-448 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
'if fns.hasValue(@primaryRecord.PROCEDURE-CODE-DATE-3) && fns.hasValue(@secondaryRecord.ENDING-DATE-OF-SERVICE), then fns.isLessThanOrEqual(@primaryRecord.PROCEDURE-CODE-DATE-3, @secondaryRecord.ENDING-DATE-OF-SERVICE)' |
PROCEDURE-CODE-DATE-3 |
CIP081 |
ENDING-DATE-OF-SERVICE |
CIP244 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP017,CIP019,CIP020,CIP098 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP232,CIP235,CIP236,CIP286 |
|
|
|
|
|
|
|
|
| 97 |
RULE-449 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
'if fns.hasValue(@primaryRecord.PROCEDURE-CODE-DATE-3) && fns.hasValue(@secondaryRecord.BEGINNING-DATE-OF-SERVICE), then fns.isLessThanOrEqual(@secondaryRecord.BEGINNING-DATE-OF-SERVICE, @primaryRecord.PROCEDURE-CODE-DATE-3)' |
PROCEDURE-CODE-DATE-3 |
CIP081 |
BEGINNING-DATE-OF-SERVICE |
CIP243 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP017,CIP019,CIP020,CIP098 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP232,CIP235,CIP236,CIP286 |
|
|
|
|
|
|
|
|
| 98 |
RULE-450 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.PROCEDURE-CODE-DATE-3), then fns.isLessThanOrEqual(@secondaryRecord.PROCEDURE-CODE-DATE-3, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
PROCEDURE-CODE-DATE-3 |
CIP081 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CIP017,CIP022 |
|
|
|
|
|
|
|
|
| 99 |
RULE-451 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROCEDURE-CODE |
PROCEDURE-CODE-4 |
CIP082 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 100 |
RULE-453 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if and only if fns.hasValue(@val.PROCEDURE-CODE-FLAG-4), then fns.hasValue(@val.PROCEDURE-CODE-4)' |
PROCEDURE-CODE-FLAG-4,PROCEDURE-CODE-4 |
CIP084,CIP082 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 101 |
RULE-455 |
1.1 |
Value Error |
E1104 |
Value not valid for state-supplied format (format or valid values) |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROCEDURE-CODE-MOD |
PROCEDURE-CODE-MOD-4 |
CIP083 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 102 |
RULE-456 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if !fns.hasValue(@val.PROCEDURE-CODE-4), then !fns.hasValue(@val.PROCEDURE-CODE-MOD-4)' |
PROCEDURE-CODE-4,PROCEDURE-CODE-MOD-4 |
CIP082,CIP083 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 103 |
RULE-458 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROCEDURE-CODE-FLAG |
PROCEDURE-CODE-FLAG-4 |
CIP084 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 104 |
RULE-459 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
PROCEDURE-CODE-DATE-4 |
CIP085 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 105 |
RULE-461 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if !fns.hasValue(@val.PROCEDURE-CODE-4), then !fns.hasValue(@val.PROCEDURE-CODE-DATE-4)' |
PROCEDURE-CODE-4,PROCEDURE-CODE-DATE-4 |
CIP082,CIP085 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 106 |
RULE-462 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
'if fns.hasValue(@primaryRecord.PROCEDURE-CODE-DATE-4) && fns.hasValue(@secondaryRecord.ENDING-DATE-OF-SERVICE), then fns.isLessThanOrEqual(@primaryRecord.PROCEDURE-CODE-DATE-4, @secondaryRecord.ENDING-DATE-OF-SERVICE)' |
PROCEDURE-CODE-DATE-4 |
CIP085 |
ENDING-DATE-OF-SERVICE |
CIP244 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP017,CIP019,CIP020,CIP098 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP232,CIP235,CIP236,CIP286 |
|
|
|
|
|
|
|
|
| 107 |
RULE-463 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
'if fns.hasValue(@primaryRecord.PROCEDURE-CODE-DATE-4) && fns.hasValue(@secondaryRecord.BEGINNING-DATE-OF-SERVICE), then fns.isLessThanOrEqual(@secondaryRecord.BEGINNING-DATE-OF-SERVICE, @primaryRecord.PROCEDURE-CODE-DATE-4)' |
PROCEDURE-CODE-DATE-4 |
CIP085 |
BEGINNING-DATE-OF-SERVICE |
CIP243 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP017,CIP019,CIP020,CIP098 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP232,CIP235,CIP236,CIP286 |
|
|
|
|
|
|
|
|
| 108 |
RULE-464 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.PROCEDURE-CODE-DATE-4), then fns.isLessThanOrEqual(@secondaryRecord.PROCEDURE-CODE-DATE-4, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
PROCEDURE-CODE-DATE-4 |
CIP085 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CIP017,CIP022 |
|
|
|
|
|
|
|
|
| 109 |
RULE-465 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROCEDURE-CODE |
PROCEDURE-CODE-5 |
CIP086 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 110 |
RULE-467 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if and only if fns.hasValue(@val.PROCEDURE-CODE-FLAG-5), then fns.hasValue(@val.PROCEDURE-CODE-5)' |
PROCEDURE-CODE-FLAG-5,PROCEDURE-CODE-5 |
CIP088,CIP086 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 111 |
RULE-469 |
1.1 |
Value Error |
E1104 |
Value not valid for state-supplied format (format or valid values) |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROCEDURE-CODE-MOD |
PROCEDURE-CODE-MOD-5 |
CIP087 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 112 |
RULE-470 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if !fns.hasValue(@val.PROCEDURE-CODE-5), then !fns.hasValue(@val.PROCEDURE-CODE-MOD-5)' |
PROCEDURE-CODE-5,PROCEDURE-CODE-MOD-5 |
CIP086,CIP087 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 113 |
RULE-471 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROCEDURE-CODE-FLAG |
PROCEDURE-CODE-FLAG-5 |
CIP088 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 114 |
RULE-472 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
PROCEDURE-CODE-DATE-5 |
CIP089 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 115 |
RULE-474 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if !fns.hasValue(@val.PROCEDURE-CODE-5), then !fns.hasValue(@val.PROCEDURE-CODE-DATE-5)' |
PROCEDURE-CODE-5,PROCEDURE-CODE-DATE-5 |
CIP086,CIP089 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 116 |
RULE-475 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
'if fns.hasValue(@primaryRecord.PROCEDURE-CODE-DATE-5) && fns.hasValue(@secondaryRecord.ENDING-DATE-OF-SERVICE), then fns.isLessThanOrEqual(@primaryRecord.PROCEDURE-CODE-DATE-5, @secondaryRecord.ENDING-DATE-OF-SERVICE)' |
PROCEDURE-CODE-DATE-5 |
CIP089 |
ENDING-DATE-OF-SERVICE |
CIP244 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP017,CIP019,CIP020,CIP098 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP232,CIP235,CIP236,CIP286 |
|
|
|
|
|
|
|
|
| 117 |
RULE-476 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
'if fns.hasValue(@primaryRecord.PROCEDURE-CODE-DATE-5) && fns.hasValue(@secondaryRecord.BEGINNING-DATE-OF-SERVICE), then fns.isLessThanOrEqual(@secondaryRecord.BEGINNING-DATE-OF-SERVICE, @primaryRecord.PROCEDURE-CODE-DATE-5)' |
PROCEDURE-CODE-DATE-5 |
CIP089 |
BEGINNING-DATE-OF-SERVICE |
CIP243 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP017,CIP019,CIP020,CIP098 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP232,CIP235,CIP236,CIP286 |
|
|
|
|
|
|
|
|
| 118 |
RULE-477 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.PROCEDURE-CODE-DATE-5), then fns.isLessThanOrEqual(@secondaryRecord.PROCEDURE-CODE-DATE-5, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
PROCEDURE-CODE-DATE-5 |
CIP089 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CIP017,CIP022 |
|
|
|
|
|
|
|
|
| 119 |
RULE-478 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROCEDURE-CODE |
PROCEDURE-CODE-6 |
CIP090 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 120 |
RULE-480 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if and only if fns.hasValue(@val.PROCEDURE-CODE-FLAG-6), then fns.hasValue(@val.PROCEDURE-CODE-6)' |
PROCEDURE-CODE-FLAG-6,PROCEDURE-CODE-6 |
CIP092,CIP090 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 121 |
RULE-482 |
1.1 |
Value Error |
E1104 |
Value not valid for state-supplied format (format or valid values) |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROCEDURE-CODE-MOD |
PROCEDURE-CODE-MOD-6 |
CIP091 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 122 |
RULE-483 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if !fns.hasValue(@val.PROCEDURE-CODE-6), then !fns.hasValue(@val.PROCEDURE-CODE-MOD-6)' |
PROCEDURE-CODE-6,PROCEDURE-CODE-MOD-6 |
CIP090,CIP091 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 123 |
RULE-484 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROCEDURE-CODE-FLAG |
PROCEDURE-CODE-FLAG-6 |
CIP092 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 124 |
RULE-485 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
PROCEDURE-CODE-DATE-6 |
CIP093 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 125 |
RULE-487 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
'if fns.hasValue(@primaryRecord.PROCEDURE-CODE-DATE-6) && fns.hasValue(@secondaryRecord.ENDING-DATE-OF-SERVICE), then fns.isLessThanOrEqual(@primaryRecord.PROCEDURE-CODE-DATE-6, @secondaryRecord.ENDING-DATE-OF-SERVICE)' |
PROCEDURE-CODE-DATE-6 |
CIP093 |
ENDING-DATE-OF-SERVICE |
CIP244 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP017,CIP019,CIP020,CIP098 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP232,CIP235,CIP236,CIP286 |
|
|
|
|
|
|
|
|
| 126 |
RULE-488 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
'if fns.hasValue(@primaryRecord.PROCEDURE-CODE-DATE-6) && fns.hasValue(@secondaryRecord.BEGINNING-DATE-OF-SERVICE), then fns.isLessThanOrEqual(@secondaryRecord.BEGINNING-DATE-OF-SERVICE, @primaryRecord.PROCEDURE-CODE-DATE-6)' |
PROCEDURE-CODE-DATE-6 |
CIP093 |
BEGINNING-DATE-OF-SERVICE |
CIP243 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP017,CIP019,CIP020,CIP098 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP232,CIP235,CIP236,CIP286 |
|
|
|
|
|
|
|
|
| 127 |
RULE-489 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.PROCEDURE-CODE-DATE-6), then fns.isLessThanOrEqual(@secondaryRecord.PROCEDURE-CODE-DATE-6, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
PROCEDURE-CODE-DATE-6 |
CIP093 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CIP017,CIP022 |
|
|
|
|
|
|
|
|
| 128 |
RULE-490 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if !fns.hasValue(@val.PROCEDURE-CODE-6), then !fns.hasValue(@val.PROCEDURE-CODE-DATE-6)' |
PROCEDURE-CODE-6,PROCEDURE-CODE-DATE-6 |
CIP090,CIP093 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 129 |
RULE-491 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
ADMISSION-DATE |
CIP094 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 130 |
RULE-493 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.ADMISSION-DATE) && fns.hasValue(@val.ADJUDICATION-DATE), then fns.isLessThanOrEqual(@val.ADMISSION-DATE, @val.ADJUDICATION-DATE)' |
ADMISSION-DATE,ADJUDICATION-DATE |
CIP094,CIP098 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 131 |
RULE-494 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.DISCHARGE-DATE) && fns.hasValue(@val.ADMISSION-DATE), then fns.isLessThanOrEqual(@val.ADMISSION-DATE, @val.DISCHARGE-DATE)' |
DISCHARGE-DATE,ADMISSION-DATE |
CIP096,CIP094 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 132 |
RULE-495 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.ADMISSION-DATE), then fns.isLessThanOrEqual(@secondaryRecord.ADMISSION-DATE, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
ADMISSION-DATE |
CIP094 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CIP017,CIP022 |
|
|
|
|
|
|
|
|
| 133 |
RULE-496 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: HOUR |
ADMISSION-HOUR |
CIP095 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 134 |
RULE-497 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
DISCHARGE-DATE |
CIP096 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 135 |
RULE-500 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.DISCHARGE-DATE) && fns.hasValue(@val.ADJUDICATION-DATE), then fns.isLessThanOrEqual(@val.DISCHARGE-DATE, @val.ADJUDICATION-DATE)' |
DISCHARGE-DATE,ADJUDICATION-DATE |
CIP096,CIP098 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 136 |
RULE-501 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.DISCHARGE-HOUR), then fns.hasValue(@val.DISCHARGE-DATE)' |
DISCHARGE-HOUR,DISCHARGE-DATE |
CIP097,CIP096 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 137 |
RULE-502 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.DISCHARGE-DATE), then fns.isLessThanOrEqual(@secondaryRecord.DISCHARGE-DATE, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
DISCHARGE-DATE |
CIP096 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CIP017,CIP022 |
|
|
|
|
|
|
|
|
| 138 |
RULE-503 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: HOUR |
DISCHARGE-HOUR |
CIP097 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 139 |
RULE-504 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
ADJUDICATION-DATE |
CIP098 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 140 |
RULE-506 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
FILE-HEADER-RECORD-IP |
CIP00001 |
|
|
'if fns.hasValue(@val.ADJUDICATION-DATE) && fns.hasValue(@fileHeader.END-OF-TIME-PERIOD), then fns.isLessThanOrEqual(@val.ADJUDICATION-DATE, @fileHeader.END-OF-TIME-PERIOD)' |
ADJUDICATION-DATE |
CIP098 |
END-OF-TIME-PERIOD |
CIP010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 141 |
RULE-508 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
MEDICAID-PAID-DATE |
CIP099 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 142 |
RULE-510 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: TYPE-OF-CLAIM |
TYPE-OF-CLAIM |
CIP100 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 143 |
RULE-511 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.TYPE-OF-BILL), then fns.isValidTypeOfBill(@val.TYPE-OF-BILL)' |
TYPE-OF-BILL |
CIP101 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 144 |
RULE-512 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-STATUS |
CLAIM-STATUS |
CIP102 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 145 |
RULE-513 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-STATUS-CATEGORY |
CLAIM-STATUS-CATEGORY |
CIP103 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 146 |
RULE-514 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: SOURCE-LOCATION |
SOURCE-LOCATION |
CIP104 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 147 |
RULE-515 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.CHECK-NUM), then fns.matches(@val.CHECK-NUM, "^[^|*]*$")' |
CHECK-NUM |
CIP105 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 148 |
RULE-516 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
CHECK-EFF-DATE |
CIP106 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 149 |
RULE-518 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: ALLOWED-CHARGE-SRC |
ALLOWED-CHARGE-SRC |
CIP107 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 150 |
RULE-519 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Three Record Type Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
'if fns.isEqual(@tertiaryRecord.DUAL-ELIGIBLE-CODE, "00") && fns.isLessThanOrEqual(@tertiaryRecord.ELIGIBILITY-DETERMINANT-EFF-DATE, @secondaryRecord.BEGINNING-DATE-OF-SERVICE) && fns.isLessThanOrEqual(@secondaryRecord.BEGINNING-DATE-OF-SERVICE, @tertiaryRecord.ELIGIBILITY-DETERMINANT-END-DATE), then !fns.isEqualToAny(@primaryRecord.ALLOWED-CHARGE-SRC, "1", "I", "K", "M")' |
ALLOWED-CHARGE-SRC |
CIP107 |
BEGINNING-DATE-OF-SERVICE |
CIP243 |
DUAL-ELIGIBLE-CODE,ELIGIBILITY-DETERMINANT-EFF-DATE,ELIGIBILITY-DETERMINANT-END-DATE |
ELG085,ELG099,ELG100 |
SUBMITTING-STATE,ICN-ADJ,ICN-ORIG,ADJUDICATION-DATE |
CIP017,CIP020,CIP019,CIP098 |
SUBMITTING-STATE,ICN-ADJ,ICN-ORIG,ADJUDICATION-DATE |
CIP232,CIP236,CIP235,CIP286 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CIP017,CIP022 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG080,ELG082 |
|
|
|
|
| 151 |
RULE-520 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-PYMT-REM-CODE |
CLAIM-PYMT-REM-CODE-1 |
CIP108 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 152 |
RULE-521 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
The values of the following fields should be unique (non-repeating) within each record: CLAIM-PYMT-REM-CODE-1,CLAIM-PYMT-REM-CODE-2,CLAIM-PYMT-REM-CODE-3,CLAIM-PYMT-REM-CODE-4 |
CLAIM-PYMT-REM-CODE-1,CLAIM-PYMT-REM-CODE-2,CLAIM-PYMT-REM-CODE-3,CLAIM-PYMT-REM-CODE-4 |
CIP108,CIP109,CIP110,CIP111 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 153 |
RULE-522 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-PYMT-REM-CODE |
CLAIM-PYMT-REM-CODE-2 |
CIP109 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 154 |
RULE-524 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if !fns.hasValue(@val.CLAIM-PYMT-REM-CODE-1), then !fns.hasValue(@val.CLAIM-PYMT-REM-CODE-2)' |
CLAIM-PYMT-REM-CODE-1,CLAIM-PYMT-REM-CODE-2 |
CIP108,CIP109 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 155 |
RULE-525 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-PYMT-REM-CODE |
CLAIM-PYMT-REM-CODE-3 |
CIP110 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 156 |
RULE-527 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if !fns.hasValue(@val.CLAIM-PYMT-REM-CODE-2), then !fns.hasValue(@val.CLAIM-PYMT-REM-CODE-3)' |
CLAIM-PYMT-REM-CODE-2,CLAIM-PYMT-REM-CODE-3 |
CIP109,CIP110 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 157 |
RULE-528 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-PYMT-REM-CODE |
CLAIM-PYMT-REM-CODE-4 |
CIP111 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 158 |
RULE-530 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if !fns.hasValue(@val.CLAIM-PYMT-REM-CODE-3), then !fns.hasValue(@val.CLAIM-PYMT-REM-CODE-4)' |
CLAIM-PYMT-REM-CODE-3,CLAIM-PYMT-REM-CODE-4 |
CIP110,CIP111 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 159 |
RULE-531 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-BILLED-AMT |
CIP112 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 160 |
RULE-532 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.isEqualToAny(@val.TYPE-OF-CLAIM, "4", "D", "X"), then fns.isEqual(@val.TOT-BILLED-AMT, "0.00")' |
TYPE-OF-CLAIM,TOT-BILLED-AMT |
CIP100,CIP112 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 161 |
RULE-533 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-ALLOWED-AMT |
CIP113 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 162 |
RULE-534 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to Many) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
'fns.isDollarSumEqual(@primaryRecord.TOT-ALLOWED-AMT, @secondaryRecords.ALLOWED-AMT)' |
TOT-ALLOWED-AMT |
CIP113 |
ALLOWED-AMT |
CIP252 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP017,CIP019,CIP020,CIP098 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP232,CIP235,CIP236,CIP286 |
|
|
|
|
|
|
|
|
| 163 |
RULE-536 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-MEDICAID-PAID-AMT |
CIP114 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 164 |
RULE-537 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-COPAY-AMT |
CIP115 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 165 |
RULE-538 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-MEDICARE-DEDUCTIBLE-AMT |
CIP116 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 166 |
RULE-539 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.TOT-MEDICARE-DEDUCTIBLE-AMT) && fns.hasValue(@val.TOT-BILLED-AMT), then fns.isLessThanOrEqual(@val.TOT-MEDICARE-DEDUCTIBLE-AMT, @val.TOT-BILLED-AMT)' |
TOT-MEDICARE-DEDUCTIBLE-AMT,TOT-BILLED-AMT |
CIP116,CIP112 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 167 |
RULE-541 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-MEDICARE-COINS-AMT |
CIP117 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 168 |
RULE-542 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.isEqualToAny(@val.TYPE-OF-CLAIM, "3", "C", "W"), then !fns.hasValue(@val.TOT-MEDICARE-COINS-AMT)' |
TYPE-OF-CLAIM,TOT-MEDICARE-COINS-AMT |
CIP100,CIP117 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 169 |
RULE-543 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'fns.isLessThan(@val.TOT-MEDICARE-COINS-AMT, @val.TOT-BILLED-AMT)' |
TOT-MEDICARE-COINS-AMT,TOT-BILLED-AMT |
CIP117,CIP112 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 170 |
RULE-544 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if and only if fns.hasValue(@val.TOT-MEDICARE-DEDUCTIBLE-AMT), then fns.hasValue(@val.TOT-MEDICARE-COINS-AMT)' |
TOT-MEDICARE-DEDUCTIBLE-AMT,TOT-MEDICARE-COINS-AMT |
CIP116,CIP117 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 171 |
RULE-545 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.isEqual(@val.MEDICARE-COMB-DED-IND, "1"), then fns.isEqual(@val.TOT-MEDICARE-COINS-AMT, "0.00")' |
MEDICARE-COMB-DED-IND,TOT-MEDICARE-COINS-AMT |
CIP128,CIP117 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 172 |
RULE-546 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-TPL-AMT |
CIP118 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 173 |
RULE-547 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.TOT-TPL-AMT) && fns.hasValue(@val.TOT-BILLED-AMT) && fns.hasValue(@val.TOT-MEDICARE-COINS-AMT) && fns.hasValue(@val.TOT-MEDICARE-DEDUCTIBLE-AMT), then fns.isLessThanOrEqual(@val.TOT-TPL-AMT, fns.remainingLiability(@val.TOT-BILLED-AMT, @val.TOT-MEDICARE-COINS-AMT, @val.TOT-MEDICARE-DEDUCTIBLE-AMT))' |
TOT-TPL-AMT,TOT-BILLED-AMT,TOT-MEDICARE-COINS-AMT,TOT-MEDICARE-DEDUCTIBLE-AMT |
CIP118,CIP112,CIP117,CIP116 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 174 |
RULE-548 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-OTHER-INSURANCE-AMT |
CIP119 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 175 |
RULE-549 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OTHER-INSURANCE-IND |
OTHER-INSURANCE-IND |
CIP121 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 176 |
RULE-550 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OTHER-TPL-COLLECTION |
OTHER-TPL-COLLECTION |
CIP122 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 177 |
RULE-551 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: SERVICE-TRACKING-TYPE |
SERVICE-TRACKING-TYPE |
CIP123 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 178 |
RULE-552 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
SERVICE-TRACKING-PAYMENT-AMT |
CIP124 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 179 |
RULE-553 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if !fns.isEqual(@val.SERVICE-TRACKING-TYPE, "00") && fns.isEqual(@val.TOT-MEDICAID-PAID-AMT, "0.00"), then fns.isGreaterThanZero(@val.SERVICE-TRACKING-PAYMENT-AMT)' |
SERVICE-TRACKING-TYPE,TOT-MEDICAID-PAID-AMT,SERVICE-TRACKING-PAYMENT-AMT |
CIP123,CIP114,CIP124 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 180 |
RULE-554 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.isEqual(@val.SERVICE-TRACKING-TYPE, "00") && fns.isGreaterThanZero(@val.TOT-MEDICAID-PAID-AMT), then fns.isEqual(@val.SERVICE-TRACKING-PAYMENT-AMT, "0.00")' |
SERVICE-TRACKING-TYPE,TOT-MEDICAID-PAID-AMT,SERVICE-TRACKING-PAYMENT-AMT |
CIP123,CIP114,CIP124 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 181 |
RULE-555 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: FIXED-PAYMENT-IND |
FIXED-PAYMENT-IND |
CIP125 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 182 |
RULE-556 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: FUNDING-CODE |
FUNDING-CODE |
CIP126 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 183 |
RULE-557 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: FUNDING-SOURCE-NONFEDERAL-SHARE |
FUNDING-SOURCE-NONFEDERAL-SHARE |
CIP127 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 184 |
RULE-558 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: MEDICARE-COMB-DED-IND |
MEDICARE-COMB-DED-IND |
CIP128 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 185 |
RULE-559 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.isEqual(@val.CROSSOVER-INDICATOR, "0") || fns.isEqualToAny(@val.TYPE-OF-CLAIM, "3", "C", "W"), then fns.isEqual(@val.MEDICARE-COMB-DED-IND, "0")' |
CROSSOVER-INDICATOR,TYPE-OF-CLAIM,MEDICARE-COMB-DED-IND |
CIP023,CIP100,CIP128 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 186 |
RULE-560 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROGRAM-TYPE |
PROGRAM-TYPE |
CIP129 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 187 |
RULE-561 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.isEqual(@val.PROGRAM-TYPE, "07"), then fns.isEqualToAny(@val.WAIVER-TYPE, "06", "07", "08", "09", "10", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20")' |
PROGRAM-TYPE,WAIVER-TYPE |
CIP129,CIP177 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 188 |
RULE-562 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
STATE-PLAN-OPTION-PARTICIPATION |
ELG00011 |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
'if fns.isEqual(@secondaryRecord.PROGRAM-TYPE, "13"), then fns.isEqual(@primaryRecord.STATE-PLAN-OPTION-TYPE, "02")' |
STATE-PLAN-OPTION-TYPE |
ELG163 |
PROGRAM-TYPE |
CIP129 |
|
|
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG162,ELG160 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
CIP022,CIP017 |
|
|
|
|
|
|
|
|
| 189 |
RULE-563 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.PLAN-ID-NUMBER), then fns.matches(@val.PLAN-ID-NUMBER, "^[^|*]*$")' |
PLAN-ID-NUMBER |
CIP130 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 190 |
RULE-564 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
'if fns.isEqualToAny(@secondaryRecord.TYPE-OF-SERVICE, "119", "120", "122"), then fns.isEqual(@primaryRecord.PLAN-ID-NUMBER, @primaryRecord.BILLING-PROV-NUM)' |
PLAN-ID-NUMBER,BILLING-PROV-NUM |
CIP130,CIP179 |
TYPE-OF-SERVICE |
CIP257 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP017,CIP019,CIP020,CIP098 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP232,CIP235,CIP236,CIP286 |
|
|
|
|
|
|
|
|
| 191 |
RULE-565 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if !fns.isEqualToAny(@val.TYPE-OF-CLAIM, "3", "C", "W"), then !fns.hasValue(@val.PLAN-ID-NUMBER)' |
TYPE-OF-CLAIM,PLAN-ID-NUMBER |
CIP100,CIP130 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 192 |
RULE-566 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.NATIONAL-HEALTH-CARE-ENTITY-ID), then fns.matches(@val.NATIONAL-HEALTH-CARE-ENTITY-ID, "^[^|*]*$")' |
NATIONAL-HEALTH-CARE-ENTITY-ID |
CIP131 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 193 |
RULE-567 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
FILE-HEADER-RECORD-IP |
CIP00001 |
|
|
'if fns.isGreaterThanOrEqual(@fileHeader.START-OF-TIME-PERIOD, "2015-11-10"), then fns.hasValue(@val.NATIONAL-HEALTH-CARE-ENTITY-ID)' |
NATIONAL-HEALTH-CARE-ENTITY-ID |
CIP131 |
START-OF-TIME-PERIOD |
CIP009 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 194 |
RULE-568 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
'if fns.isEqualToAny(@secondaryRecord.TYPE-OF-CLAIM, "C", "3", "W"), then fns.isEqual(@secondaryRecord.NATIONAL-HEALTH-CARE-ENTITY-ID, @primaryRecord.NATIONAL-HEALTH-CARE-ENTITY-ID)' |
NATIONAL-HEALTH-CARE-ENTITY-ID |
ELG194 |
TYPE-OF-CLAIM,NATIONAL-HEALTH-CARE-ENTITY-ID |
CIP100,CIP131 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG189,ELG191 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CIP017,CIP022 |
|
|
|
|
|
|
|
|
| 195 |
RULE-569 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PAYMENT-LEVEL-IND |
PAYMENT-LEVEL-IND |
CIP132 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 196 |
RULE-570 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: MEDICARE-REIM-TYPE |
MEDICARE-REIM-TYPE |
CIP133 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 197 |
RULE-571 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: S9(5) |
NON-COV-DAYS |
CIP134 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 198 |
RULE-572 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to Many) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
'fns.isSumOfDaysLessThanOrEqualToTotalLengthOfStay(@primaryRecord.NON-COV-DAYS, @primaryRecord.MEDICAID-COV-INPATIENT-DAYS, @secondaryRecords.BEGINNING-DATE-OF-SERVICE, @secondaryRecords.ENDING-DATE-OF-SERVICE)' |
NON-COV-DAYS,MEDICAID-COV-INPATIENT-DAYS |
CIP134,CIP136 |
BEGINNING-DATE-OF-SERVICE,ENDING-DATE-OF-SERVICE |
CIP243,CIP244 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP017,CIP019,CIP020,CIP098 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP232,CIP235,CIP236,CIP286 |
|
|
|
|
|
|
|
|
| 199 |
RULE-573 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
NON-COV-CHARGES |
CIP135 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 200 |
RULE-574 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: S9(7) |
MEDICAID-COV-INPATIENT-DAYS |
CIP136 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 201 |
RULE-575 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.MEDICAID-COV-INPATIENT-DAYS) && fns.hasValue(@val.ADMISSION-DATE) && fns.hasValue(@val.DISCHARGE-DATE), then fns.isValueLessThanOrEqualToTwoTimesStayDuration(@val.MEDICAID-COV-INPATIENT-DAYS, @val.ADMISSION-DATE, @val.DISCHARGE-DATE)' |
MEDICAID-COV-INPATIENT-DAYS,ADMISSION-DATE,DISCHARGE-DATE |
CIP136,CIP094,CIP096 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 202 |
RULE-577 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to Many) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
'if fns.hasValue(@primaryRecord.CLAIM-LINE-COUNT), then fns.isValueEqualToNumberOfRecords(@primaryRecord.CLAIM-LINE-COUNT, @secondaryRecords.LINE-NUM-ORIG)' |
CLAIM-LINE-COUNT |
CIP137 |
LINE-NUM-ORIG |
CIP237 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP017,CIP019,CIP020,CIP098 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP232,CIP235,CIP236,CIP286 |
|
|
|
|
|
|
|
|
| 203 |
RULE-578 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: FORCED-CLAIM-IND |
FORCED-CLAIM-IND |
CIP138 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 204 |
RULE-579 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: HEALTH-CARE-ACQUIRED-CONDITION-IND |
HEALTH-CARE-ACQUIRED-CONDITION-IND |
CIP139 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 205 |
RULE-580 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-01 |
CIP140 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 206 |
RULE-581 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-02 |
CIP141 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 207 |
RULE-582 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-03 |
CIP142 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 208 |
RULE-583 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-04 |
CIP143 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 209 |
RULE-584 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-05 |
CIP144 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 210 |
RULE-585 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-06 |
CIP145 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 211 |
RULE-586 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-07 |
CIP146 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 212 |
RULE-587 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-08 |
CIP147 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 213 |
RULE-588 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-09 |
CIP148 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 214 |
RULE-589 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-10 |
CIP149 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 215 |
RULE-590 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-01 |
CIP150 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 216 |
RULE-592 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-01), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-01)' |
OCCURRENCE-CODE-01,OCCURRENCE-CODE-EFF-DATE-01 |
CIP140,CIP150 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 217 |
RULE-593 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-01) && fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-01), then fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-01, @val.OCCURRENCE-CODE-END-DATE-01)' |
OCCURRENCE-CODE-EFF-DATE-01,OCCURRENCE-CODE-END-DATE-01 |
CIP150,CIP160 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 218 |
RULE-594 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-02 |
CIP151 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 219 |
RULE-596 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-02), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-02)' |
OCCURRENCE-CODE-02,OCCURRENCE-CODE-EFF-DATE-02 |
CIP141,CIP151 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 220 |
RULE-597 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-02, @val.OCCURRENCE-CODE-END-DATE-02)' |
OCCURRENCE-CODE-EFF-DATE-02,OCCURRENCE-CODE-END-DATE-02 |
CIP151,CIP161 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 221 |
RULE-598 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-03 |
CIP152 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 222 |
RULE-600 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-03), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-03)' |
OCCURRENCE-CODE-03,OCCURRENCE-CODE-EFF-DATE-03 |
CIP142,CIP152 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 223 |
RULE-601 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-03) && fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-03), then fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-03, @val.OCCURRENCE-CODE-END-DATE-03)' |
OCCURRENCE-CODE-EFF-DATE-03,OCCURRENCE-CODE-END-DATE-03 |
CIP152,CIP162 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 224 |
RULE-602 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-04 |
CIP153 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 225 |
RULE-604 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-04), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-04)' |
OCCURRENCE-CODE-04,OCCURRENCE-CODE-EFF-DATE-04 |
CIP143,CIP153 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 226 |
RULE-605 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-04) && fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-04), then fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-04, @val.OCCURRENCE-CODE-END-DATE-04)' |
OCCURRENCE-CODE-EFF-DATE-04,OCCURRENCE-CODE-END-DATE-04 |
CIP153,CIP163 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 227 |
RULE-606 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-05 |
CIP154 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 228 |
RULE-608 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-05), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-05)' |
OCCURRENCE-CODE-05,OCCURRENCE-CODE-EFF-DATE-05 |
CIP144,CIP154 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 229 |
RULE-609 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-05) && fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-05), then fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-05, @val.OCCURRENCE-CODE-END-DATE-05)' |
OCCURRENCE-CODE-EFF-DATE-05,OCCURRENCE-CODE-END-DATE-05 |
CIP154,CIP164 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 230 |
RULE-610 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-06 |
CIP155 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 231 |
RULE-612 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-06), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-06)' |
OCCURRENCE-CODE-06,OCCURRENCE-CODE-EFF-DATE-06 |
CIP145,CIP155 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 232 |
RULE-613 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-06) && fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-06), then fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-06, @val.OCCURRENCE-CODE-END-DATE-06)' |
OCCURRENCE-CODE-EFF-DATE-06,OCCURRENCE-CODE-END-DATE-06 |
CIP155,CIP165 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 233 |
RULE-614 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-07 |
CIP156 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 234 |
RULE-616 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-07), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-07)' |
OCCURRENCE-CODE-07,OCCURRENCE-CODE-EFF-DATE-07 |
CIP146,CIP156 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 235 |
RULE-617 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-07) && fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-07), then fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-07, @val.OCCURRENCE-CODE-END-DATE-07)' |
OCCURRENCE-CODE-EFF-DATE-07,OCCURRENCE-CODE-END-DATE-07 |
CIP156,CIP166 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 236 |
RULE-618 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-08 |
CIP157 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 237 |
RULE-620 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-08), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-08)' |
OCCURRENCE-CODE-08,OCCURRENCE-CODE-EFF-DATE-08 |
CIP147,CIP157 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 238 |
RULE-621 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-08) && fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-08), then fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-08, @val.OCCURRENCE-CODE-END-DATE-08)' |
OCCURRENCE-CODE-EFF-DATE-08,OCCURRENCE-CODE-END-DATE-08 |
CIP157,CIP167 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 239 |
RULE-622 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-09 |
CIP158 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 240 |
RULE-624 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-09), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-09)' |
OCCURRENCE-CODE-09,OCCURRENCE-CODE-EFF-DATE-09 |
CIP148,CIP158 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 241 |
RULE-625 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-09) && fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-09), then fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-09, @val.OCCURRENCE-CODE-END-DATE-09)' |
OCCURRENCE-CODE-EFF-DATE-09,OCCURRENCE-CODE-END-DATE-09 |
CIP158,CIP168 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 242 |
RULE-626 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-10 |
CIP159 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 243 |
RULE-628 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-10), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-10)' |
OCCURRENCE-CODE-10,OCCURRENCE-CODE-EFF-DATE-10 |
CIP149,CIP159 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 244 |
RULE-629 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-10, @val.OCCURRENCE-CODE-END-DATE-10)' |
OCCURRENCE-CODE-EFF-DATE-10,OCCURRENCE-CODE-END-DATE-10 |
CIP159,CIP169 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 245 |
RULE-630 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-01 |
CIP160 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 246 |
RULE-632 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-01), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-01)' |
OCCURRENCE-CODE-01,OCCURRENCE-CODE-END-DATE-01 |
CIP140,CIP160 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 247 |
RULE-634 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-02 |
CIP161 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 248 |
RULE-636 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-02), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-02)' |
OCCURRENCE-CODE-02,OCCURRENCE-CODE-END-DATE-02 |
CIP141,CIP161 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 249 |
RULE-638 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-03 |
CIP162 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 250 |
RULE-640 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-03), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-03)' |
OCCURRENCE-CODE-03,OCCURRENCE-CODE-END-DATE-03 |
CIP142,CIP162 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 251 |
RULE-642 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-04 |
CIP163 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 252 |
RULE-644 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-04), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-04)' |
OCCURRENCE-CODE-04,OCCURRENCE-CODE-END-DATE-04 |
CIP143,CIP163 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 253 |
RULE-646 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-05 |
CIP164 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 254 |
RULE-648 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-05), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-05)' |
OCCURRENCE-CODE-05,OCCURRENCE-CODE-END-DATE-05 |
CIP144,CIP164 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 255 |
RULE-650 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-06 |
CIP165 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 256 |
RULE-652 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-06), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-06)' |
OCCURRENCE-CODE-06,OCCURRENCE-CODE-END-DATE-06 |
CIP145,CIP165 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 257 |
RULE-654 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-07 |
CIP166 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 258 |
RULE-656 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-07), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-07)' |
OCCURRENCE-CODE-07,OCCURRENCE-CODE-END-DATE-07 |
CIP146,CIP166 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 259 |
RULE-658 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-08 |
CIP167 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 260 |
RULE-660 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-08), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-08)' |
OCCURRENCE-CODE-08,OCCURRENCE-CODE-END-DATE-08 |
CIP147,CIP167 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 261 |
RULE-662 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-09 |
CIP168 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 262 |
RULE-664 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-09), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-09)' |
OCCURRENCE-CODE-09,OCCURRENCE-CODE-END-DATE-09 |
CIP148,CIP168 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 263 |
RULE-666 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-10 |
CIP169 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 264 |
RULE-668 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-10), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-10)' |
OCCURRENCE-CODE-10,OCCURRENCE-CODE-END-DATE-10 |
CIP149,CIP169 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 265 |
RULE-671 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.PATIENT-CONTROL-NUM), then fns.matches(@val.PATIENT-CONTROL-NUM, "^[^|*]*$")' |
PATIENT-CONTROL-NUM |
CIP171 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 266 |
RULE-672 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.ELIGIBLE-LAST-NAME), then fns.matches(@val.ELIGIBLE-LAST-NAME, "^[^|*]*$")' |
ELIGIBLE-LAST-NAME |
CIP172 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 267 |
RULE-673 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.ELIGIBLE-FIRST-NAME), then fns.matches(@val.ELIGIBLE-FIRST-NAME, "^[^|*]*$")' |
ELIGIBLE-FIRST-NAME |
CIP173 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 268 |
RULE-674 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.ELIGIBLE-MIDDLE-INIT), then fns.matches(@val.ELIGIBLE-MIDDLE-INIT, "^[^|*]*$")' |
ELIGIBLE-MIDDLE-INIT |
CIP174 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 269 |
RULE-675 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
DATE-OF-BIRTH |
CIP175 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 270 |
RULE-677 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Three Record Type Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
if fns.hasValue(@secondaryRecord.DATE-OF-DEATH) && !fns.isEqual(@tertiaryRecord.CONCEPTION-TO-BIRTH-IND, "1") && !fns.isEqual(@tertiaryRecord.ELIGIBILITY-GROUP, "64"), then fns.isLessThanOrEqual(@primaryRecord.DATE-OF-BIRTH, @secondaryRecord.DATE-OF-DEATH)' |
DATE-OF-BIRTH |
CIP175 |
DATE-OF-DEATH |
ELG025 |
CONCEPTION-TO-BIRTH-IND,ELIGIBILITY-GROUP |
ELG094,ELG087 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CIP017,CIP022 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CIP017,CIP022 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG080,ELG082 |
|
|
|
|
| 271 |
RULE-678 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Three Record Type Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
'if !fns.isEqual(@tertiaryRecord.CONCEPTION-TO-BIRTH-IND, "1") && !fns.isEqual(@tertiaryRecord.ELIGIBILITY-GROUP, "64"), then fns.isEqual(@primaryRecord.DATE-OF-BIRTH, @secondaryRecord.DATE-OF-BIRTH)' |
DATE-OF-BIRTH |
CIP175 |
DATE-OF-BIRTH |
ELG024 |
CONCEPTION-TO-BIRTH-IND,ELIGIBILITY-GROUP |
ELG094,ELG087 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CIP017,CIP022 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CIP017,CIP022 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG080,ELG082 |
|
|
|
|
| 272 |
RULE-679 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: HEALTH-HOME-PROV-IND |
HEALTH-HOME-PROV-IND |
CIP176 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 273 |
RULE-680 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.HEALTH-HOME-ENTITY-NAME), then fns.isEqual(@val.HEALTH-HOME-PROV-IND, "1")' |
HEALTH-HOME-ENTITY-NAME,HEALTH-HOME-PROV-IND |
CIP214,CIP176 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 274 |
RULE-681 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: WAIVER-TYPE |
WAIVER-TYPE |
CIP177 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 275 |
RULE-682 |
1.1 |
Value Error |
E1104 |
Value not valid for state-supplied format (format or valid values) |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: WAIVER-ID |
WAIVER-ID |
CIP178 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 276 |
RULE-683 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if and only if fns.hasValue(@val.WAIVER-TYPE), then fns.hasValue(@val.WAIVER-ID)' |
WAIVER-TYPE,WAIVER-ID |
CIP177,CIP178 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 277 |
RULE-688 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Three Record Type Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
PROV-IDENTIFIERS |
PRV00005 |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
For every record of type PROV-IDENTIFIERS, there must be a valid record of type PROV-ATTRIBUTES-MAIN that matches on the join keys, where fns.isEqual(@primaryRecord.FACILITY-GROUP-INDIVIDUAL-CODE, "01") |
FACILITY-GROUP-INDIVIDUAL-CODE |
PRV026 |
|
|
|
|
SUBMITTING-STATE,SUBMITTING-STATE-PROV-ID |
PRV017,PRV019 |
SUBMITTING-STATE,SUBMITTING-STATE-PROV-ID |
PRV073,PRV075 |
SUBMITTING-STATE,PROV-IDENTIFIER |
|
SUBMITTING-STATE,BILLING-PROV-NUM |
CIP017,CIP179 |
|
|
|
|
| 278 |
RULE-689 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PROV-IDENTIFIERS |
PRV00005 |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
For every record of type CLAIM-HEADER-RECORD-IP, if fns.hasValue(@secondaryRecord.BILLING-PROV-NUM) && !fns.isEqualToAny(@secondaryRecord.TYPE-OF-CLAIM, "3", "C", "W"), there must be a valid record of type PROV-IDENTIFIERS that matches on the join keys, where fns.isEqual(@primaryRecord.PROV-IDENTIFIER-TYPE, "1") |
PROV-IDENTIFIER-TYPE |
PRV077 |
BILLING-PROV-NUM,TYPE-OF-CLAIM |
CIP179,CIP100 |
|
|
SUBMITTING-STATE,PROV-IDENTIFIER |
PRV073,PRV081 |
SUBMITTING-STATE,BILLING-PROV-NUM |
CIP017,CIP179 |
|
|
|
|
|
|
|
|
| 279 |
RULE-690 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.BILLING-PROV-NPI-NUM), then fns.isValidNPI(@val.BILLING-PROV-NPI-NUM)' |
BILLING-PROV-NPI-NUM |
CIP180 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 280 |
RULE-692 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Three Record Type Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
PROV-IDENTIFIERS |
PRV00005 |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
For every record of type PROV-IDENTIFIERS, there must be a valid record of type PROV-ATTRIBUTES-MAIN that matches on the join keys, where fns.isEqual(@primaryRecord.FACILITY-GROUP-INDIVIDUAL-CODE, "01") && fns.isEqual(@secondaryRecord.PROV-IDENTIFIER-TYPE, "2") |
FACILITY-GROUP-INDIVIDUAL-CODE |
PRV026 |
PROV-IDENTIFIER-TYPE |
PRV077 |
|
|
SUBMITTING-STATE,SUBMITTING-STATE-PROV-ID |
PRV017,PRV019 |
SUBMITTING-STATE,SUBMITTING-STATE-PROV-ID |
PRV073,PRV075 |
SUBMITTING-STATE,PROV-IDENTIFIER |
|
SUBMITTING-STATE,BILLING-PROV-NPI-NUM |
CIP017,CIP180 |
|
|
|
|
| 281 |
RULE-693 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TAXONOMY |
BILLING-PROV-TAXONOMY |
CIP181 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 282 |
RULE-694 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TYPE |
BILLING-PROV-TYPE |
CIP182 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 283 |
RULE-695 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-SPECIALTY |
BILLING-PROV-SPECIALTY |
CIP183 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 284 |
RULE-696 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.ADMITTING-PROV-NPI-NUM), then fns.isValidNPI(@val.ADMITTING-PROV-NPI-NUM)' |
ADMITTING-PROV-NPI-NUM |
CIP184 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 285 |
RULE-699 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-SPECIALTY |
ADMITTING-PROV-SPECIALTY |
CIP186 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 286 |
RULE-700 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TAXONOMY |
ADMITTING-PROV-TAXONOMY |
CIP187 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 287 |
RULE-701 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TYPE |
ADMITTING-PROV-TYPE |
CIP188 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 288 |
RULE-703 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.REFERRING-PROV-NPI-NUM), then fns.isValidNPI(@val.REFERRING-PROV-NPI-NUM)' |
REFERRING-PROV-NPI-NUM |
CIP190 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 289 |
RULE-705 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TAXONOMY |
REFERRING-PROV-TAXONOMY |
CIP191 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 290 |
RULE-706 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TYPE |
REFERRING-PROV-TYPE |
CIP192 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 291 |
RULE-707 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-SPECIALTY |
REFERRING-PROV-SPECIALTY |
CIP193 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 292 |
RULE-708 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
DRG-OUTLIER-AMT |
CIP194 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 293 |
RULE-709 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if and only if fns.isEqualToAny(@val.OUTLIER-CODE, "01", "02", "10"), then fns.hasValue(@val.DRG-OUTLIER-AMT)' |
OUTLIER-CODE,DRG-OUTLIER-AMT |
CIP197,CIP194 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 294 |
RULE-710 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.isEqualToAny(@val.OUTLIER-CODE, "00", "09"), then !fns.hasValue(@val.DRG-OUTLIER-AMT) || fns.isEqual(@val.DRG-OUTLIER-AMT, "0.00")' |
OUTLIER-CODE,DRG-OUTLIER-AMT |
CIP197,CIP194 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 295 |
RULE-711 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.DRG-REL-WEIGHT), then fns.isNonNegative(@val.DRG-REL-WEIGHT)' |
DRG-REL-WEIGHT |
CIP195 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 296 |
RULE-712 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.MEDICARE-HIC-NUM), then fns.matches(@val.MEDICARE-HIC-NUM, "^[^|*]*$")' |
MEDICARE-HIC-NUM |
CIP196 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 297 |
RULE-713 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.isEqual(@val.CROSSOVER-INDICATOR, "1") && !fns.hasValue(@val.MEDICARE-BENEFICIARY-IDENTIFIER), then fns.hasValue(@val.MEDICARE-HIC-NUM)' |
CROSSOVER-INDICATOR,MEDICARE-BENEFICIARY-IDENTIFIER,MEDICARE-HIC-NUM |
CIP023,CIP222,CIP196 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 298 |
RULE-714 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OUTLIER-CODE |
OUTLIER-CODE |
CIP197 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 299 |
RULE-716 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: S9(5) |
OUTLIER-DAYS |
CIP198 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 300 |
RULE-717 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.isEqual(@val.OUTLIER-CODE, "01"), then fns.hasValue(@val.OUTLIER-DAYS)' |
OUTLIER-CODE,OUTLIER-DAYS |
CIP197,CIP198 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 301 |
RULE-718 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PATIENT-STATUS |
PATIENT-STATUS |
CIP199 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 302 |
RULE-719 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
'if fns.isLessThanOrEqual(@primaryRecord.DATE-OF-DEATH, @secondaryRecord.DISCHARGE-DATE), then fns.isEqualToAny(@secondaryRecord.PATIENT-STATUS, "20", "40", "41", "42")' |
DATE-OF-DEATH |
ELG025 |
DISCHARGE-DATE,PATIENT-STATUS |
CIP096,CIP199 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CIP017,CIP022 |
|
|
|
|
|
|
|
|
| 303 |
RULE-720 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: S9(5)V9 |
BMI |
CIP201 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 304 |
RULE-721 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.REMITTANCE-NUM), then fns.matches(@val.REMITTANCE-NUM, "^[^|*]*$")' |
REMITTANCE-NUM |
CIP202 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 305 |
RULE-723 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: SPLIT-CLAIM-IND |
SPLIT-CLAIM-IND |
CIP203 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 306 |
RULE-724 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: BORDER-STATE-IND |
BORDER-STATE-IND |
CIP204 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 307 |
RULE-725 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
BENEFICIARY-COINSURANCE-AMOUNT |
CIP206 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 308 |
RULE-726 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
BENEFICIARY-COINSURANCE-DATE-PAID |
CIP207 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 309 |
RULE-728 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
BENEFICIARY-COPAYMENT-AMOUNT |
CIP208 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 310 |
RULE-729 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
BENEFICIARY-COPAYMENT-DATE-PAID |
CIP209 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 311 |
RULE-731 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
BENEFICIARY-DEDUCTIBLE-AMOUNT |
CIP210 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 312 |
RULE-732 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
BENEFICIARY-DEDUCTIBLE-DATE-PAID |
CIP211 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 313 |
RULE-734 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-DENIED-INDICATOR |
CLAIM-DENIED-INDICATOR |
CIP212 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 314 |
RULE-735 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.isEqual(@val.TYPE-OF-CLAIM, "Z"), then fns.isEqual(@val.CLAIM-DENIED-INDICATOR, "0")' |
TYPE-OF-CLAIM,CLAIM-DENIED-INDICATOR |
CIP100,CIP212 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 315 |
RULE-736 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: COPAY-WAIVED-IND |
COPAY-WAIVED-IND |
CIP213 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 316 |
RULE-737 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.HEALTH-HOME-ENTITY-NAME), then fns.matches(@val.HEALTH-HOME-ENTITY-NAME, "^[^|*]*$")' |
HEALTH-HOME-ENTITY-NAME |
CIP214 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 317 |
RULE-738 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
THIRD-PARTY-COINSURANCE-AMOUNT-PAID |
CIP216 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 318 |
RULE-739 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
THIRD-PARTY-COINSURANCE-DATE-PAID |
CIP217 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 319 |
RULE-741 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
THIRD-PARTY-COPAYMENT-AMOUNT-PAID |
CIP218 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 320 |
RULE-742 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
THIRD-PARTY-COPAYMENT-DATE-PAID |
CIP219 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 321 |
RULE-744 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
MEDICAID-AMOUNT-PAID-DSH |
CIP220 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 322 |
RULE-745 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.HEALTH-HOME-PROVIDER-NPI), then fns.isValidNPI(@val.HEALTH-HOME-PROVIDER-NPI)' |
HEALTH-HOME-PROVIDER-NPI |
CIP221 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 323 |
RULE-747 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PROV-IDENTIFIERS |
PRV00005 |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
For every record of type CLAIM-HEADER-RECORD-IP, if fns.hasValue(@secondaryRecord.HEALTH-HOME-PROVIDER-NPI) && !fns.isEqualToAny(@secondaryRecord.TYPE-OF-CLAIM, "3", "C", "W"), there must be a valid record of type PROV-IDENTIFIERS that matches on the join keys, where fns.isEqual(@primaryRecord.PROV-IDENTIFIER-TYPE, "2") |
PROV-IDENTIFIER-TYPE |
PRV077 |
HEALTH-HOME-PROVIDER-NPI,TYPE-OF-CLAIM |
CIP221,CIP100 |
|
|
SUBMITTING-STATE,PROV-IDENTIFIER |
PRV073,PRV081 |
SUBMITTING-STATE,HEALTH-HOME-PROVIDER-NPI |
CIP017,CIP221 |
|
|
|
|
|
|
|
|
| 324 |
RULE-748 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.MEDICARE-BENEFICIARY-IDENTIFIER), then fns.matches(@val.MEDICARE-BENEFICIARY-IDENTIFIER, "^[^|*]*$")' |
MEDICARE-BENEFICIARY-IDENTIFIER |
CIP222 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 325 |
RULE-749 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
FILE-HEADER-RECORD-IP |
CIP00001 |
|
|
'if fns.isGreaterThanOrEqual(@fileHeader.END-OF-TIME-PERIOD, "2015-11-10") && fns.isEqual(@val.CROSSOVER-INDICATOR, "1") && !fns.hasValue(@val.MEDICARE-HIC-NUM), then fns.hasValue(@val.MEDICARE-BENEFICIARY-IDENTIFIER)' |
CROSSOVER-INDICATOR,MEDICARE-HIC-NUM,MEDICARE-BENEFICIARY-IDENTIFIER |
CIP023,CIP196,CIP222 |
END-OF-TIME-PERIOD |
CIP010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 326 |
RULE-750 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TAXONOMY |
OPERATING-PROV-TAXONOMY |
CIP223 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 327 |
RULE-751 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.UNDER-DIRECTION-OF-PROV-NPI), then fns.isValidNPI(@val.UNDER-DIRECTION-OF-PROV-NPI)' |
UNDER-DIRECTION-OF-PROV-NPI |
CIP224 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 328 |
RULE-753 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TAXONOMY |
UNDER-DIRECTION-OF-PROV-TAXONOMY |
CIP225 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 329 |
RULE-754 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.UNDER-SUPERVISION-OF-PROV-NPI), then fns.isValidNPI(@val.UNDER-SUPERVISION-OF-PROV-NPI)' |
UNDER-SUPERVISION-OF-PROV-NPI |
CIP226 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 330 |
RULE-756 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TAXONOMY |
UNDER-SUPERVISION-OF-PROV-TAXONOMY |
CIP227 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 331 |
RULE-757 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
MEDICARE-PAID-AMT |
CIP228 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 332 |
RULE-758 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
CIP229 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 333 |
RULE-761 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
CIP232 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 334 |
RULE-762 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-LINE-RECORD-IP |
CIP00003 |
FILE-HEADER-RECORD-IP |
CIP00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
CIP232 |
SUBMITTING-STATE |
CIP007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 335 |
RULE-764 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type CLAIM-LINE-RECORD-IP |
RECORD-NUMBER |
CIP233 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 336 |
RULE-767 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
'if fns.isEqualToAny(@primaryRecord.TYPE-OF-CLAIM, "4", "D", "X"), then fns.matches(@secondaryRecord.MSIS-IDENTIFICATION-NUM, "^&.*$")' |
TYPE-OF-CLAIM |
CIP100 |
MSIS-IDENTIFICATION-NUM |
CIP234 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP017,CIP019,CIP020,CIP098 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP232,CIP235,CIP236,CIP286 |
|
|
|
|
|
|
|
|
| 337 |
RULE-768 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
record CLAIM-LINE-RECORD-IP has corresponding parent record CLAIM-HEADER-RECORD-IP |
|
|
|
|
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP017,CIP019,CIP020,CIP098 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP232,CIP235,CIP236,CIP286 |
|
|
|
|
|
|
|
|
| 338 |
RULE-769 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
'if fns.hasValue(@val.ICN-ORIG), then fns.matches(@val.ICN-ORIG, "^[^|*]*$")' |
ICN-ORIG |
CIP235 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 339 |
RULE-770 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
'if fns.hasValue(@val.ICN-ADJ), then fns.matches(@val.ICN-ADJ, "^[^|*]*$")' |
ICN-ADJ |
CIP236 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 340 |
RULE-771 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
'if fns.hasValue(@val.LINE-NUM-ORIG), then fns.isNonNegative(@val.LINE-NUM-ORIG)' |
LINE-NUM-ORIG |
CIP237 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 341 |
RULE-772 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
'if fns.hasValue(@val.LINE-NUM-ADJ), then fns.isNonNegative(@val.LINE-NUM-ADJ)' |
LINE-NUM-ADJ |
CIP238 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 342 |
RULE-773 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
'if fns.isEqual(@val.LINE-ADJUSTMENT-IND, "0"), then !fns.hasValue(@val.LINE-NUM-ADJ)' |
LINE-ADJUSTMENT-IND,LINE-NUM-ADJ |
CIP239,CIP238 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 343 |
RULE-774 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: LINE-ADJUSTMENT-IND |
LINE-ADJUSTMENT-IND |
CIP239 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 344 |
RULE-775 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
'if fns.hasValue(@val.LINE-NUM-ADJ), then fns.hasValue(@val.LINE-ADJUSTMENT-IND)' |
LINE-NUM-ADJ,LINE-ADJUSTMENT-IND |
CIP238,CIP239 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 345 |
RULE-776 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: ADJUSTMENT-REASON-CODE |
LINE-ADJUSTMENT-REASON-CODE |
CIP240 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 346 |
RULE-778 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-STATUS |
CLAIM-LINE-STATUS |
CIP242 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 347 |
RULE-779 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
BEGINNING-DATE-OF-SERVICE |
CIP243 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 348 |
RULE-781 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-LINE-RECORD-IP |
CIP00003 |
FILE-HEADER-RECORD-IP |
CIP00001 |
|
|
'if fns.hasValue(@val.BEGINNING-DATE-OF-SERVICE) && fns.hasValue(@fileHeader.END-OF-TIME-PERIOD), then fns.isLessThanOrEqual(@val.BEGINNING-DATE-OF-SERVICE, @fileHeader.END-OF-TIME-PERIOD)' |
BEGINNING-DATE-OF-SERVICE |
CIP243 |
END-OF-TIME-PERIOD |
CIP010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 349 |
RULE-782 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
'if fns.hasValue(@val.BEGINNING-DATE-OF-SERVICE) && fns.hasValue(@val.ENDING-DATE-OF-SERVICE), then fns.isLessThanOrEqual(@val.BEGINNING-DATE-OF-SERVICE, @val.ENDING-DATE-OF-SERVICE)' |
BEGINNING-DATE-OF-SERVICE,ENDING-DATE-OF-SERVICE |
CIP243,CIP244 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 350 |
RULE-783 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
'if fns.hasValue(@val.BEGINNING-DATE-OF-SERVICE) && fns.hasValue(@val.ADJUDICATION-DATE), then fns.isLessThanOrEqual(@val.BEGINNING-DATE-OF-SERVICE, @val.ADJUDICATION-DATE)' |
BEGINNING-DATE-OF-SERVICE,ADJUDICATION-DATE |
CIP243,CIP286 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 351 |
RULE-784 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.BEGINNING-DATE-OF-SERVICE), then fns.isLessThanOrEqual(@secondaryRecord.BEGINNING-DATE-OF-SERVICE, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
BEGINNING-DATE-OF-SERVICE |
CIP243 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CIP232,CIP234 |
|
|
|
|
|
|
|
|
| 352 |
RULE-786 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
ENDING-DATE-OF-SERVICE |
CIP244 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 353 |
RULE-789 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
'if fns.hasValue(@val.ENDING-DATE-OF-SERVICE) && fns.hasValue(@val.ADJUDICATION-DATE), then fns.isLessThanOrEqual(@val.ENDING-DATE-OF-SERVICE, @val.ADJUDICATION-DATE)' |
ENDING-DATE-OF-SERVICE,ADJUDICATION-DATE |
CIP244,CIP286 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 354 |
RULE-790 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.ENDING-DATE-OF-SERVICE), then fns.isLessThanOrEqual(@secondaryRecord.ENDING-DATE-OF-SERVICE, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
ENDING-DATE-OF-SERVICE |
CIP244 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CIP232,CIP234 |
|
|
|
|
|
|
|
|
| 355 |
RULE-791 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-LINE-RECORD-IP |
CIP00003 |
FILE-HEADER-RECORD-IP |
CIP00001 |
|
|
'if fns.hasValue(@val.ENDING-DATE-OF-SERVICE) && fns.hasValue(@fileHeader.END-OF-TIME-PERIOD), then fns.isLessThanOrEqual(@val.ENDING-DATE-OF-SERVICE, @fileHeader.END-OF-TIME-PERIOD)' |
ENDING-DATE-OF-SERVICE |
CIP244 |
END-OF-TIME-PERIOD |
CIP010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 356 |
RULE-792 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: REVENUE-CODE |
REVENUE-CODE |
CIP245 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 357 |
RULE-793 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: IMMUNIZATION-TYPE |
IMMUNIZATION-TYPE |
CIP248 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 358 |
RULE-794 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: S9(6)V999 |
IP-LT-QUANTITY-OF-SERVICE-ACTUAL |
CIP249 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 359 |
RULE-795 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: S9(6)V999 |
IP-LT-QUANTITY-OF-SERVICE-ALLOWED |
CIP250 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 360 |
RULE-796 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
REVENUE-CHARGE |
CIP251 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 361 |
RULE-797 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to Many) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
'fns.isDollarSumLessThanOrEqual(@primaryRecord.TOT-BILLED-AMT, @secondaryRecords.REVENUE-CHARGE)' |
TOT-BILLED-AMT |
CIP112 |
REVENUE-CHARGE |
CIP251 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP017,CIP019,CIP020,CIP098 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP232,CIP235,CIP236,CIP286 |
|
|
|
|
|
|
|
|
| 362 |
RULE-798 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
'if and only if fns.hasValue(@val.REVENUE-CODE), then fns.hasValue(@val.REVENUE-CHARGE)' |
REVENUE-CODE,REVENUE-CHARGE |
CIP245,CIP251 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 363 |
RULE-800 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
ALLOWED-AMT |
CIP252 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 364 |
RULE-801 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TPL-AMT |
CIP253 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 365 |
RULE-802 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
MEDICAID-PAID-AMT |
CIP254 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 366 |
RULE-803 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
MEDICAID-FFS-EQUIVALENT-AMT |
CIP255 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 367 |
RULE-804 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
'if fns.isEqualToAny(@primaryRecord.TYPE-OF-CLAIM, "C", "3", "W"), then fns.hasValue(@secondaryRecord.MEDICAID-FFS-EQUIVALENT-AMT)' |
TYPE-OF-CLAIM |
CIP100 |
MEDICAID-FFS-EQUIVALENT-AMT |
CIP255 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP017,CIP019,CIP020,CIP098 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP232,CIP235,CIP236,CIP286 |
|
|
|
|
|
|
|
|
| 368 |
RULE-805 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: BILLING-UNIT |
BILLING-UNIT |
CIP256 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 369 |
RULE-806 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: TYPE-OF-SERVICE |
TYPE-OF-SERVICE |
CIP257 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 370 |
RULE-807 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
'fns.isEqualToAny(@val.TYPE-OF-SERVICE, "001", "058", "060", "084", "086", "090", "091", "092", "093", "123", "132", "135")' |
TYPE-OF-SERVICE |
CIP257 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 371 |
RULE-808 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
'if fns.isEqual(@primaryRecord.SEX, "M"), then !fns.isEqual(@secondaryRecord.TYPE-OF-SERVICE, "086")' |
SEX |
ELG023 |
TYPE-OF-SERVICE |
CIP257 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CIP232,CIP234 |
|
|
|
|
|
|
|
|
| 372 |
RULE-810 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Three Record Type Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
PROV-IDENTIFIERS |
PRV00005 |
For every record of type CLAIM-LINE-RECORD-IP, if fns.hasValue(@secondaryRecord.SERVICING-PROV-NUM) && !fns.isEqualToAny(@primaryRecord.TYPE-OF-CLAIM, "3", "C", "W"), there must be a valid record of type CLAIM-HEADER-RECORD-IP that matches on the join keys, where fns.isEqual(@tertiaryRecord.PROV-IDENTIFIER-TYPE, "1") |
TYPE-OF-CLAIM |
CIP100 |
SERVICING-PROV-NUM |
CIP260 |
PROV-IDENTIFIER-TYPE |
PRV077 |
SUBMITTING-STATE,ICN-ADJ,ICN-ORIG,ADJUDICATION-DATE |
CIP017,CIP020,CIP019,CIP098 |
SUBMITTING-STATE,ICN-ADJ,ICN-ORIG,ADJUDICATION-DATE |
CIP232,CIP236,CIP235,CIP286 |
SUBMITTING-STATE,SERVICING-PROV-NUM |
|
SUBMITTING-STATE,PROV-IDENTIFIER |
PRV073,PRV081 |
|
|
|
|
| 373 |
RULE-812 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
'if fns.hasValue(@val.SERVICING-PROV-NPI-NUM), then fns.isValidNPI(@val.SERVICING-PROV-NPI-NUM)' |
SERVICING-PROV-NPI-NUM |
CIP261 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 374 |
RULE-813 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Three Record Type Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
PROV-IDENTIFIERS |
PRV00005 |
For every record of type CLAIM-LINE-RECORD-IP, if fns.hasValue(@secondaryRecord.SERVICING-PROV-NPI-NUM) && !fns.isEqualToAny(@primaryRecord.TYPE-OF-CLAIM, "3", "C", "W"), there must be a valid record of type CLAIM-HEADER-RECORD-IP that matches on the join keys, where fns.isEqual(@tertiaryRecord.PROV-IDENTIFIER-TYPE, "2") |
TYPE-OF-CLAIM |
CIP100 |
SERVICING-PROV-NPI-NUM |
CIP261 |
PROV-IDENTIFIER-TYPE |
PRV077 |
SUBMITTING-STATE,ICN-ADJ,ICN-ORIG,ADJUDICATION-DATE |
CIP017,CIP020,CIP019,CIP098 |
SUBMITTING-STATE,ICN-ADJ,ICN-ORIG,ADJUDICATION-DATE |
CIP232,CIP236,CIP235,CIP286 |
SUBMITTING-STATE,SERVICING-PROV-NPI-NUM |
|
SUBMITTING-STATE,PROV-IDENTIFIER |
PRV073,PRV081 |
|
|
|
|
| 375 |
RULE-814 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TAXONOMY |
SERVICING-PROV-TAXONOMY |
CIP262 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 376 |
RULE-815 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TYPE |
SERVICING-PROV-TYPE |
CIP263 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 377 |
RULE-816 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-SPECIALTY |
SERVICING-PROV-SPECIALTY |
CIP264 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 378 |
RULE-817 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
'if fns.hasValue(@val.OPERATING-PROV-NPI-NUM), then fns.isValidNPI(@val.OPERATING-PROV-NPI-NUM)' |
OPERATING-PROV-NPI-NUM |
CIP265 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 379 |
RULE-819 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Three Record Type Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
PROV-IDENTIFIERS |
PRV00005 |
For every record of type CLAIM-LINE-RECORD-IP, if fns.hasValue(@secondaryRecord.OPERATING-PROV-NPI-NUM) && !fns.isEqualToAny(@primaryRecord.TYPE-OF-CLAIM, "3", "C", "W"), there must be a valid record of type CLAIM-HEADER-RECORD-IP that matches on the join keys, where fns.isEqual(@tertiaryRecord.PROV-IDENTIFIER-TYPE, "2") |
TYPE-OF-CLAIM |
CIP100 |
OPERATING-PROV-NPI-NUM |
CIP265 |
PROV-IDENTIFIER-TYPE |
PRV077 |
SUBMITTING-STATE,ICN-ADJ,ICN-ORIG,ADJUDICATION-DATE |
CIP017,CIP020,CIP019,CIP098 |
SUBMITTING-STATE,ICN-ADJ,ICN-ORIG,ADJUDICATION-DATE |
CIP232,CIP236,CIP235,CIP286 |
SUBMITTING-STATE,OPERATING-PROV-NPI-NUM |
|
SUBMITTING-STATE,PROV-IDENTIFIER |
PRV073,PRV081 |
|
|
|
|
| 380 |
RULE-820 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OTHER-TPL-COLLECTION |
OTHER-TPL-COLLECTION |
CIP266 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 381 |
RULE-821 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-FACILITY-TYPE |
PROV-FACILITY-TYPE |
CIP267 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 382 |
RULE-822 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: BENEFIT-TYPE |
BENEFIT-TYPE |
CIP268 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 383 |
RULE-823 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT |
CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT |
CIP269 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 384 |
RULE-824 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
'if fns.isEqualToAny(@primaryRecord.CHIP-CODE, "0", "1", "2"), then !fns.isEqual(@secondaryRecord.CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT, "02")' |
CHIP-CODE |
ELG054 |
CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT |
CIP269 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG031,ELG033 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CIP232,CIP234 |
|
|
|
|
|
|
|
|
| 385 |
RULE-825 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
'if fns.isEqual(@primaryRecord.MEDICAID-BASIS-OF-ELIGIBILITY, "00"), then !fns.isEqual(@secondaryRecord.CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT, "01")' |
MEDICAID-BASIS-OF-ELIGIBILITY |
ELG084 |
CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT |
CIP269 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG080,ELG082 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CIP232,CIP234 |
|
|
|
|
|
|
|
|
| 386 |
RULE-826 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: XIX-MBESCBES-CATEGORY-OF-SERVICE |
XIX-MBESCBES-CATEGORY-OF-SERVICE |
CIP270 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 387 |
RULE-827 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
'if fns.isEqual(@primaryRecord.SEX, "M"), then !fns.isEqualToAny(@secondaryRecord.XIX-MBESCBES-CATEGORY-OF-SERVICE, "14", "35", "42", "44")' |
SEX |
ELG023 |
XIX-MBESCBES-CATEGORY-OF-SERVICE |
CIP270 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CIP232,CIP234 |
|
|
|
|
|
|
|
|
| 388 |
RULE-828 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: XXI-MBESCBES-CATEGORY-OF-SERVICE |
XXI-MBESCBES-CATEGORY-OF-SERVICE |
CIP271 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 389 |
RULE-829 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
OTHER-INSURANCE-AMT |
CIP272 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 390 |
RULE-830 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
CIP273 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 391 |
RULE-832 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: S9(6)V999 |
NDC-QUANTITY |
CIP278 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 392 |
RULE-833 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
'if fns.hasValue(@val.HCPCS-RATE), then fns.matches(@val.HCPCS-RATE, "^[^|*]*$")' |
HCPCS-RATE |
CIP279 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 393 |
RULE-834 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
'if fns.hasValue(@val.NATIONAL-DRUG-CODE), then fns.isValidNationalDrugCode(@val.NATIONAL-DRUG-CODE)' |
NATIONAL-DRUG-CODE |
CIP284 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 394 |
RULE-837 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: NDC-UNIT-OF-MEASURE |
NDC-UNIT-OF-MEASURE |
CIP285 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 395 |
RULE-838 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
ADJUDICATION-DATE |
CIP286 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 396 |
RULE-840 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-LINE-RECORD-IP |
CIP00003 |
FILE-HEADER-RECORD-IP |
CIP00001 |
|
|
'if fns.hasValue(@val.ADJUDICATION-DATE) && fns.hasValue(@fileHeader.END-OF-TIME-PERIOD), then fns.isLessThanOrEqual(@val.ADJUDICATION-DATE, @fileHeader.END-OF-TIME-PERIOD)' |
ADJUDICATION-DATE |
CIP286 |
END-OF-TIME-PERIOD |
CIP010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 397 |
RULE-841 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
'if fns.hasValue(@primaryRecord.ADMISSION-DATE) && fns.hasValue(@secondaryRecord.ADJUDICATION-DATE), then fns.isLessThanOrEqual(@primaryRecord.ADMISSION-DATE, @secondaryRecord.ADJUDICATION-DATE)' |
ADMISSION-DATE |
CIP094 |
ADJUDICATION-DATE |
CIP286 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP017,CIP019,CIP020,CIP098 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP232,CIP235,CIP236,CIP286 |
|
|
|
|
|
|
|
|
| 398 |
RULE-842 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: SELF-DIRECTION-TYPE |
SELF-DIRECTION-TYPE |
CIP287 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 399 |
RULE-843 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
'if fns.hasValue(@val.PRE-AUTHORIZATION-NUM), then fns.matches(@val.PRE-AUTHORIZATION-NUM, "^[^|*]*$")' |
PRE-AUTHORIZATION-NUM |
CIP288 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 400 |
RULE-844 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
'if fns.hasValue(@val.PROV-LOCATION-ID), then fns.matches(@val.PROV-LOCATION-ID, "^[^|*]*$")' |
PROV-LOCATION-ID |
CIP289 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 401 |
RULE-845 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Three Record Type Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
'fns.isEqual(@primaryRecord.PROV-LOCATION-ID, @tertiaryRecord.PROV-LOCATION-ID)' |
PROV-LOCATION-ID |
CIP289 |
|
|
PROV-LOCATION-ID |
PRV043 |
SUBMITTING-STATE,ICN-ADJ,ICN-ORIG,ADJUDICATION-DATE |
CIP017,CIP020,CIP019,CIP098 |
SUBMITTING-STATE,ICN-ADJ,ICN-ORIG,ADJUDICATION-DATE |
CIP232,CIP236,CIP235,CIP286 |
SUBMITTING-STATE,SERVICING-PROV-NUM |
|
SUBMITTING-STATE,SUBMITTING-STATE-PROV-ID |
PRV040,PRV042 |
|
|
|
|
| 402 |
RULE-853 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-LT |
CLT00001 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
DATE-FILE-CREATED |
CLT008 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 403 |
RULE-857 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-LT |
CLT00001 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
START-OF-TIME-PERIOD |
CLT009 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 404 |
RULE-861 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-LT |
CLT00001 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
END-OF-TIME-PERIOD |
CLT010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 405 |
RULE-868 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
FILE-HEADER-RECORD-LT |
CLT00001 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
'if fns.hasValue(@primaryRecord.SSN-INDICATOR) && fns.hasValue(@secondaryRecord.SSN-INDICATOR), then fns.isEqual(@primaryRecord.SSN-INDICATOR, @secondaryRecord.SSN-INDICATOR)' |
SSN-INDICATOR |
CLT012 |
SSN-INDICATOR |
ELG012 |
|
|
SUBMITTING-STATE,START-OF-TIME-PERIOD,END-OF-TIME-PERIOD |
CLT007,CLT009,CLT010 |
SUBMITTING-STATE,START-OF-TIME-PERIOD,END-OF-TIME-PERIOD |
ELG007,ELG009,ELG010 |
|
|
|
|
|
|
|
|
| 406 |
RULE-874 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
CLT017 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 407 |
RULE-875 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
FILE-HEADER-RECORD-LT |
CLT00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
CLT017 |
SUBMITTING-STATE |
CLT007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 408 |
RULE-877 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type CLAIM-HEADER-RECORD-LT |
RECORD-NUMBER |
CLT018 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 409 |
RULE-878 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.ICN-ORIG), then fns.matches(@val.ICN-ORIG, "^[^|*]*$")' |
ICN-ORIG |
CLT019 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 410 |
RULE-879 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.ICN-ADJ), then fns.matches(@val.ICN-ADJ, "^[^|*]*$")' |
ICN-ADJ |
CLT020 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 411 |
RULE-883 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.isEqualToAny(@val.TYPE-OF-CLAIM, "4", "D", "X"), then fns.matches(@val.MSIS-IDENTIFICATION-NUM, "^&.*$")' |
TYPE-OF-CLAIM,MSIS-IDENTIFICATION-NUM |
CLT052,CLT022 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 412 |
RULE-884 |
3 |
Relational error |
E3001 |
Missing corresponding record (multi file) (ex. missing eligibility record for claim header) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
For every record of type CLAIM-HEADER-RECORD-LT, there must be a valid record of type PRIMARY-DEMOGRAPHICS-ELIGIBILITY that matches on the join keys |
|
|
|
|
|
|
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG019,ELG017 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
CLT022,CLT017 |
|
|
|
|
|
|
|
|
| 413 |
RULE-885 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CROSSOVER-INDICATOR |
CROSSOVER-INDICATOR |
CLT023 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 414 |
RULE-886 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: 1115A-DEMONSTRATION-IND |
1115A-DEMONSTRATION-IND |
CLT024 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 415 |
RULE-887 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
1115A-DEMONSTRATION-INFORMATION |
ELG00018 |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
'if fns.isEqual(@primaryRecord.1115A-DEMONSTRATION-IND, "0") || !fns.hasValue(@primaryRecord.1115A-DEMONSTRATION-IND), then !fns.hasValue(@secondaryRecord.1115A-DEMONSTRATION-IND) || fns.isEqual(@secondaryRecord.1115A-DEMONSTRATION-IND, "0")' |
1115A-DEMONSTRATION-IND |
ELG233 |
1115A-DEMONSTRATION-IND |
CLT024 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG230,ELG232 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CLT017,CLT022 |
|
|
|
|
|
|
|
|
| 416 |
RULE-888 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: ADJUSTMENT-IND |
ADJUSTMENT-IND |
CLT025 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 417 |
RULE-889 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: ADJUSTMENT-REASON-CODE |
ADJUSTMENT-REASON-CODE |
CLT026 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 418 |
RULE-890 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE |
ADMITTING-DIAGNOSIS-CODE |
CLT027 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 419 |
RULE-891 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE-FLAG |
ADMITTING-DIAGNOSIS-CODE-FLAG |
CLT028 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 420 |
RULE-892 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE |
DIAGNOSIS-CODE-1 |
CLT029 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 421 |
RULE-894 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE-FLAG |
DIAGNOSIS-CODE-FLAG-1 |
CLT030 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 422 |
RULE-895 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-POA-FLAG |
DIAGNOSIS-POA-FLAG-1 |
CLT031 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 423 |
RULE-896 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE |
DIAGNOSIS-CODE-2 |
CLT032 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 424 |
RULE-898 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
The values of the following fields should be unique (non-repeating) within each record: DIAGNOSIS-CODE-1,DIAGNOSIS-CODE-2,DIAGNOSIS-CODE-3,DIAGNOSIS-CODE-4,DIAGNOSIS-CODE-5 |
DIAGNOSIS-CODE-1,DIAGNOSIS-CODE-2,DIAGNOSIS-CODE-3,DIAGNOSIS-CODE-4,DIAGNOSIS-CODE-5 |
CLT029,CLT032,CLT035,CLT038,CLT041 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 425 |
RULE-899 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if !fns.hasValue(@val.DIAGNOSIS-CODE-1), then !fns.hasValue(@val.DIAGNOSIS-CODE-2)' |
DIAGNOSIS-CODE-1,DIAGNOSIS-CODE-2 |
CLT029,CLT032 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 426 |
RULE-900 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE-FLAG |
DIAGNOSIS-CODE-FLAG-2 |
CLT033 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 427 |
RULE-901 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-POA-FLAG |
DIAGNOSIS-POA-FLAG-2 |
CLT034 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 428 |
RULE-902 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE |
DIAGNOSIS-CODE-3 |
CLT035 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 429 |
RULE-905 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if !fns.hasValue(@val.DIAGNOSIS-CODE-2), then !fns.hasValue(@val.DIAGNOSIS-CODE-3)' |
DIAGNOSIS-CODE-2,DIAGNOSIS-CODE-3 |
CLT032,CLT035 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 430 |
RULE-906 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE-FLAG |
DIAGNOSIS-CODE-FLAG-3 |
CLT036 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 431 |
RULE-907 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-POA-FLAG |
DIAGNOSIS-POA-FLAG-3 |
CLT037 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 432 |
RULE-908 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE |
DIAGNOSIS-CODE-4 |
CLT038 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 433 |
RULE-911 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if !fns.hasValue(@val.DIAGNOSIS-CODE-3), then !fns.hasValue(@val.DIAGNOSIS-CODE-4)' |
DIAGNOSIS-CODE-3,DIAGNOSIS-CODE-4 |
CLT035,CLT038 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 434 |
RULE-912 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE-FLAG |
DIAGNOSIS-CODE-FLAG-4 |
CLT039 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 435 |
RULE-913 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-POA-FLAG |
DIAGNOSIS-POA-FLAG-4 |
CLT040 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 436 |
RULE-914 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE |
DIAGNOSIS-CODE-5 |
CLT041 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 437 |
RULE-917 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if !fns.hasValue(@val.DIAGNOSIS-CODE-4), then !fns.hasValue(@val.DIAGNOSIS-CODE-5)' |
DIAGNOSIS-CODE-4,DIAGNOSIS-CODE-5 |
CLT038,CLT041 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 438 |
RULE-918 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE-FLAG |
DIAGNOSIS-CODE-FLAG-5 |
CLT042 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 439 |
RULE-919 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-POA-FLAG |
DIAGNOSIS-POA-FLAG-5 |
CLT043 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 440 |
RULE-920 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
ADMISSION-DATE |
CLT044 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 441 |
RULE-922 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.ADMISSION-DATE) && fns.hasValue(@val.ADJUDICATION-DATE), then fns.isLessThanOrEqual(@val.ADMISSION-DATE, @val.ADJUDICATION-DATE)' |
ADMISSION-DATE,ADJUDICATION-DATE |
CLT044,CLT050 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 442 |
RULE-923 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.DISCHARGE-DATE) && fns.hasValue(@val.ADMISSION-DATE), then fns.isLessThanOrEqual(@val.ADMISSION-DATE, @val.DISCHARGE-DATE)' |
DISCHARGE-DATE,ADMISSION-DATE |
CLT046,CLT044 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 443 |
RULE-924 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.ADMISSION-DATE), then fns.isLessThanOrEqual(@secondaryRecord.ADMISSION-DATE, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
ADMISSION-DATE |
CLT044 |
|
|
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG019,ELG017 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
CLT022,CLT017 |
|
|
|
|
|
|
|
|
| 444 |
RULE-925 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: HOUR |
ADMISSION-HOUR |
CLT045 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 445 |
RULE-926 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
DISCHARGE-DATE |
CLT046 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 446 |
RULE-929 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.DISCHARGE-DATE) && fns.hasValue(@val.ADJUDICATION-DATE), then fns.isLessThanOrEqual(@val.DISCHARGE-DATE, @val.ADJUDICATION-DATE)' |
DISCHARGE-DATE,ADJUDICATION-DATE |
CLT046,CLT050 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 447 |
RULE-930 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.DISCHARGE-DATE), then fns.isLessThanOrEqual(@secondaryRecord.DISCHARGE-DATE, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
DISCHARGE-DATE |
CLT046 |
|
|
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG019,ELG017 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
CLT022,CLT017 |
|
|
|
|
|
|
|
|
| 448 |
RULE-931 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: HOUR |
DISCHARGE-HOUR |
CLT047 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 449 |
RULE-932 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
BEGINNING-DATE-OF-SERVICE |
CLT048 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 450 |
RULE-934 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
FILE-HEADER-RECORD-LT |
CLT00001 |
|
|
'if fns.hasValue(@val.BEGINNING-DATE-OF-SERVICE) && fns.hasValue(@fileHeader.END-OF-TIME-PERIOD), then fns.isLessThanOrEqual(@val.BEGINNING-DATE-OF-SERVICE, @fileHeader.END-OF-TIME-PERIOD)' |
BEGINNING-DATE-OF-SERVICE |
CLT048 |
END-OF-TIME-PERIOD |
CLT010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 451 |
RULE-935 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'fns.isLessThanOrEqual(@val.BEGINNING-DATE-OF-SERVICE, @val.ENDING-DATE-OF-SERVICE)' |
BEGINNING-DATE-OF-SERVICE,ENDING-DATE-OF-SERVICE |
CLT048,CLT049 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 452 |
RULE-936 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.BEGINNING-DATE-OF-SERVICE) && fns.hasValue(@val.ADJUDICATION-DATE), then fns.isLessThanOrEqual(@val.BEGINNING-DATE-OF-SERVICE, @val.ADJUDICATION-DATE)' |
BEGINNING-DATE-OF-SERVICE,ADJUDICATION-DATE |
CLT048,CLT050 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 453 |
RULE-937 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.BEGINNING-DATE-OF-SERVICE), then fns.isLessThanOrEqual(@secondaryRecord.BEGINNING-DATE-OF-SERVICE, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
BEGINNING-DATE-OF-SERVICE |
CLT048 |
|
|
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG019,ELG017 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
CLT022,CLT017 |
|
|
|
|
|
|
|
|
| 454 |
RULE-939 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
ENDING-DATE-OF-SERVICE |
CLT049 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 455 |
RULE-942 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.ENDING-DATE-OF-SERVICE) && fns.hasValue(@val.ADJUDICATION-DATE), then fns.isLessThanOrEqual(@val.ENDING-DATE-OF-SERVICE, @val.ADJUDICATION-DATE)' |
ENDING-DATE-OF-SERVICE,ADJUDICATION-DATE |
CLT049,CLT050 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 456 |
RULE-943 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.ENDING-DATE-OF-SERVICE), then fns.isLessThanOrEqual(@secondaryRecord.ENDING-DATE-OF-SERVICE, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
ENDING-DATE-OF-SERVICE |
CLT049 |
|
|
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG019,ELG017 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
CLT022,CLT017 |
|
|
|
|
|
|
|
|
| 457 |
RULE-944 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
FILE-HEADER-RECORD-LT |
CLT00001 |
|
|
'if fns.hasValue(@val.ENDING-DATE-OF-SERVICE) && fns.hasValue(@fileHeader.END-OF-TIME-PERIOD), then fns.isLessThanOrEqual(@val.ENDING-DATE-OF-SERVICE, @fileHeader.END-OF-TIME-PERIOD)' |
ENDING-DATE-OF-SERVICE |
CLT049 |
END-OF-TIME-PERIOD |
CLT010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 458 |
RULE-945 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
ADJUDICATION-DATE |
CLT050 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 459 |
RULE-947 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
FILE-HEADER-RECORD-LT |
CLT00001 |
|
|
'if fns.hasValue(@val.ADJUDICATION-DATE) && fns.hasValue(@fileHeader.END-OF-TIME-PERIOD), then fns.isLessThanOrEqual(@val.ADJUDICATION-DATE, @fileHeader.END-OF-TIME-PERIOD)' |
ADJUDICATION-DATE |
CLT050 |
END-OF-TIME-PERIOD |
CLT010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 460 |
RULE-949 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
MEDICAID-PAID-DATE |
CLT051 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 461 |
RULE-951 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: TYPE-OF-CLAIM |
TYPE-OF-CLAIM |
CLT052 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 462 |
RULE-952 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.TYPE-OF-BILL), then fns.isValidTypeOfBill(@val.TYPE-OF-BILL)' |
TYPE-OF-BILL |
CLT053 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 463 |
RULE-953 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-STATUS |
CLAIM-STATUS |
CLT054 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 464 |
RULE-954 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-STATUS-CATEGORY |
CLAIM-STATUS-CATEGORY |
CLT055 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 465 |
RULE-955 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: SOURCE-LOCATION |
SOURCE-LOCATION |
CLT056 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 466 |
RULE-956 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.CHECK-NUM), then fns.matches(@val.CHECK-NUM, "^[^|*]*$")' |
CHECK-NUM |
CLT057 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 467 |
RULE-957 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
CHECK-EFF-DATE |
CLT058 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 468 |
RULE-959 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-PYMT-REM-CODE |
CLAIM-PYMT-REM-CODE-1 |
CLT059 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 469 |
RULE-960 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
The values of the following fields should be unique (non-repeating) within each record: CLAIM-PYMT-REM-CODE-1,CLAIM-PYMT-REM-CODE-2,CLAIM-PYMT-REM-CODE-3,CLAIM-PYMT-REM-CODE-4 |
CLAIM-PYMT-REM-CODE-1,CLAIM-PYMT-REM-CODE-2,CLAIM-PYMT-REM-CODE-3,CLAIM-PYMT-REM-CODE-4 |
CLT059,CLT060,CLT061,CLT062 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 470 |
RULE-961 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-PYMT-REM-CODE |
CLAIM-PYMT-REM-CODE-2 |
CLT060 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 471 |
RULE-963 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if !fns.hasValue(@val.CLAIM-PYMT-REM-CODE-1), then !fns.hasValue(@val.CLAIM-PYMT-REM-CODE-2)' |
CLAIM-PYMT-REM-CODE-1,CLAIM-PYMT-REM-CODE-2 |
CLT059,CLT060 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 472 |
RULE-964 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-PYMT-REM-CODE |
CLAIM-PYMT-REM-CODE-3 |
CLT061 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 473 |
RULE-966 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if !fns.hasValue(@val.CLAIM-PYMT-REM-CODE-2), then !fns.hasValue(@val.CLAIM-PYMT-REM-CODE-3)' |
CLAIM-PYMT-REM-CODE-2,CLAIM-PYMT-REM-CODE-3 |
CLT060,CLT061 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 474 |
RULE-967 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-PYMT-REM-CODE |
CLAIM-PYMT-REM-CODE-4 |
CLT062 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 475 |
RULE-969 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if !fns.hasValue(@val.CLAIM-PYMT-REM-CODE-3), then !fns.hasValue(@val.CLAIM-PYMT-REM-CODE-4)' |
CLAIM-PYMT-REM-CODE-3,CLAIM-PYMT-REM-CODE-4 |
CLT061,CLT062 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 476 |
RULE-970 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-BILLED-AMT |
CLT063 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 477 |
RULE-971 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.isEqualToAny(@val.TYPE-OF-CLAIM, "4", "D", "X"), then fns.isEqual(@val.TOT-BILLED-AMT, "0.00")' |
TYPE-OF-CLAIM,TOT-BILLED-AMT |
CLT052,CLT063 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 478 |
RULE-972 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-ALLOWED-AMT |
CLT064 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 479 |
RULE-973 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to Many) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
'fns.isDollarSumEqual(@primaryRecord.TOT-ALLOWED-AMT, @secondaryRecords.ALLOWED-AMT)' |
TOT-ALLOWED-AMT |
CLT064 |
ALLOWED-AMT |
CLT205 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CLT017,CLT019,CLT020,CLT050 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CLT185,CLT188,CLT189,CLT233 |
|
|
|
|
|
|
|
|
| 480 |
RULE-975 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-MEDICAID-PAID-AMT |
CLT065 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 481 |
RULE-976 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-COPAY-AMT |
CLT066 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 482 |
RULE-977 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-MEDICARE-DEDUCTIBLE-AMT |
CLT067 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 483 |
RULE-978 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.TOT-MEDICARE-DEDUCTIBLE-AMT) && fns.hasValue(@val.TOT-BILLED-AMT), then fns.isLessThanOrEqual(@val.TOT-MEDICARE-DEDUCTIBLE-AMT, @val.TOT-BILLED-AMT)' |
TOT-MEDICARE-DEDUCTIBLE-AMT,TOT-BILLED-AMT |
CLT067,CLT063 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 484 |
RULE-980 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-MEDICARE-COINS-AMT |
CLT068 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 485 |
RULE-981 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.isEqualToAny(@val.TYPE-OF-CLAIM, "3", "C", "W"), then !fns.hasValue(@val.TOT-MEDICARE-COINS-AMT)' |
TYPE-OF-CLAIM,TOT-MEDICARE-COINS-AMT |
CLT052,CLT068 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 486 |
RULE-982 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.TOT-MEDICARE-COINS-AMT) && fns.hasValue(@val.TOT-BILLED-AMT), then fns.isLessThan(@val.TOT-MEDICARE-COINS-AMT, @val.TOT-BILLED-AMT)' |
TOT-MEDICARE-COINS-AMT,TOT-BILLED-AMT |
CLT068,CLT063 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 487 |
RULE-983 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if and only if fns.hasValue(@val.TOT-MEDICARE-DEDUCTIBLE-AMT), then fns.hasValue(@val.TOT-MEDICARE-COINS-AMT)' |
TOT-MEDICARE-DEDUCTIBLE-AMT,TOT-MEDICARE-COINS-AMT |
CLT067,CLT068 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 488 |
RULE-984 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.isEqual(@val.MEDICARE-COMB-DED-IND, "1"), then fns.isEqual(@val.TOT-MEDICARE-COINS-AMT, "0.00")' |
MEDICARE-COMB-DED-IND,TOT-MEDICARE-COINS-AMT |
CLT078,CLT068 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 489 |
RULE-985 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-TPL-AMT |
CLT069 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 490 |
RULE-986 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.TOT-TPL-AMT) && fns.hasValue(@val.TOT-BILLED-AMT) && fns.hasValue(@val.TOT-MEDICARE-COINS-AMT) && fns.hasValue(@val.TOT-MEDICARE-DEDUCTIBLE-AMT), then fns.isLessThanOrEqual(@val.TOT-TPL-AMT, fns.remainingLiability(@val.TOT-BILLED-AMT, @val.TOT-MEDICARE-COINS-AMT, @val.TOT-MEDICARE-DEDUCTIBLE-AMT))' |
TOT-TPL-AMT,TOT-BILLED-AMT,TOT-MEDICARE-COINS-AMT,TOT-MEDICARE-DEDUCTIBLE-AMT |
CLT069,CLT063,CLT068,CLT067 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 491 |
RULE-987 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-OTHER-INSURANCE-AMT |
CLT070 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 492 |
RULE-988 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OTHER-INSURANCE-IND |
OTHER-INSURANCE-IND |
CLT071 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 493 |
RULE-989 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OTHER-TPL-COLLECTION |
OTHER-TPL-COLLECTION |
CLT072 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 494 |
RULE-990 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: SERVICE-TRACKING-TYPE |
SERVICE-TRACKING-TYPE |
CLT073 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 495 |
RULE-991 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
SERVICE-TRACKING-PAYMENT-AMT |
CLT074 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 496 |
RULE-992 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if !fns.isEqual(@val.SERVICE-TRACKING-TYPE, "00") && fns.isEqual(@val.TOT-MEDICAID-PAID-AMT, "0.00"), then fns.isGreaterThanZero(@val.SERVICE-TRACKING-PAYMENT-AMT)' |
SERVICE-TRACKING-TYPE,TOT-MEDICAID-PAID-AMT,SERVICE-TRACKING-PAYMENT-AMT |
CLT073,CLT065,CLT074 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 497 |
RULE-993 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.isEqual(@val.SERVICE-TRACKING-TYPE, "00") && fns.isGreaterThanZero(@val.TOT-MEDICAID-PAID-AMT), then fns.isEqual(@val.SERVICE-TRACKING-PAYMENT-AMT, "0.00")' |
SERVICE-TRACKING-TYPE,TOT-MEDICAID-PAID-AMT,SERVICE-TRACKING-PAYMENT-AMT |
CLT073,CLT065,CLT074 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 498 |
RULE-994 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: FIXED-PAYMENT-IND |
FIXED-PAYMENT-IND |
CLT075 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 499 |
RULE-995 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: FUNDING-CODE |
FUNDING-CODE |
CLT076 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 500 |
RULE-996 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: FUNDING-SOURCE-NONFEDERAL-SHARE |
FUNDING-SOURCE-NONFEDERAL-SHARE |
CLT077 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 501 |
RULE-997 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: MEDICARE-COMB-DED-IND |
MEDICARE-COMB-DED-IND |
CLT078 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 502 |
RULE-998 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.isEqual(@val.CROSSOVER-INDICATOR, "0") || fns.isEqualToAny(@val.TYPE-OF-CLAIM, "3", "C", "W"), then fns.isEqual(@val.MEDICARE-COMB-DED-IND, "0")' |
CROSSOVER-INDICATOR,TYPE-OF-CLAIM,MEDICARE-COMB-DED-IND |
CLT023,CLT052,CLT078 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 503 |
RULE-999 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROGRAM-TYPE |
PROGRAM-TYPE |
CLT079 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 504 |
RULE-1000 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.isEqual(@val.PROGRAM-TYPE, "07"), then fns.isEqualToAny(@val.WAIVER-TYPE, "06", "07", "08", "09", "10", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20")' |
PROGRAM-TYPE,WAIVER-TYPE |
CLT079,CLT128 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 505 |
RULE-1001 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
STATE-PLAN-OPTION-PARTICIPATION |
ELG00011 |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
'if fns.isEqual(@secondaryRecord.PROGRAM-TYPE, "13"), then fns.isEqual(@primaryRecord.STATE-PLAN-OPTION-TYPE, "02")' |
STATE-PLAN-OPTION-TYPE |
ELG163 |
PROGRAM-TYPE |
CLT079 |
|
|
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG162,ELG160 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
CLT022,CLT017 |
|
|
|
|
|
|
|
|
| 506 |
RULE-1002 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.PLAN-ID-NUMBER), then fns.matches(@val.PLAN-ID-NUMBER, "^[^|*]*$")' |
PLAN-ID-NUMBER |
CLT080 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 507 |
RULE-1003 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if !fns.isEqualToAny(@val.TYPE-OF-CLAIM, "3", "C", "W"), then !fns.hasValue(@val.PLAN-ID-NUMBER)' |
TYPE-OF-CLAIM,PLAN-ID-NUMBER |
CLT052,CLT080 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 508 |
RULE-1004 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
'if fns.isEqualToAny(@secondaryRecord.TYPE-OF-SERVICE, "119", "120", "122"), then fns.isEqual(@primaryRecord.PLAN-ID-NUMBER, @primaryRecord.BILLING-PROV-NUM)' |
PLAN-ID-NUMBER,BILLING-PROV-NUM |
CLT080,CLT130 |
TYPE-OF-SERVICE |
CLT211 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CLT017,CLT019,CLT020,CLT050 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CLT185,CLT188,CLT189,CLT233 |
|
|
|
|
|
|
|
|
| 509 |
RULE-1005 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.NATIONAL-HEALTH-CARE-ENTITY-ID), then fns.matches(@val.NATIONAL-HEALTH-CARE-ENTITY-ID, "^[^|*]*$")' |
NATIONAL-HEALTH-CARE-ENTITY-ID |
CLT081 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 510 |
RULE-1006 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
FILE-HEADER-RECORD-LT |
CLT00001 |
|
|
'if fns.isGreaterThanOrEqual(@fileHeader.START-OF-TIME-PERIOD, "2015-11-05"), then fns.hasValue(@val.NATIONAL-HEALTH-CARE-ENTITY-ID)' |
NATIONAL-HEALTH-CARE-ENTITY-ID |
CLT081 |
START-OF-TIME-PERIOD |
CLT009 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 511 |
RULE-1007 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
'if fns.isEqualToAny(@secondaryRecord.TYPE-OF-CLAIM, "C", "3", "W"), then fns.isEqual(@secondaryRecord.NATIONAL-HEALTH-CARE-ENTITY-ID, @primaryRecord.NATIONAL-HEALTH-CARE-ENTITY-ID)' |
NATIONAL-HEALTH-CARE-ENTITY-ID |
ELG194 |
TYPE-OF-CLAIM,NATIONAL-HEALTH-CARE-ENTITY-ID |
CLT052,CLT081 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG189,ELG191 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CLT017,CLT022 |
|
|
|
|
|
|
|
|
| 512 |
RULE-1008 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PAYMENT-LEVEL-IND |
PAYMENT-LEVEL-IND |
CLT082 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 513 |
RULE-1009 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: MEDICARE-REIM-TYPE |
MEDICARE-REIM-TYPE |
CLT083 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 514 |
RULE-1010 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: S9(5) |
NON-COV-DAYS |
CLT084 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 515 |
RULE-1011 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.NON-COV-DAYS) && fns.hasValue(@val.MEDICAID-COV-INPATIENT-DAYS) && fns.hasValue(@val.BEGINNING-DATE-OF-SERVICE) && fns.hasValue(@val.ENDING-DATE-OF-SERVICE), then fns.isSumOfDaysLessThanOrEqualToLengthOfStay(@val.NON-COV-DAYS, @val.MEDICAID-COV-INPATIENT-DAYS, @val.BEGINNING-DATE-OF-SERVICE, @val.ENDING-DATE-OF-SERVICE)' |
NON-COV-DAYS,MEDICAID-COV-INPATIENT-DAYS,BEGINNING-DATE-OF-SERVICE,ENDING-DATE-OF-SERVICE |
CLT084,CLT086,CLT048,CLT049 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 516 |
RULE-1012 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
NON-COV-CHARGES |
CLT085 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 517 |
RULE-1013 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: S9(5) |
MEDICAID-COV-INPATIENT-DAYS |
CLT086 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 518 |
RULE-1014 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.MEDICAID-COV-INPATIENT-DAYS) && fns.hasValue(@val.ADMISSION-DATE) && fns.hasValue(@val.DISCHARGE-DATE), then fns.isValueLessThanOrEqualToTwoTimesStayDuration(@val.MEDICAID-COV-INPATIENT-DAYS, @val.ADMISSION-DATE, @val.DISCHARGE-DATE)' |
MEDICAID-COV-INPATIENT-DAYS,ADMISSION-DATE,DISCHARGE-DATE |
CLT086,CLT044,CLT046 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 519 |
RULE-1016 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to Many) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
'if fns.hasValue(@primaryRecord.CLAIM-LINE-COUNT), then fns.isValueEqualToNumberOfRecords(@primaryRecord.CLAIM-LINE-COUNT, @secondaryRecords.LINE-NUM-ORIG)' |
CLAIM-LINE-COUNT |
CLT087 |
LINE-NUM-ORIG |
CLT190 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CLT017,CLT019,CLT020,CLT050 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CLT185,CLT188,CLT189,CLT233 |
|
|
|
|
|
|
|
|
| 520 |
RULE-1017 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: FORCED-CLAIM-IND |
FORCED-CLAIM-IND |
CLT090 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 521 |
RULE-1018 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: HEALTH-CARE-ACQUIRED-CONDITION-IND |
HEALTH-CARE-ACQUIRED-CONDITION-IND |
CLT091 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 522 |
RULE-1019 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-01 |
CLT092 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 523 |
RULE-1020 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-02 |
CLT093 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 524 |
RULE-1021 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-03 |
CLT094 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 525 |
RULE-1022 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-04 |
CLT095 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 526 |
RULE-1023 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-05 |
CLT096 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 527 |
RULE-1024 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-06 |
CLT097 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 528 |
RULE-1025 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-07 |
CLT098 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 529 |
RULE-1026 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-08 |
CLT099 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 530 |
RULE-1027 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-09 |
CLT100 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 531 |
RULE-1028 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-10 |
CLT101 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 532 |
RULE-1029 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-01 |
CLT102 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 533 |
RULE-1031 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-01), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-01)' |
OCCURRENCE-CODE-01,OCCURRENCE-CODE-EFF-DATE-01 |
CLT092,CLT102 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 534 |
RULE-1032 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-01) && fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-01), then fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-01, @val.OCCURRENCE-CODE-END-DATE-01)' |
OCCURRENCE-CODE-EFF-DATE-01,OCCURRENCE-CODE-END-DATE-01 |
CLT102,CLT112 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 535 |
RULE-1033 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-02 |
CLT103 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 536 |
RULE-1035 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-02), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-02)' |
OCCURRENCE-CODE-02,OCCURRENCE-CODE-EFF-DATE-02 |
CLT093,CLT103 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 537 |
RULE-1036 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-02) && fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-02), then fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-02, @val.OCCURRENCE-CODE-END-DATE-02)' |
OCCURRENCE-CODE-EFF-DATE-02,OCCURRENCE-CODE-END-DATE-02 |
CLT103,CLT113 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 538 |
RULE-1037 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-03 |
CLT104 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 539 |
RULE-1039 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-03), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-03)' |
OCCURRENCE-CODE-03,OCCURRENCE-CODE-EFF-DATE-03 |
CLT094,CLT104 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 540 |
RULE-1040 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-03) && fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-03), then fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-03, @val.OCCURRENCE-CODE-END-DATE-03)' |
OCCURRENCE-CODE-EFF-DATE-03,OCCURRENCE-CODE-END-DATE-03 |
CLT104,CLT114 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 541 |
RULE-1041 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-04 |
CLT105 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 542 |
RULE-1043 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-04), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-04)' |
OCCURRENCE-CODE-04,OCCURRENCE-CODE-EFF-DATE-04 |
CLT095,CLT105 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 543 |
RULE-1044 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-04) && fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-04), then fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-04, @val.OCCURRENCE-CODE-END-DATE-04)' |
OCCURRENCE-CODE-EFF-DATE-04,OCCURRENCE-CODE-END-DATE-04 |
CLT105,CLT115 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 544 |
RULE-1045 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-05 |
CLT106 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 545 |
RULE-1047 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-05), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-05)' |
OCCURRENCE-CODE-05,OCCURRENCE-CODE-EFF-DATE-05 |
CLT096,CLT106 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 546 |
RULE-1048 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-05) && fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-05), then fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-05, @val.OCCURRENCE-CODE-END-DATE-05)' |
OCCURRENCE-CODE-EFF-DATE-05,OCCURRENCE-CODE-END-DATE-05 |
CLT106,CLT116 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 547 |
RULE-1049 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-06 |
CLT107 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 548 |
RULE-1051 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-06), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-06)' |
OCCURRENCE-CODE-06,OCCURRENCE-CODE-EFF-DATE-06 |
CLT097,CLT107 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 549 |
RULE-1052 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-06) && fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-06), then fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-06, @val.OCCURRENCE-CODE-END-DATE-06)' |
OCCURRENCE-CODE-EFF-DATE-06,OCCURRENCE-CODE-END-DATE-06 |
CLT107,CLT117 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 550 |
RULE-1053 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-07 |
CLT108 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 551 |
RULE-1055 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-07), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-07)' |
OCCURRENCE-CODE-07,OCCURRENCE-CODE-EFF-DATE-07 |
CLT098,CLT108 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 552 |
RULE-1056 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-07) && fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-07), then fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-07, @val.OCCURRENCE-CODE-END-DATE-07)' |
OCCURRENCE-CODE-EFF-DATE-07,OCCURRENCE-CODE-END-DATE-07 |
CLT108,CLT118 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 553 |
RULE-1057 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-08 |
CLT109 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 554 |
RULE-1059 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-08), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-08)' |
OCCURRENCE-CODE-08,OCCURRENCE-CODE-EFF-DATE-08 |
CLT099,CLT109 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 555 |
RULE-1060 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-08) && fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-08), then fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-08, @val.OCCURRENCE-CODE-END-DATE-08)' |
OCCURRENCE-CODE-EFF-DATE-08,OCCURRENCE-CODE-END-DATE-08 |
CLT109,CLT119 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 556 |
RULE-1061 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-09 |
CLT110 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 557 |
RULE-1063 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-09), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-09)' |
OCCURRENCE-CODE-09,OCCURRENCE-CODE-EFF-DATE-09 |
CLT100,CLT110 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 558 |
RULE-1064 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-09) && fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-09), then fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-09, @val.OCCURRENCE-CODE-END-DATE-09)' |
OCCURRENCE-CODE-EFF-DATE-09,OCCURRENCE-CODE-END-DATE-09 |
CLT110,CLT120 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 559 |
RULE-1065 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-10 |
CLT111 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 560 |
RULE-1067 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-10), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-10)' |
OCCURRENCE-CODE-10,OCCURRENCE-CODE-EFF-DATE-10 |
CLT101,CLT111 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 561 |
RULE-1068 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-10) && fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-10), then fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-10, @val.OCCURRENCE-CODE-END-DATE-10)' |
OCCURRENCE-CODE-EFF-DATE-10,OCCURRENCE-CODE-END-DATE-10 |
CLT111,CLT121 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 562 |
RULE-1069 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-01 |
CLT112 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 563 |
RULE-1071 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-01), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-01)' |
OCCURRENCE-CODE-01,OCCURRENCE-CODE-END-DATE-01 |
CLT092,CLT112 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 564 |
RULE-1073 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-02 |
CLT113 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 565 |
RULE-1075 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-02), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-02)' |
OCCURRENCE-CODE-02,OCCURRENCE-CODE-END-DATE-02 |
CLT093,CLT113 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 566 |
RULE-1077 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-03 |
CLT114 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 567 |
RULE-1079 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-03), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-03)' |
OCCURRENCE-CODE-03,OCCURRENCE-CODE-END-DATE-03 |
CLT094,CLT114 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 568 |
RULE-1081 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-04 |
CLT115 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 569 |
RULE-1083 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-04), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-04)' |
OCCURRENCE-CODE-04,OCCURRENCE-CODE-END-DATE-04 |
CLT095,CLT115 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 570 |
RULE-1085 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-05 |
CLT116 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 571 |
RULE-1087 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-05), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-05)' |
OCCURRENCE-CODE-05,OCCURRENCE-CODE-END-DATE-05 |
CLT096,CLT116 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 572 |
RULE-1089 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-06 |
CLT117 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 573 |
RULE-1091 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-06), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-06)' |
OCCURRENCE-CODE-06,OCCURRENCE-CODE-END-DATE-06 |
CLT097,CLT117 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 574 |
RULE-1093 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-07 |
CLT118 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 575 |
RULE-1095 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-07), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-07)' |
OCCURRENCE-CODE-07,OCCURRENCE-CODE-END-DATE-07 |
CLT098,CLT118 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 576 |
RULE-1097 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-08 |
CLT119 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 577 |
RULE-1099 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-08), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-08)' |
OCCURRENCE-CODE-08,OCCURRENCE-CODE-END-DATE-08 |
CLT099,CLT119 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 578 |
RULE-1101 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-09 |
CLT120 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 579 |
RULE-1103 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-09), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-09)' |
OCCURRENCE-CODE-09,OCCURRENCE-CODE-END-DATE-09 |
CLT100,CLT120 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 580 |
RULE-1105 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-10 |
CLT121 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 581 |
RULE-1107 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-10), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-10)' |
OCCURRENCE-CODE-10,OCCURRENCE-CODE-END-DATE-10 |
CLT101,CLT121 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 582 |
RULE-1109 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.PATIENT-CONTROL-NUM), then fns.matches(@val.PATIENT-CONTROL-NUM, "^[^|*]*$")' |
PATIENT-CONTROL-NUM |
CLT122 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 583 |
RULE-1110 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.ELIGIBLE-LAST-NAME), then fns.matches(@val.ELIGIBLE-LAST-NAME, "^[^|*]*$")' |
ELIGIBLE-LAST-NAME |
CLT123 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 584 |
RULE-1111 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.ELIGIBLE-FIRST-NAME), then fns.matches(@val.ELIGIBLE-FIRST-NAME, "^[^|*]*$")' |
ELIGIBLE-FIRST-NAME |
CLT124 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 585 |
RULE-1112 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.ELIGIBLE-MIDDLE-INIT), then fns.matches(@val.ELIGIBLE-MIDDLE-INIT, "^[^|*]*$")' |
ELIGIBLE-MIDDLE-INIT |
CLT125 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 586 |
RULE-1113 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
DATE-OF-BIRTH |
CLT126 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 587 |
RULE-1115 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Three Record Type Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
'if fns.hasValue(@secondaryRecord.CONCEPTION-TO-BIRTH-IND) && !fns.isEqual(@secondaryRecord.CONCEPTION-TO-BIRTH-IND, "1") && fns.hasValue(@secondaryRecord.ELIGIBILITY-GROUP) && !fns.isEqual(@secondaryRecord.ELIGIBILITY-GROUP, "64") && fns.hasValue(@tertiaryRecord.DATE-OF-DEATH), then fns.isLessThanOrEqual(@primaryRecord.DATE-OF-BIRTH, @tertiaryRecord.DATE-OF-DEATH)' |
DATE-OF-BIRTH |
CLT126 |
CONCEPTION-TO-BIRTH-IND,ELIGIBILITY-GROUP |
ELG094,ELG087 |
DATE-OF-DEATH |
ELG025 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CLT017,CLT022 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG080,ELG082 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CLT017,CLT022 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
|
|
|
|
| 588 |
RULE-1116 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Three Record Type Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
if fns.hasValue(@secondaryRecord.CONCEPTION-TO-BIRTH-IND) && !fns.isEqual(@secondaryRecord.CONCEPTION-TO-BIRTH-IND, "1") && fns.hasValue(@secondaryRecord.ELIGIBILITY-GROUP) && !fns.isEqual(@secondaryRecord.ELIGIBILITY-GROUP, "64"), then fns.isEqual(@primaryRecord.DATE-OF-BIRTH, @tertiaryRecord.DATE-OF-BIRTH)' |
DATE-OF-BIRTH |
CLT126 |
CONCEPTION-TO-BIRTH-IND,ELIGIBILITY-GROUP |
ELG094,ELG087 |
DATE-OF-BIRTH |
ELG024 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CLT017,CLT022 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG080,ELG082 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CLT017,CLT022 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
|
|
|
|
| 589 |
RULE-1117 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: HEALTH-HOME-PROV-IND |
HEALTH-HOME-PROV-IND |
CLT127 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 590 |
RULE-1118 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.HEALTH-HOME-ENTITY-NAME), then fns.isEqual(@val.HEALTH-HOME-PROV-IND, "1")' |
HEALTH-HOME-ENTITY-NAME,HEALTH-HOME-PROV-IND |
CLT161,CLT127 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 591 |
RULE-1119 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: WAIVER-TYPE |
WAIVER-TYPE |
CLT128 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 592 |
RULE-1120 |
1.1 |
Value Error |
E1104 |
Value not valid for state-supplied format (format or valid values) |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: WAIVER-ID |
WAIVER-ID |
CLT129 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 593 |
RULE-1121 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if and only if fns.hasValue(@val.WAIVER-TYPE), then fns.hasValue(@val.WAIVER-ID)' |
WAIVER-TYPE,WAIVER-ID |
CLT128,CLT129 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 594 |
RULE-1126 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PROV-IDENTIFIERS |
PRV00005 |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
For every record of type CLAIM-HEADER-RECORD-LT, if fns.hasValue(@secondaryRecord.BILLING-PROV-NUM) && !fns.isEqualToAny(@secondaryRecord.TYPE-OF-CLAIM, "3", "C", "W"), there must be a valid record of type PROV-IDENTIFIERS that matches on the join keys, where fns.isEqual(@primaryRecord.PROV-IDENTIFIER-TYPE, "1") |
PROV-IDENTIFIER-TYPE |
PRV077 |
BILLING-PROV-NUM,TYPE-OF-CLAIM |
CLT130,CLT052 |
|
|
SUBMITTING-STATE,PROV-IDENTIFIER |
PRV073,PRV081 |
SUBMITTING-STATE,BILLING-PROV-NUM |
CLT017,CLT130 |
|
|
|
|
|
|
|
|
| 595 |
RULE-1127 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.BILLING-PROV-NPI-NUM), then fns.isValidNPI(@val.BILLING-PROV-NPI-NUM)' |
BILLING-PROV-NPI-NUM |
CLT131 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 596 |
RULE-1128 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
BILLING-PROV-NPI-NUM |
CLT131 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 597 |
RULE-1129 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PROV-IDENTIFIERS |
PRV00005 |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
For every record of type CLAIM-HEADER-RECORD-LT, if fns.hasValue(@secondaryRecord.BILLING-PROV-NPI-NUM) && !fns.isEqualToAny(@secondaryRecord.TYPE-OF-CLAIM, "3", "C", "W"), there must be a valid record of type PROV-IDENTIFIERS that matches on the join keys, where fns.isEqual(@primaryRecord.PROV-IDENTIFIER-TYPE, "2") |
PROV-IDENTIFIER-TYPE |
PRV077 |
BILLING-PROV-NPI-NUM,TYPE-OF-CLAIM |
CLT131,CLT052 |
|
|
SUBMITTING-STATE,PROV-IDENTIFIER |
PRV073,PRV081 |
SUBMITTING-STATE,BILLING-PROV-NPI-NUM |
CLT017,CLT131 |
|
|
|
|
|
|
|
|
| 598 |
RULE-1130 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TAXONOMY |
BILLING-PROV-TAXONOMY |
CLT132 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 599 |
RULE-1131 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TYPE |
BILLING-PROV-TYPE |
CLT133 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 600 |
RULE-1132 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-SPECIALTY |
BILLING-PROV-SPECIALTY |
CLT134 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 601 |
RULE-1134 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.REFERRING-PROV-NPI-NUM), then fns.isValidNPI(@val.REFERRING-PROV-NPI-NUM)' |
REFERRING-PROV-NPI-NUM |
CLT136 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 602 |
RULE-1135 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
REFERRING-PROV-NPI-NUM |
CLT136 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 603 |
RULE-1136 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TAXONOMY |
REFERRING-PROV-TAXONOMY |
CLT137 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 604 |
RULE-1137 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TYPE |
REFERRING-PROV-TYPE |
CLT138 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 605 |
RULE-1138 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-SPECIALTY |
REFERRING-PROV-SPECIALTY |
CLT139 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 606 |
RULE-1139 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.MEDICARE-HIC-NUM), then fns.matches(@val.MEDICARE-HIC-NUM, "^[^|*]*$")' |
MEDICARE-HIC-NUM |
CLT140 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 607 |
RULE-1140 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.isEqual(@val.CROSSOVER-INDICATOR, "1") && !fns.hasValue(@val.MEDICARE-BENEFICIARY-IDENTIFIER), then fns.hasValue(@val.MEDICARE-HIC-NUM)' |
CROSSOVER-INDICATOR,MEDICARE-BENEFICIARY-IDENTIFIER,MEDICARE-HIC-NUM |
CLT023,CLT168,CLT140 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 608 |
RULE-1141 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PATIENT-STATUS |
PATIENT-STATUS |
CLT141 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 609 |
RULE-1142 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
'if fns.isLessThanOrEqual(@primaryRecord.DATE-OF-DEATH, @secondaryRecord.DISCHARGE-DATE), then fns.isEqualToAny(@secondaryRecord.PATIENT-STATUS, "20", "40", "41", "42")' |
DATE-OF-DEATH |
ELG025 |
DISCHARGE-DATE,PATIENT-STATUS |
CLT046,CLT141 |
|
|
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG019,ELG017 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
CLT022,CLT017 |
|
|
|
|
|
|
|
|
| 610 |
RULE-1144 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.REMITTANCE-NUM), then fns.matches(@val.REMITTANCE-NUM, "^[^|*]*$")' |
REMITTANCE-NUM |
CLT144 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 611 |
RULE-1146 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
LTC-RCP-LIAB-AMT |
CLT145 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 612 |
RULE-1147 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.LTC-RCP-LIAB-AMT) && fns.hasValue(@val.TOT-BILLED-AMT) && fns.hasValue(@val.TOT-MEDICARE-COINS-AMT) && fns.hasValue(@val.TOT-MEDICARE-DEDUCTIBLE-AMT), then fns.isLessThanOrEqual(@val.LTC-RCP-LIAB-AMT, fns.remainingLiability(@val.TOT-BILLED-AMT, @val.TOT-MEDICARE-COINS-AMT, @val.TOT-MEDICARE-DEDUCTIBLE-AMT))' |
LTC-RCP-LIAB-AMT,TOT-BILLED-AMT,TOT-MEDICARE-COINS-AMT,TOT-MEDICARE-DEDUCTIBLE-AMT |
CLT145,CLT063,CLT068,CLT067 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 613 |
RULE-1148 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(5)V99 |
DAILY-RATE |
CLT146 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 614 |
RULE-1149 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: S9(5) |
ICF-IID-DAYS |
CLT147 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 615 |
RULE-1150 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.ICF-IID-DAYS) && fns.hasValue(@val.BEGINNING-DATE-OF-SERVICE) && fns.hasValue(@val.ENDING-DATE-OF-SERVICE), then fns.isValueLessThanOrEqualToStayDuration(@val.ICF-IID-DAYS, @val.BEGINNING-DATE-OF-SERVICE, @val.ENDING-DATE-OF-SERVICE)' |
ICF-IID-DAYS,BEGINNING-DATE-OF-SERVICE,ENDING-DATE-OF-SERVICE |
CLT147,CLT048,CLT049 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 616 |
RULE-1151 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
'if fns.isEqual(@secondaryRecord.TYPE-OF-SERVICE, "046"), then fns.hasValue(@primaryRecord.ICF-IID-DAYS)' |
ICF-IID-DAYS |
CLT147 |
TYPE-OF-SERVICE |
CLT211 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CLT017,CLT019,CLT020,CLT050 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CLT185,CLT188,CLT189,CLT233 |
|
|
|
|
|
|
|
|
| 617 |
RULE-1152 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
'if fns.isEqualToAny(@secondaryRecord.TYPE-OF-SERVICE, "009", "044", "045", "047", "048", "050"), then !fns.hasValue(@primaryRecord.ICF-IID-DAYS)' |
ICF-IID-DAYS |
CLT147 |
TYPE-OF-SERVICE |
CLT211 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CLT017,CLT019,CLT020,CLT050 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CLT185,CLT188,CLT189,CLT233 |
|
|
|
|
|
|
|
|
| 618 |
RULE-1153 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: S9(5) |
LEAVE-DAYS |
CLT148 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 619 |
RULE-1154 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: S9(5) |
NURSING-FACILITY-DAYS |
CLT149 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 620 |
RULE-1155 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.NURSING-FACILITY-DAYS) && !fns.isEqual(@val.NURSING-FACILITY-DAYS, "0"), then fns.isValueLessThanOrEqualToStayDuration(@val.NURSING-FACILITY-DAYS, @val.BEGINNING-DATE-OF-SERVICE, @val.ENDING-DATE-OF-SERVICE)' |
NURSING-FACILITY-DAYS,BEGINNING-DATE-OF-SERVICE,ENDING-DATE-OF-SERVICE |
CLT149,CLT048,CLT049 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 621 |
RULE-1156 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: SPLIT-CLAIM-IND |
SPLIT-CLAIM-IND |
CLT150 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 622 |
RULE-1157 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: BORDER-STATE-IND |
BORDER-STATE-IND |
CLT151 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 623 |
RULE-1158 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
BENEFICIARY-COINSURANCE-AMOUNT |
CLT153 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 624 |
RULE-1159 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
BENEFICIARY-COINSURANCE-DATE-PAID |
CLT154 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 625 |
RULE-1161 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
BENEFICIARY-COPAYMENT-AMOUNT |
CLT155 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 626 |
RULE-1162 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
BENEFICIARY-COPAYMENT-DATE-PAID |
CLT156 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 627 |
RULE-1164 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
BENEFICIARY-DEDUCTIBLE-AMOUNT |
CLT157 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 628 |
RULE-1165 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
BENEFICIARY-DEDUCTIBLE-DATE-PAID |
CLT158 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 629 |
RULE-1167 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-DENIED-INDICATOR |
CLAIM-DENIED-INDICATOR |
CLT159 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 630 |
RULE-1168 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.isEqual(@val.TYPE-OF-CLAIM, "Z"), then fns.isEqual(@val.CLAIM-DENIED-INDICATOR, "0")' |
TYPE-OF-CLAIM,CLAIM-DENIED-INDICATOR |
CLT052,CLT159 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 631 |
RULE-1169 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: COPAY-WAIVED-IND |
COPAY-WAIVED-IND |
CLT160 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 632 |
RULE-1170 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.HEALTH-HOME-ENTITY-NAME), then fns.matches(@val.HEALTH-HOME-ENTITY-NAME, "^[^|*]*$")' |
HEALTH-HOME-ENTITY-NAME |
CLT161 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 633 |
RULE-1171 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
THIRD-PARTY-COINSURANCE-AMOUNT-PAID |
CLT163 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 634 |
RULE-1172 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
THIRD-PARTY-COINSURANCE-DATE-PAID |
CLT164 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 635 |
RULE-1174 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
THIRD-PARTY-COPAYMENT-AMOUNT-PAID |
CLT165 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 636 |
RULE-1175 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
THIRD-PARTY-COPAYMENT-DATE-PAID |
CLT166 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 637 |
RULE-1177 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.HEALTH-HOME-PROVIDER-NPI), then fns.isValidNPI(@val.HEALTH-HOME-PROVIDER-NPI)' |
HEALTH-HOME-PROVIDER-NPI |
CLT167 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 638 |
RULE-1178 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
HEALTH-HOME-PROVIDER-NPI |
CLT167 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 639 |
RULE-1179 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PROV-IDENTIFIERS |
PRV00005 |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
For every record of type CLAIM-HEADER-RECORD-LT, if fns.hasValue(@secondaryRecord.HEALTH-HOME-PROVIDER-NPI) && !fns.isEqualToAny(@secondaryRecord.TYPE-OF-CLAIM, "3", "C", "W"), there must be a valid record of type PROV-IDENTIFIERS that matches on the join keys, where fns.isEqual(@primaryRecord.PROV-IDENTIFIER-TYPE, "2") |
PROV-IDENTIFIER-TYPE |
PRV077 |
HEALTH-HOME-PROVIDER-NPI,TYPE-OF-CLAIM |
CLT167,CLT052 |
|
|
SUBMITTING-STATE,PROV-IDENTIFIER |
PRV073,PRV081 |
SUBMITTING-STATE,HEALTH-HOME-PROVIDER-NPI |
CLT017,CLT167 |
|
|
|
|
|
|
|
|
| 640 |
RULE-1180 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.MEDICARE-BENEFICIARY-IDENTIFIER), then fns.matches(@val.MEDICARE-BENEFICIARY-IDENTIFIER, "^[^|*]*$")' |
MEDICARE-BENEFICIARY-IDENTIFIER |
CLT168 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 641 |
RULE-1181 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
FILE-HEADER-RECORD-LT |
CLT00001 |
|
|
'if fns.isGreaterThanOrEqual(@fileHeader.END-OF-TIME-PERIOD, "2015-11-10") && fns.isEqual(@val.CROSSOVER-INDICATOR, "1") && !fns.hasValue(@val.MEDICARE-HIC-NUM), then fns.hasValue(@val.MEDICARE-BENEFICIARY-IDENTIFIER)' |
CROSSOVER-INDICATOR,MEDICARE-HIC-NUM,MEDICARE-BENEFICIARY-IDENTIFIER |
CLT023,CLT140,CLT168 |
END-OF-TIME-PERIOD |
CLT010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 642 |
RULE-1182 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.UNDER-DIRECTION-OF-PROV-NPI), then fns.isValidNPI(@val.UNDER-DIRECTION-OF-PROV-NPI)' |
UNDER-DIRECTION-OF-PROV-NPI |
CLT169 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 643 |
RULE-1183 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TAXONOMY |
UNDER-DIRECTION-OF-PROV-TAXONOMY |
CLT170 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 644 |
RULE-1184 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.UNDER-SUPERVISION-OF-PROV-NPI), then fns.isValidNPI(@val.UNDER-SUPERVISION-OF-PROV-NPI)' |
UNDER-SUPERVISION-OF-PROV-NPI |
CLT171 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 645 |
RULE-1185 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
UNDER-SUPERVISION-OF-PROV-NPI |
CLT171 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 646 |
RULE-1186 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TAXONOMY |
UNDER-SUPERVISION-OF-PROV-TAXONOMY |
CLT172 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 647 |
RULE-1187 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
CLT173 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 648 |
RULE-1188 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
ADMITTING-PROV-NPI-NUM |
CLT174 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 649 |
RULE-1189 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.ADMITTING-PROV-NPI-NUM), then fns.isValidNPI(@val.ADMITTING-PROV-NPI-NUM)' |
ADMITTING-PROV-NPI-NUM |
CLT174 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 650 |
RULE-1191 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-SPECIALTY |
ADMITTING-PROV-SPECIALTY |
CLT176 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 651 |
RULE-1192 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TAXONOMY |
ADMITTING-PROV-TAXONOMY |
CLT177 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 652 |
RULE-1193 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TYPE |
ADMITTING-PROV-TYPE |
CLT178 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 653 |
RULE-1194 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
MEDICARE-PAID-AMT |
CLT179 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 654 |
RULE-1197 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
CLT185 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 655 |
RULE-1198 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-LINE-RECORD-LT |
CLT00003 |
FILE-HEADER-RECORD-LT |
CLT00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
CLT185 |
SUBMITTING-STATE |
CLT007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 656 |
RULE-1200 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type CLAIM-LINE-RECORD-LT |
RECORD-NUMBER |
CLT186 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 657 |
RULE-1203 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
'if fns.isEqualToAny(@primaryRecord.TYPE-OF-CLAIM, "4", "D", "X"), then fns.matches(@secondaryRecord.MSIS-IDENTIFICATION-NUM, "^&.*$")' |
TYPE-OF-CLAIM |
CLT052 |
MSIS-IDENTIFICATION-NUM |
CLT187 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CLT017,CLT019,CLT020,CLT050 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CLT185,CLT188,CLT189,CLT233 |
|
|
|
|
|
|
|
|
| 658 |
RULE-1204 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
record CLAIM-LINE-RECORD-LT has corresponding parent record CLAIM-HEADER-RECORD-LT |
|
|
|
|
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CLT017,CLT019,CLT020,CLT050 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CLT185,CLT188,CLT189,CLT233 |
|
|
|
|
|
|
|
|
| 659 |
RULE-1205 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
'if fns.hasValue(@val.ICN-ORIG), then fns.matches(@val.ICN-ORIG, "^[^|*]*$")' |
ICN-ORIG |
CLT188 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 660 |
RULE-1206 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
'if fns.hasValue(@val.ICN-ADJ), then fns.matches(@val.ICN-ADJ, "^[^|*]*$")' |
ICN-ADJ |
CLT189 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 661 |
RULE-1207 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
'if fns.hasValue(@val.LINE-NUM-ORIG), then fns.isNonNegative(@val.LINE-NUM-ORIG)' |
LINE-NUM-ORIG |
CLT190 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 662 |
RULE-1208 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
'if fns.hasValue(@val.LINE-NUM-ADJ), then fns.isNonNegative(@val.LINE-NUM-ADJ)' |
LINE-NUM-ADJ |
CLT191 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 663 |
RULE-1209 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
'if fns.isEqual(@val.LINE-ADJUSTMENT-IND, "0"), then !fns.hasValue(@val.LINE-NUM-ADJ)' |
LINE-ADJUSTMENT-IND,LINE-NUM-ADJ |
CLT192,CLT191 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 664 |
RULE-1210 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
'if fns.isEqual(@primaryRecord.ADJUSTMENT-IND, "0"), then !fns.hasValue(@secondaryRecord.LINE-NUM-ADJ)' |
ADJUSTMENT-IND |
CLT025 |
LINE-NUM-ADJ |
CLT191 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CLT017,CLT019,CLT020,CLT050 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CLT185,CLT188,CLT189,CLT233 |
|
|
|
|
|
|
|
|
| 665 |
RULE-1211 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: LINE-ADJUSTMENT-IND |
LINE-ADJUSTMENT-IND |
CLT192 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 666 |
RULE-1212 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
'if fns.hasValue(@val.LINE-NUM-ADJ), then fns.hasValue(@val.LINE-ADJUSTMENT-IND)' |
LINE-NUM-ADJ,LINE-ADJUSTMENT-IND |
CLT191,CLT192 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 667 |
RULE-1213 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: ADJUSTMENT-REASON-CODE |
LINE-ADJUSTMENT-REASON-CODE |
CLT193 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 668 |
RULE-1215 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-STATUS |
CLAIM-LINE-STATUS |
CLT195 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 669 |
RULE-1216 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
BEGINNING-DATE-OF-SERVICE |
CLT196 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 670 |
RULE-1218 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
'if fns.hasValue(@val.BEGINNING-DATE-OF-SERVICE) && fns.hasValue(@val.ENDING-DATE-OF-SERVICE), then fns.isLessThanOrEqual(@val.BEGINNING-DATE-OF-SERVICE, @val.ENDING-DATE-OF-SERVICE)' |
BEGINNING-DATE-OF-SERVICE,ENDING-DATE-OF-SERVICE |
CLT196,CLT197 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 671 |
RULE-1219 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-LINE-RECORD-LT |
CLT00003 |
FILE-HEADER-RECORD-LT |
CLT00001 |
|
|
'if fns.hasValue(@val.BEGINNING-DATE-OF-SERVICE) && fns.hasValue(@fileHeader.END-OF-TIME-PERIOD), then fns.isLessThanOrEqual(@val.BEGINNING-DATE-OF-SERVICE, @fileHeader.END-OF-TIME-PERIOD)' |
BEGINNING-DATE-OF-SERVICE |
CLT196 |
END-OF-TIME-PERIOD |
CLT010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 672 |
RULE-1220 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
'if fns.hasValue(@val.BEGINNING-DATE-OF-SERVICE) && fns.hasValue(@val.ADJUDICATION-DATE), then fns.isLessThanOrEqual(@val.BEGINNING-DATE-OF-SERVICE, @val.ADJUDICATION-DATE)' |
BEGINNING-DATE-OF-SERVICE,ADJUDICATION-DATE |
CLT196,CLT233 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 673 |
RULE-1221 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.BEGINNING-DATE-OF-SERVICE), then fns.isLessThanOrEqual(@secondaryRecord.BEGINNING-DATE-OF-SERVICE, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
BEGINNING-DATE-OF-SERVICE |
CLT196 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CLT185,CLT187 |
|
|
|
|
|
|
|
|
| 674 |
RULE-1222 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
ENDING-DATE-OF-SERVICE |
CLT197 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 675 |
RULE-1225 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
'if fns.hasValue(@val.ENDING-DATE-OF-SERVICE) && fns.hasValue(@val.ADJUDICATION-DATE), then fns.isLessThanOrEqual(@val.ENDING-DATE-OF-SERVICE, @val.ADJUDICATION-DATE)' |
ENDING-DATE-OF-SERVICE,ADJUDICATION-DATE |
CLT197,CLT233 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 676 |
RULE-1226 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.ENDING-DATE-OF-SERVICE), then fns.isLessThanOrEqual(@secondaryRecord.ENDING-DATE-OF-SERVICE, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
ENDING-DATE-OF-SERVICE |
CLT197 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CLT185,CLT187 |
|
|
|
|
|
|
|
|
| 677 |
RULE-1227 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-LINE-RECORD-LT |
CLT00003 |
FILE-HEADER-RECORD-LT |
CLT00001 |
|
|
'if fns.hasValue(@val.ENDING-DATE-OF-SERVICE) && fns.hasValue(@fileHeader.END-OF-TIME-PERIOD), then fns.isLessThanOrEqual(@val.ENDING-DATE-OF-SERVICE, @fileHeader.END-OF-TIME-PERIOD)' |
ENDING-DATE-OF-SERVICE |
CLT197 |
END-OF-TIME-PERIOD |
CLT010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 678 |
RULE-1228 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: REVENUE-CODE |
REVENUE-CODE |
CLT198 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 679 |
RULE-1229 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: IMMUNIZATION-TYPE |
IMMUNIZATION-TYPE |
CLT201 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 680 |
RULE-1230 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: S9(6)V999 |
IP-LT-QUANTITY-OF-SERVICE-ACTUAL |
CLT202 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 681 |
RULE-1231 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: S9(6)V999 |
IP-LT-QUANTITY-OF-SERVICE-ALLOWED |
CLT203 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 682 |
RULE-1232 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
REVENUE-CHARGE |
CLT204 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 683 |
RULE-1233 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to Many) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
'fns.isDollarSumLessThanOrEqual(@primaryRecord.TOT-BILLED-AMT, @secondaryRecords.REVENUE-CHARGE)' |
TOT-BILLED-AMT |
CLT063 |
REVENUE-CHARGE |
CLT204 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CLT017,CLT019,CLT020,CLT050 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CLT185,CLT188,CLT189,CLT233 |
|
|
|
|
|
|
|
|
| 684 |
RULE-1234 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
'if and only if fns.hasValue(@val.REVENUE-CODE), then fns.hasValue(@val.REVENUE-CHARGE)' |
REVENUE-CODE,REVENUE-CHARGE |
CLT198,CLT204 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 685 |
RULE-1236 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
ALLOWED-AMT |
CLT205 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 686 |
RULE-1237 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TPL-AMT |
CLT206 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 687 |
RULE-1238 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
OTHER-INSURANCE-AMT |
CLT207 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 688 |
RULE-1239 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
MEDICAID-PAID-AMT |
CLT208 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 689 |
RULE-1240 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
MEDICAID-FFS-EQUIVALENT-AMT |
CLT209 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 690 |
RULE-1241 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
'if fns.isEqualToAny(@primaryRecord.TYPE-OF-CLAIM, "C", "3", "W"), then fns.hasValue(@secondaryRecord.MEDICAID-FFS-EQUIVALENT-AMT)' |
TYPE-OF-CLAIM |
CLT052 |
MEDICAID-FFS-EQUIVALENT-AMT |
CLT209 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CLT017,CLT019,CLT020,CLT050 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CLT185,CLT188,CLT189,CLT233 |
|
|
|
|
|
|
|
|
| 691 |
RULE-1242 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: BILLING-UNIT |
BILLING-UNIT |
CLT210 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 692 |
RULE-1243 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: TYPE-OF-SERVICE |
TYPE-OF-SERVICE |
CLT211 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 693 |
RULE-1244 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
'fns.isEqualToAny(@val.TYPE-OF-SERVICE, "009", "044", "045", "046", "047", "048", "050", "059", "133")' |
TYPE-OF-SERVICE |
CLT211 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 694 |
RULE-1246 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Three Record Type Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
CLAIM-LINE-RECORD-LT |
CLT00003 |
PROV-IDENTIFIERS |
PRV00005 |
For every record of type CLAIM-LINE-RECORD-LT, if fns.hasValue(@secondaryRecord.SERVICING-PROV-NUM) && !fns.isEqualToAny(@primaryRecord.TYPE-OF-CLAIM, "3", "C", "W"), there must be a valid record of type CLAIM-HEADER-RECORD-LT that matches on the join keys, where fns.isEqual(@tertiaryRecord.PROV-IDENTIFIER-TYPE, "1") |
TYPE-OF-CLAIM |
CLT052 |
SERVICING-PROV-NUM |
CLT212 |
PROV-IDENTIFIER-TYPE |
PRV077 |
SUBMITTING-STATE,ICN-ADJ,ICN-ORIG,ADJUDICATION-DATE |
CLT017,CLT020,CLT019,CLT050 |
SUBMITTING-STATE,ICN-ADJ,ICN-ORIG,ADJUDICATION-DATE |
CLT185,CLT189,CLT188,CLT233 |
SUBMITTING-STATE,SERVICING-PROV-NUM |
|
SUBMITTING-STATE,PROV-IDENTIFIER |
PRV073,PRV081 |
|
|
|
|
| 695 |
RULE-1247 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
SERVICING-PROV-NPI-NUM |
CLT213 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 696 |
RULE-1248 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
'if fns.hasValue(@val.SERVICING-PROV-NPI-NUM), then fns.isValidNPI(@val.SERVICING-PROV-NPI-NUM)' |
SERVICING-PROV-NPI-NUM |
CLT213 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 697 |
RULE-1249 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Three Record Type Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
CLAIM-LINE-RECORD-LT |
CLT00003 |
PROV-IDENTIFIERS |
PRV00005 |
For every record of type CLAIM-LINE-RECORD-LT, if fns.hasValue(@secondaryRecord.SERVICING-PROV-NUM) && !fns.isEqualToAny(@primaryRecord.TYPE-OF-CLAIM, "3", "C", "W"), there must be a valid record of type CLAIM-HEADER-RECORD-LT that matches on the join keys, where fns.isEqual(@tertiaryRecord.PROV-IDENTIFIER-TYPE, "2") |
TYPE-OF-CLAIM |
CLT052 |
SERVICING-PROV-NUM |
CLT212 |
PROV-IDENTIFIER-TYPE |
PRV077 |
SUBMITTING-STATE,ICN-ADJ,ICN-ORIG,ADJUDICATION-DATE |
CLT017,CLT020,CLT019,CLT050 |
SUBMITTING-STATE,ICN-ADJ,ICN-ORIG,ADJUDICATION-DATE |
CLT185,CLT189,CLT188,CLT233 |
SUBMITTING-STATE,SERVICING-PROV-NPI-NUM |
|
SUBMITTING-STATE,PROV-IDENTIFIER |
PRV073,PRV081 |
|
|
|
|
| 698 |
RULE-1250 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TAXONOMY |
SERVICING-PROV-TAXONOMY |
CLT214 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 699 |
RULE-1251 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TYPE |
SERVICING-PROV-TYPE |
CLT215 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 700 |
RULE-1252 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-SPECIALTY |
SERVICING-PROV-SPECIALTY |
CLT216 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 701 |
RULE-1253 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OTHER-TPL-COLLECTION |
OTHER-TPL-COLLECTION |
CLT217 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 702 |
RULE-1254 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: BENEFIT-TYPE |
BENEFIT-TYPE |
CLT218 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 703 |
RULE-1255 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT |
CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT |
CLT219 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 704 |
RULE-1256 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
'if fns.isEqualToAny(@primaryRecord.CHIP-CODE, "0", "1", "2"), then !fns.isEqual(@secondaryRecord.CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT, "02")' |
CHIP-CODE |
ELG054 |
CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT |
CLT219 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG031,ELG033 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CLT185,CLT187 |
|
|
|
|
|
|
|
|
| 705 |
RULE-1257 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
'if fns.isEqual(@primaryRecord.MEDICAID-BASIS-OF-ELIGIBILITY, "00"), then !fns.isEqual(@secondaryRecord.CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT, "01")' |
MEDICAID-BASIS-OF-ELIGIBILITY |
ELG084 |
CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT |
CLT219 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG080,ELG082 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CLT185,CLT187 |
|
|
|
|
|
|
|
|
| 706 |
RULE-1258 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-FACILITY-TYPE |
PROV-FACILITY-TYPE |
CLT221 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 707 |
RULE-1259 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: XIX-MBESCBES-CATEGORY-OF-SERVICE |
XIX-MBESCBES-CATEGORY-OF-SERVICE |
CLT224 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 708 |
RULE-1260 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
'if fns.isEqual(@primaryRecord.SEX, "M"), then !fns.isEqualToAny(@secondaryRecord.XIX-MBESCBES-CATEGORY-OF-SERVICE, "14", "35", "42", "44")' |
SEX |
ELG023 |
XIX-MBESCBES-CATEGORY-OF-SERVICE |
CLT224 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CLT185,CLT187 |
|
|
|
|
|
|
|
|
| 709 |
RULE-1261 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: XXI-MBESCBES-CATEGORY-OF-SERVICE |
XXI-MBESCBES-CATEGORY-OF-SERVICE |
CLT225 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 710 |
RULE-1262 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
CLT226 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 711 |
RULE-1264 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
'if fns.hasValue(@val.NATIONAL-DRUG-CODE), then fns.isValidNationalDrugCode(@val.NATIONAL-DRUG-CODE)' |
NATIONAL-DRUG-CODE |
CLT228 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 712 |
RULE-1267 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: NDC-UNIT-OF-MEASURE |
NDC-UNIT-OF-MEASURE |
CLT229 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 713 |
RULE-1269 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
'if fns.hasValue(@val.HCPCS-RATE), then fns.matches(@val.HCPCS-RATE, "^[^|*]*$")' |
HCPCS-RATE |
CLT231 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 714 |
RULE-1270 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
ADJUDICATION-DATE |
CLT233 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 715 |
RULE-1272 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-LINE-RECORD-LT |
CLT00003 |
FILE-HEADER-RECORD-LT |
CLT00001 |
|
|
'if fns.hasValue(@val.ADJUDICATION-DATE) && fns.hasValue(@fileHeader.END-OF-TIME-PERIOD), then fns.isLessThanOrEqual(@val.ADJUDICATION-DATE, @fileHeader.END-OF-TIME-PERIOD)' |
ADJUDICATION-DATE |
CLT233 |
END-OF-TIME-PERIOD |
CLT010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 716 |
RULE-1273 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
'if fns.hasValue(@primaryRecord.ADMISSION-DATE) && fns.hasValue(@secondaryRecord.ADJUDICATION-DATE), then fns.isLessThanOrEqual(@primaryRecord.ADMISSION-DATE, @secondaryRecord.ADJUDICATION-DATE)' |
ADMISSION-DATE |
CLT044 |
ADJUDICATION-DATE |
CLT233 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CLT017,CLT019,CLT020,CLT050 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CLT185,CLT188,CLT189,CLT233 |
|
|
|
|
|
|
|
|
| 717 |
RULE-1274 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: SELF-DIRECTION-TYPE |
SELF-DIRECTION-TYPE |
CLT234 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 718 |
RULE-1275 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
'if fns.hasValue(@val.PRE-AUTHORIZATION-NUM), then fns.matches(@val.PRE-AUTHORIZATION-NUM, "^[^|*]*$")' |
PRE-AUTHORIZATION-NUM |
CLT235 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 719 |
RULE-1276 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.PROV-LOCATION-ID), then fns.matches(@val.PROV-LOCATION-ID, "^[^|*]*$")' |
PROV-LOCATION-ID |
CLT237 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 720 |
RULE-1284 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-OT |
COT00001 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
DATE-FILE-CREATED |
COT008 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 721 |
RULE-1288 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-OT |
COT00001 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
START-OF-TIME-PERIOD |
COT009 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 722 |
RULE-1292 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-OT |
COT00001 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
END-OF-TIME-PERIOD |
COT010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 723 |
RULE-1321 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
FILE-HEADER-RECORD-OT |
COT00001 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
'if fns.hasValue(@primaryRecord.SSN-INDICATOR) && fns.hasValue(@secondaryRecord.SSN-INDICATOR), then fns.isEqual(@primaryRecord.SSN-INDICATOR, @secondaryRecord.SSN-INDICATOR)' |
SSN-INDICATOR |
COT012 |
SSN-INDICATOR |
ELG012 |
|
|
SUBMITTING-STATE,START-OF-TIME-PERIOD,END-OF-TIME-PERIOD |
COT007,COT009,COT010 |
SUBMITTING-STATE,START-OF-TIME-PERIOD,END-OF-TIME-PERIOD |
ELG007,ELG009,ELG010 |
|
|
|
|
|
|
|
|
| 724 |
RULE-1322 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-OT |
COT00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
TOT-REC-CNT |
COT013 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 725 |
RULE-1327 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
COT017 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 726 |
RULE-1328 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
FILE-HEADER-RECORD-OT |
COT00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
COT017 |
SUBMITTING-STATE |
COT007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 727 |
RULE-1330 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type CLAIM-HEADER-RECORD-OT |
RECORD-NUMBER |
COT018 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 728 |
RULE-1331 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.ICN-ORIG), then fns.matches(@val.ICN-ORIG, "^[^|*]*$")' |
ICN-ORIG |
COT019 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 729 |
RULE-1332 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.ICN-ADJ), then fns.matches(@val.ICN-ADJ, "^[^|*]*$")' |
ICN-ADJ |
COT020 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 730 |
RULE-1336 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.isEqualToAny(@val.TYPE-OF-CLAIM, "4", "D", "X"), then fns.matches(@val.MSIS-IDENTIFICATION-NUM, "^&.*$")' |
TYPE-OF-CLAIM,MSIS-IDENTIFICATION-NUM |
COT037,COT022 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 731 |
RULE-1337 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
For every record of type CLAIM-HEADER-RECORD-OT, there must be a valid record of type PRIMARY-DEMOGRAPHICS-ELIGIBILITY that matches on the join keys |
|
|
|
|
|
|
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG019,ELG017 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
COT022,COT017 |
|
|
|
|
|
|
|
|
| 732 |
RULE-1338 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CROSSOVER-INDICATOR |
CROSSOVER-INDICATOR |
COT023 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 733 |
RULE-1339 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: 1115A-DEMONSTRATION-IND |
1115A-DEMONSTRATION-IND |
COT024 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 734 |
RULE-1340 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
1115A-DEMONSTRATION-INFORMATION |
ELG00018 |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
'if fns.isEqual(@primaryRecord.1115A-DEMONSTRATION-IND, "0") || !fns.hasValue(@primaryRecord.1115A-DEMONSTRATION-IND), then fns.isEqual(@secondaryRecord.1115A-DEMONSTRATION-IND, "0") || !fns.hasValue(@secondaryRecord.1115A-DEMONSTRATION-IND)' |
1115A-DEMONSTRATION-IND |
ELG233 |
1115A-DEMONSTRATION-IND |
COT024 |
|
|
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG232,ELG230 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
COT022,COT017 |
|
|
|
|
|
|
|
|
| 735 |
RULE-1341 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: ADJUSTMENT-IND |
ADJUSTMENT-IND |
COT025 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 736 |
RULE-1342 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: ADJUSTMENT-REASON-CODE |
ADJUSTMENT-REASON-CODE |
COT026 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 737 |
RULE-1343 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE |
DIAGNOSIS-CODE-1 |
COT027 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 738 |
RULE-1345 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE-FLAG |
DIAGNOSIS-CODE-FLAG-1 |
COT028 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 739 |
RULE-1346 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-POA-FLAG |
DIAGNOSIS-POA-FLAG-1 |
COT029 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 740 |
RULE-1347 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE |
DIAGNOSIS-CODE-2 |
COT030 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 741 |
RULE-1349 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.DIAGNOSIS-CODE-2), then !fns.isEqual(@val.DIAGNOSIS-CODE-1, @val.DIAGNOSIS-CODE-2)' |
DIAGNOSIS-CODE-2,DIAGNOSIS-CODE-1 |
COT030,COT027 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 742 |
RULE-1350 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-CODE-FLAG |
DIAGNOSIS-CODE-FLAG-2 |
COT031 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 743 |
RULE-1351 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-POA-FLAG |
DIAGNOSIS-POA-FLAG-2 |
COT032 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 744 |
RULE-1352 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
BEGINNING-DATE-OF-SERVICE |
COT033 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 745 |
RULE-1354 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
FILE-HEADER-RECORD-OT |
COT00001 |
|
|
'if fns.hasValue(@val.BEGINNING-DATE-OF-SERVICE) && fns.hasValue(@fileHeader.END-OF-TIME-PERIOD), then fns.isLessThanOrEqual(@val.BEGINNING-DATE-OF-SERVICE, @fileHeader.END-OF-TIME-PERIOD)' |
BEGINNING-DATE-OF-SERVICE |
COT033 |
END-OF-TIME-PERIOD |
COT010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 746 |
RULE-1355 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.BEGINNING-DATE-OF-SERVICE) && fns.hasValue(@val.ENDING-DATE-OF-SERVICE), then fns.isLessThanOrEqual(@val.BEGINNING-DATE-OF-SERVICE, @val.ENDING-DATE-OF-SERVICE)' |
BEGINNING-DATE-OF-SERVICE,ENDING-DATE-OF-SERVICE |
COT033,COT034 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 747 |
RULE-1356 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.ADJUDICATION-DATE) && fns.hasValue(@val.BEGINNING-DATE-OF-SERVICE), then fns.isLessThanOrEqual(@val.BEGINNING-DATE-OF-SERVICE, @val.ADJUDICATION-DATE)' |
ADJUDICATION-DATE,BEGINNING-DATE-OF-SERVICE |
COT035,COT033 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 748 |
RULE-1357 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.BEGINNING-DATE-OF-SERVICE), then fns.isLessThanOrEqual(@secondaryRecord.BEGINNING-DATE-OF-SERVICE, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
BEGINNING-DATE-OF-SERVICE |
COT033 |
|
|
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG019,ELG017 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
COT022,COT017 |
|
|
|
|
|
|
|
|
| 749 |
RULE-1359 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
ENDING-DATE-OF-SERVICE |
COT034 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 750 |
RULE-1362 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.ADJUDICATION-DATE) && fns.hasValue(@val.ENDING-DATE-OF-SERVICE), then fns.isLessThanOrEqual(@val.ENDING-DATE-OF-SERVICE, @val.ADJUDICATION-DATE)' |
ADJUDICATION-DATE,ENDING-DATE-OF-SERVICE |
COT035,COT034 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 751 |
RULE-1363 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.ENDING-DATE-OF-SERVICE), then fns.isLessThanOrEqual(@secondaryRecord.ENDING-DATE-OF-SERVICE, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
ENDING-DATE-OF-SERVICE |
COT034 |
|
|
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG019,ELG017 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
COT022,COT017 |
|
|
|
|
|
|
|
|
| 752 |
RULE-1364 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
FILE-HEADER-RECORD-OT |
COT00001 |
|
|
'if fns.hasValue(@val.ENDING-DATE-OF-SERVICE) && fns.hasValue(@fileHeader.END-OF-TIME-PERIOD), then fns.isLessThanOrEqual(@val.ENDING-DATE-OF-SERVICE, @fileHeader.END-OF-TIME-PERIOD)' |
ENDING-DATE-OF-SERVICE |
COT034 |
END-OF-TIME-PERIOD |
COT010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 753 |
RULE-1365 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
ADJUDICATION-DATE |
COT035 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 754 |
RULE-1367 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
FILE-HEADER-RECORD-OT |
COT00001 |
|
|
'if fns.hasValue(@val.ADJUDICATION-DATE) && fns.hasValue(@fileHeader.END-OF-TIME-PERIOD), then fns.isLessThanOrEqual(@val.ADJUDICATION-DATE, @fileHeader.END-OF-TIME-PERIOD)' |
ADJUDICATION-DATE |
COT035 |
END-OF-TIME-PERIOD |
COT010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 755 |
RULE-1368 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
MEDICAID-PAID-DATE |
COT036 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 756 |
RULE-1370 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: TYPE-OF-CLAIM |
TYPE-OF-CLAIM |
COT037 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 757 |
RULE-1371 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.TYPE-OF-BILL), then fns.isValidTypeOfBill(@val.TYPE-OF-BILL)' |
TYPE-OF-BILL |
COT038 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 758 |
RULE-1372 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-STATUS |
CLAIM-STATUS |
COT039 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 759 |
RULE-1373 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-STATUS-CATEGORY |
CLAIM-STATUS-CATEGORY |
COT040 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 760 |
RULE-1374 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: SOURCE-LOCATION |
SOURCE-LOCATION |
COT041 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 761 |
RULE-1375 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.CHECK-NUM), then fns.matches(@val.CHECK-NUM, "^[^|*]*$")' |
CHECK-NUM |
COT042 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 762 |
RULE-1376 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
CHECK-EFF-DATE |
COT043 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 763 |
RULE-1378 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-PYMT-REM-CODE |
CLAIM-PYMT-REM-CODE-1 |
COT044 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 764 |
RULE-1379 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
The values of the following fields should be unique (non-repeating) within each record: CLAIM-PYMT-REM-CODE-1,CLAIM-PYMT-REM-CODE-2,CLAIM-PYMT-REM-CODE-3,CLAIM-PYMT-REM-CODE-4 |
CLAIM-PYMT-REM-CODE-1,CLAIM-PYMT-REM-CODE-2,CLAIM-PYMT-REM-CODE-3,CLAIM-PYMT-REM-CODE-4 |
COT044,COT045,COT046,COT047 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 765 |
RULE-1380 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-PYMT-REM-CODE |
CLAIM-PYMT-REM-CODE-2 |
COT045 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 766 |
RULE-1382 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if !fns.hasValue(@val.CLAIM-PYMT-REM-CODE-1), then !fns.hasValue(@val.CLAIM-PYMT-REM-CODE-2)' |
CLAIM-PYMT-REM-CODE-1,CLAIM-PYMT-REM-CODE-2 |
COT044,COT045 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 767 |
RULE-1383 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-PYMT-REM-CODE |
CLAIM-PYMT-REM-CODE-3 |
COT046 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 768 |
RULE-1385 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if !fns.hasValue(@val.CLAIM-PYMT-REM-CODE-2), then !fns.hasValue(@val.CLAIM-PYMT-REM-CODE-3)' |
CLAIM-PYMT-REM-CODE-2,CLAIM-PYMT-REM-CODE-3 |
COT045,COT046 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 769 |
RULE-1386 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-PYMT-REM-CODE |
CLAIM-PYMT-REM-CODE-4 |
COT047 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 770 |
RULE-1388 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if !fns.hasValue(@val.CLAIM-PYMT-REM-CODE-3), then !fns.hasValue(@val.CLAIM-PYMT-REM-CODE-4)' |
CLAIM-PYMT-REM-CODE-3,CLAIM-PYMT-REM-CODE-4 |
COT046,COT047 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 771 |
RULE-1389 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-BILLED-AMT |
COT048 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 772 |
RULE-1390 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.isEqualToAny(@val.TYPE-OF-CLAIM, "4", "D", "X"), then fns.isEqual(@val.TOT-BILLED-AMT, "0.00")' |
TYPE-OF-CLAIM,TOT-BILLED-AMT |
COT037,COT048 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 773 |
RULE-1391 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to Many) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
'fns.isDollarSumEqual(@primaryRecord.TOT-BILLED-AMT, @secondaryRecords.BILLED-AMT)' |
TOT-BILLED-AMT |
COT048 |
BILLED-AMT |
COT174 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT017,COT019,COT020,COT035 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT155,COT158,COT159,COT221 |
|
|
|
|
|
|
|
|
| 774 |
RULE-1392 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-ALLOWED-AMT |
COT049 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 775 |
RULE-1393 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to Many) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
'fns.isDollarSumEqual(@primaryRecord.TOT-ALLOWED-AMT, @secondaryRecords.ALLOWED-AMT)' |
TOT-ALLOWED-AMT |
COT049 |
ALLOWED-AMT |
COT175 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT017,COT019,COT020,COT035 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT155,COT158,COT159,COT221 |
|
|
|
|
|
|
|
|
| 776 |
RULE-1394 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-MEDICAID-PAID-AMT |
COT050 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 777 |
RULE-1395 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-COPAY-AMT |
COT051 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 778 |
RULE-1396 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-MEDICARE-DEDUCTIBLE-AMT |
COT052 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 779 |
RULE-1397 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.TOT-MEDICARE-DEDUCTIBLE-AMT) && fns.hasValue(@val.TOT-BILLED-AMT), then fns.isLessThanOrEqual(@val.TOT-MEDICARE-DEDUCTIBLE-AMT, @val.TOT-BILLED-AMT)' |
TOT-MEDICARE-DEDUCTIBLE-AMT,TOT-BILLED-AMT |
COT052,COT048 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 780 |
RULE-1399 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-MEDICARE-COINS-AMT |
COT053 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 781 |
RULE-1400 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.isEqualToAny(@val.TYPE-OF-CLAIM, "3", "C", "W"), then !fns.hasValue(@val.TOT-MEDICARE-COINS-AMT)' |
TYPE-OF-CLAIM,TOT-MEDICARE-COINS-AMT |
COT037,COT053 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 782 |
RULE-1401 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.TOT-MEDICARE-COINS-AMT) && fns.hasValue(@val.TOT-BILLED-AMT), then fns.isLessThan(@val.TOT-MEDICARE-COINS-AMT, @val.TOT-BILLED-AMT)' |
TOT-MEDICARE-COINS-AMT,TOT-BILLED-AMT |
COT053,COT048 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 783 |
RULE-1402 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if and only if fns.hasValue(@val.TOT-MEDICARE-DEDUCTIBLE-AMT), then fns.hasValue(@val.TOT-MEDICARE-COINS-AMT)' |
TOT-MEDICARE-DEDUCTIBLE-AMT,TOT-MEDICARE-COINS-AMT |
COT052,COT053 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 784 |
RULE-1403 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.isEqual(@val.MEDICARE-COMB-DED-IND, "1"), then fns.isEqual(@val.TOT-MEDICARE-COINS-AMT, "0.00")' |
MEDICARE-COMB-DED-IND,TOT-MEDICARE-COINS-AMT |
COT064,COT053 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 785 |
RULE-1404 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-TPL-AMT |
COT054 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 786 |
RULE-1405 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.TOT-TPL-AMT) && fns.hasValue(@val.TOT-BILLED-AMT) && fns.hasValue(@val.TOT-MEDICARE-COINS-AMT) && fns.hasValue(@val.TOT-MEDICARE-DEDUCTIBLE-AMT), then fns.isLessThanOrEqual(@val.TOT-TPL-AMT, fns.remainingLiability(@val.TOT-BILLED-AMT, @val.TOT-MEDICARE-COINS-AMT, @val.TOT-MEDICARE-DEDUCTIBLE-AMT))' |
TOT-TPL-AMT,TOT-BILLED-AMT,TOT-MEDICARE-COINS-AMT,TOT-MEDICARE-DEDUCTIBLE-AMT |
COT054,COT048,COT053,COT052 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 787 |
RULE-1406 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-OTHER-INSURANCE-AMT |
COT056 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 788 |
RULE-1407 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OTHER-INSURANCE-IND |
OTHER-INSURANCE-IND |
COT057 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 789 |
RULE-1408 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OTHER-TPL-COLLECTION |
OTHER-TPL-COLLECTION |
COT058 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 790 |
RULE-1409 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: SERVICE-TRACKING-TYPE |
SERVICE-TRACKING-TYPE |
COT059 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 791 |
RULE-1410 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
SERVICE-TRACKING-PAYMENT-AMT |
COT060 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 792 |
RULE-1411 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if !fns.isEqual(@val.SERVICE-TRACKING-TYPE, "00") && fns.isEqual(@val.TOT-MEDICAID-PAID-AMT, "0.00"), then fns.isGreaterThanZero(@val.SERVICE-TRACKING-PAYMENT-AMT)' |
SERVICE-TRACKING-TYPE,TOT-MEDICAID-PAID-AMT,SERVICE-TRACKING-PAYMENT-AMT |
COT059,COT050,COT060 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 793 |
RULE-1412 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.isEqual(@val.SERVICE-TRACKING-TYPE, "00") && fns.isGreaterThanZero(@val.TOT-MEDICAID-PAID-AMT), then fns.isEqual(@val.SERVICE-TRACKING-PAYMENT-AMT, "0.00")' |
SERVICE-TRACKING-TYPE,TOT-MEDICAID-PAID-AMT,SERVICE-TRACKING-PAYMENT-AMT |
COT059,COT050,COT060 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 794 |
RULE-1413 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: FIXED-PAYMENT-IND |
FIXED-PAYMENT-IND |
COT061 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 795 |
RULE-1414 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: FUNDING-CODE |
FUNDING-CODE |
COT062 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 796 |
RULE-1415 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: FUNDING-SOURCE-NONFEDERAL-SHARE |
FUNDING-SOURCE-NONFEDERAL-SHARE |
COT063 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 797 |
RULE-1416 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: MEDICARE-COMB-DED-IND |
MEDICARE-COMB-DED-IND |
COT064 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 798 |
RULE-1417 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.isEqual(@val.CROSSOVER-INDICATOR, "0") || fns.isEqualToAny(@val.TYPE-OF-CLAIM, "3", "C", "W"), then fns.isEqual(@val.MEDICARE-COMB-DED-IND, "0")' |
CROSSOVER-INDICATOR,TYPE-OF-CLAIM,MEDICARE-COMB-DED-IND |
COT023,COT037,COT064 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 799 |
RULE-1418 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROGRAM-TYPE |
PROGRAM-TYPE |
COT065 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 800 |
RULE-1419 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.isEqual(@val.PROGRAM-TYPE, "07"), then fns.isEqualToAny(@val.WAIVER-TYPE, "06", "07", "08", "09", "10", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20")' |
PROGRAM-TYPE,WAIVER-TYPE |
COT065,COT110 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 801 |
RULE-1420 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
STATE-PLAN-OPTION-PARTICIPATION |
ELG00011 |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
'if fns.isEqual(@secondaryRecord.PROGRAM-TYPE, "13"), then fns.isEqual(@primaryRecord.STATE-PLAN-OPTION-TYPE, "02")' |
STATE-PLAN-OPTION-TYPE |
ELG163 |
PROGRAM-TYPE |
COT065 |
|
|
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG162,ELG160 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
COT022,COT017 |
|
|
|
|
|
|
|
|
| 802 |
RULE-1421 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.PLAN-ID-NUMBER), then fns.matches(@val.PLAN-ID-NUMBER, "^[^|*]*$")' |
PLAN-ID-NUMBER |
COT066 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 803 |
RULE-1422 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
'if !fns.isEqualToAny(@primaryRecord.TYPE-OF-CLAIM, "3", "C", "W") || !fns.isEqualToAny(@secondaryRecord.TYPE-OF-SERVICE, "119", "120", "121", "122"), then !fns.hasValue(@primaryRecord.PLAN-ID-NUMBER)' |
TYPE-OF-CLAIM,PLAN-ID-NUMBER |
COT037,COT066 |
TYPE-OF-SERVICE |
COT186 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT017,COT019,COT020,COT035 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT155,COT158,COT159,COT221 |
|
|
|
|
|
|
|
|
| 804 |
RULE-1423 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
'if fns.isEqualToAny(@secondaryRecord.TYPE-OF-SERVICE, "119", "120", "122"), then fns.isEqual(@primaryRecord.PLAN-ID-NUMBER, @primaryRecord.BILLING-PROV-NUM)' |
PLAN-ID-NUMBER,BILLING-PROV-NUM |
COT066,COT112 |
TYPE-OF-SERVICE |
COT186 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT017,COT019,COT020,COT035 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT155,COT158,COT159,COT221 |
|
|
|
|
|
|
|
|
| 805 |
RULE-1424 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.NATIONAL-HEALTH-CARE-ENTITY-ID), then fns.matches(@val.NATIONAL-HEALTH-CARE-ENTITY-ID, "^[^|*]*$")' |
NATIONAL-HEALTH-CARE-ENTITY-ID |
COT067 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 806 |
RULE-1425 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
FILE-HEADER-RECORD-OT |
COT00001 |
|
|
'if fns.isGreaterThanOrEqual(@fileHeader.START-OF-TIME-PERIOD, "2015-11-05"), then fns.hasValue(@val.NATIONAL-HEALTH-CARE-ENTITY-ID)' |
NATIONAL-HEALTH-CARE-ENTITY-ID |
COT067 |
START-OF-TIME-PERIOD |
COT009 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 807 |
RULE-1426 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
'if fns.isEqualToAny(@secondaryRecord.TYPE-OF-CLAIM, "C", "3", "W"), then fns.isEqual(@primaryRecord.NATIONAL-HEALTH-CARE-ENTITY-ID, @secondaryRecord.NATIONAL-HEALTH-CARE-ENTITY-ID)' |
NATIONAL-HEALTH-CARE-ENTITY-ID |
ELG194 |
TYPE-OF-CLAIM,NATIONAL-HEALTH-CARE-ENTITY-ID |
COT037,COT067 |
|
|
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG191,ELG189 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
COT022,COT017 |
|
|
|
|
|
|
|
|
| 808 |
RULE-1427 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PAYMENT-LEVEL-IND |
PAYMENT-LEVEL-IND |
COT068 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 809 |
RULE-1428 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: MEDICARE-REIM-TYPE |
MEDICARE-REIM-TYPE |
COT069 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 810 |
RULE-1430 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to Many) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
'if fns.hasValue(@primaryRecord.CLAIM-LINE-COUNT), then fns.isValueEqualToNumberOfRecords(@primaryRecord.CLAIM-LINE-COUNT, @secondaryRecords.LINE-NUM-ORIG)' |
CLAIM-LINE-COUNT |
COT070 |
LINE-NUM-ORIG |
COT160 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT017,COT019,COT020,COT035 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT155,COT158,COT159,COT221 |
|
|
|
|
|
|
|
|
| 811 |
RULE-1431 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: FORCED-CLAIM-IND |
FORCED-CLAIM-IND |
COT072 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 812 |
RULE-1432 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: HEALTH-CARE-ACQUIRED-CONDITION-IND |
HEALTH-CARE-ACQUIRED-CONDITION-IND |
COT073 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 813 |
RULE-1433 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-01 |
COT074 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 814 |
RULE-1434 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-02 |
COT075 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 815 |
RULE-1435 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-03 |
COT076 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 816 |
RULE-1436 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-04 |
COT077 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 817 |
RULE-1437 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-05 |
COT078 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 818 |
RULE-1438 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-06 |
COT079 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 819 |
RULE-1439 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-07 |
COT080 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 820 |
RULE-1440 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-08 |
COT081 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 821 |
RULE-1441 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-09 |
COT082 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 822 |
RULE-1442 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OCCURRENCE-CODE |
OCCURRENCE-CODE-10 |
COT083 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 823 |
RULE-1443 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-01 |
COT084 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 824 |
RULE-1445 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-01), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-01)' |
OCCURRENCE-CODE-01,OCCURRENCE-CODE-EFF-DATE-01 |
COT074,COT084 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 825 |
RULE-1446 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-01) && fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-01), then fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-01, @val.OCCURRENCE-CODE-END-DATE-01)' |
OCCURRENCE-CODE-EFF-DATE-01,OCCURRENCE-CODE-END-DATE-01 |
COT084,COT094 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 826 |
RULE-1447 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-02 |
COT085 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 827 |
RULE-1449 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-02), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-02)' |
OCCURRENCE-CODE-02,OCCURRENCE-CODE-EFF-DATE-02 |
COT075,COT085 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 828 |
RULE-1450 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-02) && fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-02), then fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-02, @val.OCCURRENCE-CODE-END-DATE-02)' |
OCCURRENCE-CODE-EFF-DATE-02,OCCURRENCE-CODE-END-DATE-02 |
COT085,COT095 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 829 |
RULE-1451 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-03 |
COT086 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 830 |
RULE-1453 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-03), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-03)' |
OCCURRENCE-CODE-03,OCCURRENCE-CODE-EFF-DATE-03 |
COT076,COT086 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 831 |
RULE-1454 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-03) && fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-03), then fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-03, @val.OCCURRENCE-CODE-END-DATE-03)' |
OCCURRENCE-CODE-EFF-DATE-03,OCCURRENCE-CODE-END-DATE-03 |
COT086,COT096 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 832 |
RULE-1455 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-04 |
COT087 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 833 |
RULE-1457 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-04), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-04)' |
OCCURRENCE-CODE-04,OCCURRENCE-CODE-EFF-DATE-04 |
COT077,COT087 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 834 |
RULE-1458 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-04) && fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-04), then fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-04, @val.OCCURRENCE-CODE-END-DATE-04)' |
OCCURRENCE-CODE-EFF-DATE-04,OCCURRENCE-CODE-END-DATE-04 |
COT087,COT097 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 835 |
RULE-1459 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-05 |
COT088 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 836 |
RULE-1461 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-05), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-05)' |
OCCURRENCE-CODE-05,OCCURRENCE-CODE-EFF-DATE-05 |
COT078,COT088 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 837 |
RULE-1462 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-05) && fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-05), then fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-05, @val.OCCURRENCE-CODE-END-DATE-05)' |
OCCURRENCE-CODE-EFF-DATE-05,OCCURRENCE-CODE-END-DATE-05 |
COT088,COT098 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 838 |
RULE-1463 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-06 |
COT089 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 839 |
RULE-1465 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-06), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-06)' |
OCCURRENCE-CODE-06,OCCURRENCE-CODE-EFF-DATE-06 |
COT079,COT089 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 840 |
RULE-1466 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-06) && fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-06), then fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-06, @val.OCCURRENCE-CODE-END-DATE-06)' |
OCCURRENCE-CODE-EFF-DATE-06,OCCURRENCE-CODE-END-DATE-06 |
COT089,COT099 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 841 |
RULE-1467 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-07 |
COT090 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 842 |
RULE-1469 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-07), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-07)' |
OCCURRENCE-CODE-07,OCCURRENCE-CODE-EFF-DATE-07 |
COT080,COT090 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 843 |
RULE-1470 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-07) && fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-07), then fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-07, @val.OCCURRENCE-CODE-END-DATE-07)' |
OCCURRENCE-CODE-EFF-DATE-07,OCCURRENCE-CODE-END-DATE-07 |
COT090,COT100 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 844 |
RULE-1471 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-08 |
COT091 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 845 |
RULE-1473 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-08), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-08)' |
OCCURRENCE-CODE-08,OCCURRENCE-CODE-EFF-DATE-08 |
COT081,COT091 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 846 |
RULE-1474 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-08) && fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-08), then fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-08, @val.OCCURRENCE-CODE-END-DATE-08)' |
OCCURRENCE-CODE-EFF-DATE-08,OCCURRENCE-CODE-END-DATE-08 |
COT091,COT101 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 847 |
RULE-1475 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-09 |
COT092 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 848 |
RULE-1477 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-09), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-09)' |
OCCURRENCE-CODE-09,OCCURRENCE-CODE-EFF-DATE-09 |
COT082,COT092 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 849 |
RULE-1478 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-09) && fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-09), then fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-09, @val.OCCURRENCE-CODE-END-DATE-09)' |
OCCURRENCE-CODE-EFF-DATE-09,OCCURRENCE-CODE-END-DATE-09 |
COT092,COT102 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 850 |
RULE-1479 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-EFF-DATE-10 |
COT093 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 851 |
RULE-1481 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-10), then fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-10)' |
OCCURRENCE-CODE-10,OCCURRENCE-CODE-EFF-DATE-10 |
COT083,COT093 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 852 |
RULE-1482 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-EFF-DATE-10) && fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-10), then fns.isLessThanOrEqual(@val.OCCURRENCE-CODE-EFF-DATE-10, @val.OCCURRENCE-CODE-END-DATE-10)' |
OCCURRENCE-CODE-EFF-DATE-10,OCCURRENCE-CODE-END-DATE-10 |
COT093,COT103 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 853 |
RULE-1483 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-01 |
COT094 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 854 |
RULE-1485 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-01), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-01)' |
OCCURRENCE-CODE-01,OCCURRENCE-CODE-END-DATE-01 |
COT074,COT094 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 855 |
RULE-1487 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-02 |
COT095 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 856 |
RULE-1489 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-02), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-02)' |
OCCURRENCE-CODE-02,OCCURRENCE-CODE-END-DATE-02 |
COT075,COT095 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 857 |
RULE-1491 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-03 |
COT096 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 858 |
RULE-1493 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-03), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-03)' |
OCCURRENCE-CODE-03,OCCURRENCE-CODE-END-DATE-03 |
COT076,COT096 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 859 |
RULE-1495 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-04 |
COT097 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 860 |
RULE-1497 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-04), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-04)' |
OCCURRENCE-CODE-04,OCCURRENCE-CODE-END-DATE-04 |
COT077,COT097 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 861 |
RULE-1499 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-05 |
COT098 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 862 |
RULE-1501 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-05), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-05)' |
OCCURRENCE-CODE-05,OCCURRENCE-CODE-END-DATE-05 |
COT078,COT098 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 863 |
RULE-1503 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-06 |
COT099 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 864 |
RULE-1505 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-06), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-06)' |
OCCURRENCE-CODE-06,OCCURRENCE-CODE-END-DATE-06 |
COT079,COT099 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 865 |
RULE-1507 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-07 |
COT100 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 866 |
RULE-1509 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-07), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-07)' |
OCCURRENCE-CODE-07,OCCURRENCE-CODE-END-DATE-07 |
COT080,COT100 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 867 |
RULE-1511 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-08 |
COT101 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 868 |
RULE-1513 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-08), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-08)' |
OCCURRENCE-CODE-08,OCCURRENCE-CODE-END-DATE-08 |
COT081,COT101 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 869 |
RULE-1515 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-09 |
COT102 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 870 |
RULE-1517 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-09), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-09)' |
OCCURRENCE-CODE-09,OCCURRENCE-CODE-END-DATE-09 |
COT082,COT102 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 871 |
RULE-1519 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OCCURRENCE-CODE-END-DATE-10 |
COT103 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 872 |
RULE-1521 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.OCCURRENCE-CODE-10), then fns.hasValue(@val.OCCURRENCE-CODE-END-DATE-10)' |
OCCURRENCE-CODE-10,OCCURRENCE-CODE-END-DATE-10 |
COT083,COT103 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 873 |
RULE-1523 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.PATIENT-CONTROL-NUM), then fns.matches(@val.PATIENT-CONTROL-NUM, "^[^|*]*$")' |
PATIENT-CONTROL-NUM |
COT104 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 874 |
RULE-1524 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.ELIGIBLE-LAST-NAME), then fns.matches(@val.ELIGIBLE-LAST-NAME, "^[^|*]*$")' |
ELIGIBLE-LAST-NAME |
COT105 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 875 |
RULE-1525 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.ELIGIBLE-FIRST-NAME), then fns.matches(@val.ELIGIBLE-FIRST-NAME, "^[^|*]*$")' |
ELIGIBLE-FIRST-NAME |
COT106 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 876 |
RULE-1526 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.ELIGIBLE-MIDDLE-INIT), then fns.matches(@val.ELIGIBLE-MIDDLE-INIT, "^[^|*]*$")' |
ELIGIBLE-MIDDLE-INIT |
COT107 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 877 |
RULE-1527 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
DATE-OF-BIRTH |
COT108 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 878 |
RULE-1529 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Three Record Type Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
'if fns.hasValue(@secondaryRecord.CONCEPTION-TO-BIRTH-IND) && !fns.isEqual(@secondaryRecord.CONCEPTION-TO-BIRTH-IND, "1") && fns.hasValue(@secondaryRecord.ELIGIBILITY-GROUP) && !fns.isEqual(@secondaryRecord.ELIGIBILITY-GROUP, "64") && fns.hasValue(@primaryRecord.DATE-OF-BIRTH) && fns.hasValue(@tertiaryRecord.DATE-OF-DEATH), then fns.isLessThanOrEqual(@primaryRecord.DATE-OF-BIRTH, @tertiaryRecord.DATE-OF-DEATH)' |
DATE-OF-BIRTH |
COT108 |
CONCEPTION-TO-BIRTH-IND,ELIGIBILITY-GROUP |
ELG094,ELG087 |
DATE-OF-DEATH |
ELG025 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
COT017,COT022 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG080,ELG082 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
COT017,COT022 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
|
|
|
|
| 879 |
RULE-1530 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Three Record Type Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
'if fns.hasValue(@secondaryRecord.CONCEPTION-TO-BIRTH-IND) && !fns.isEqual(@secondaryRecord.CONCEPTION-TO-BIRTH-IND, "1") && fns.hasValue(@secondaryRecord.ELIGIBILITY-GROUP) && !fns.isEqual(@secondaryRecord.ELIGIBILITY-GROUP, "64") && fns.hasValue(@primaryRecord.DATE-OF-BIRTH) && fns.hasValue(@tertiaryRecord.DATE-OF-BIRTH), then fns.isEqual(@primaryRecord.DATE-OF-BIRTH, @tertiaryRecord.DATE-OF-BIRTH)' |
DATE-OF-BIRTH |
COT108 |
CONCEPTION-TO-BIRTH-IND,ELIGIBILITY-GROUP |
ELG094,ELG087 |
DATE-OF-BIRTH |
ELG024 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
COT017,COT022 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG080,ELG082 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
COT017,COT022 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
|
|
|
|
| 880 |
RULE-1531 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: HEALTH-HOME-PROV-IND |
HEALTH-HOME-PROV-IND |
COT109 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 881 |
RULE-1532 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.HEALTH-HOME-ENTITY-NAME), then fns.isEqual(@val.HEALTH-HOME-PROV-IND, "1")' |
HEALTH-HOME-ENTITY-NAME,HEALTH-HOME-PROV-IND |
COT138,COT109 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 882 |
RULE-1533 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: WAIVER-TYPE |
WAIVER-TYPE |
COT110 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 883 |
RULE-1534 |
1.1 |
Value Error |
E1104 |
Value not valid for state-supplied format (format or valid values) |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: WAIVER-ID |
WAIVER-ID |
COT111 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 884 |
RULE-1535 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if and only if fns.hasValue(@val.WAIVER-TYPE), then fns.hasValue(@val.WAIVER-ID)' |
WAIVER-TYPE,WAIVER-ID |
COT110,COT111 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 885 |
RULE-1540 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PROV-IDENTIFIERS |
PRV00005 |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
For every record of type CLAIM-HEADER-RECORD-OT, if fns.hasValue(@secondaryRecord.BILLING-PROV-NUM) && !fns.isEqualToAny(@secondaryRecord.TYPE-OF-CLAIM, "3", "C", "W"), there must be a valid record of type PROV-IDENTIFIERS that matches on the join keys, where fns.isEqual(@primaryRecord.PROV-IDENTIFIER-TYPE, "1") |
PROV-IDENTIFIER-TYPE |
PRV077 |
BILLING-PROV-NUM,TYPE-OF-CLAIM |
COT112,COT037 |
|
|
SUBMITTING-STATE,PROV-IDENTIFIER |
PRV073,PRV081 |
SUBMITTING-STATE,BILLING-PROV-NUM |
COT017,COT112 |
|
|
|
|
|
|
|
|
| 886 |
RULE-1541 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.BILLING-PROV-NPI-NUM), then fns.isValidNPI(@val.BILLING-PROV-NPI-NUM)' |
BILLING-PROV-NPI-NUM |
COT113 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 887 |
RULE-1542 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
BILLING-PROV-NPI-NUM |
COT113 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 888 |
RULE-1543 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
'if fns.isEqualToAny(@secondaryRecord.TYPE-OF-SERVICE, "119", "120", "121", "122"), then !fns.hasValue(@primaryRecord.BILLING-PROV-NPI-NUM)' |
BILLING-PROV-NPI-NUM |
COT113 |
TYPE-OF-SERVICE |
COT186 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT017,COT019,COT020,COT035 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT155,COT158,COT159,COT221 |
|
|
|
|
|
|
|
|
| 889 |
RULE-1544 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PROV-IDENTIFIERS |
PRV00005 |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
For every record of type CLAIM-HEADER-RECORD-OT, if fns.hasValue(@secondaryRecord.BILLING-PROV-NPI-NUM) && !fns.isEqualToAny(@secondaryRecord.TYPE-OF-CLAIM, "3", "C", "W"), there must be a valid record of type PROV-IDENTIFIERS that matches on the join keys, where fns.isEqual(@primaryRecord.PROV-IDENTIFIER-TYPE, "2") |
PROV-IDENTIFIER-TYPE |
PRV077 |
BILLING-PROV-NPI-NUM,TYPE-OF-CLAIM |
COT113,COT037 |
|
|
SUBMITTING-STATE,PROV-IDENTIFIER |
PRV073,PRV081 |
SUBMITTING-STATE,BILLING-PROV-NPI-NUM |
COT017,COT113 |
|
|
|
|
|
|
|
|
| 890 |
RULE-1545 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TAXONOMY |
BILLING-PROV-TAXONOMY |
COT114 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 891 |
RULE-1546 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
'if fns.isEqualToAny(@secondaryRecord.TYPE-OF-SERVICE, "119", "120", "121", "122"), then !fns.hasValue(@primaryRecord.BILLING-PROV-TAXONOMY)' |
BILLING-PROV-TAXONOMY |
COT114 |
TYPE-OF-SERVICE |
COT186 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT017,COT019,COT020,COT035 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT155,COT158,COT159,COT221 |
|
|
|
|
|
|
|
|
| 892 |
RULE-1547 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TYPE |
BILLING-PROV-TYPE |
COT115 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 893 |
RULE-1548 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-SPECIALTY |
BILLING-PROV-SPECIALTY |
COT116 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 894 |
RULE-1550 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.REFERRING-PROV-NPI-NUM), then fns.isValidNPI(@val.REFERRING-PROV-NPI-NUM)' |
REFERRING-PROV-NPI-NUM |
COT118 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 895 |
RULE-1551 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
REFERRING-PROV-NPI-NUM |
COT118 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 896 |
RULE-1552 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
'if fns.isEqual(@secondaryRecord.TYPE-OF-SERVICE, "121"), then !fns.hasValue(@primaryRecord.REFERRING-PROV-NPI-NUM)' |
REFERRING-PROV-NPI-NUM |
COT118 |
TYPE-OF-SERVICE |
COT186 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT017,COT019,COT020,COT035 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT155,COT158,COT159,COT221 |
|
|
|
|
|
|
|
|
| 897 |
RULE-1553 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TAXONOMY |
REFERRING-PROV-TAXONOMY |
COT119 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 898 |
RULE-1554 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
'if fns.isEqualToAny(@secondaryRecord.TYPE-OF-SERVICE, "119", "120", "121", "122"), then !fns.hasValue(@primaryRecord.REFERRING-PROV-TAXONOMY)' |
REFERRING-PROV-TAXONOMY |
COT119 |
TYPE-OF-SERVICE |
COT186 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT017,COT019,COT020,COT035 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT155,COT158,COT159,COT221 |
|
|
|
|
|
|
|
|
| 899 |
RULE-1555 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TYPE |
REFERRING-PROV-TYPE |
COT120 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 900 |
RULE-1556 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-SPECIALTY |
REFERRING-PROV-SPECIALTY |
COT121 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 901 |
RULE-1557 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.MEDICARE-HIC-NUM), then fns.matches(@val.MEDICARE-HIC-NUM, "^[^|*]*$")' |
MEDICARE-HIC-NUM |
COT122 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 902 |
RULE-1558 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.isEqual(@val.CROSSOVER-INDICATOR, "1") && !fns.hasValue(@val.MEDICARE-BENEFICIARY-IDENTIFIER), then fns.hasValue(@val.MEDICARE-HIC-NUM)' |
CROSSOVER-INDICATOR,MEDICARE-BENEFICIARY-IDENTIFIER,MEDICARE-HIC-NUM |
COT023,COT147,COT122 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 903 |
RULE-1559 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PLACE-OF-SERVICE |
PLACE-OF-SERVICE |
COT123 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 904 |
RULE-1560 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
'if fns.isEqualToAny(@secondaryRecord.TYPE-OF-SERVICE, "119", "120", "121", "122"), then !fns.hasValue(@primaryRecord.PLACE-OF-SERVICE)' |
PLACE-OF-SERVICE |
COT123 |
TYPE-OF-SERVICE |
COT186 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT017,COT019,COT020,COT035 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT155,COT158,COT159,COT221 |
|
|
|
|
|
|
|
|
| 905 |
RULE-1561 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: S9(5)V9 |
BMI |
COT125 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 906 |
RULE-1562 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.REMITTANCE-NUM), then fns.matches(@val.REMITTANCE-NUM, "^[^|*]*$")' |
REMITTANCE-NUM |
COT126 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 907 |
RULE-1564 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(5)V99 |
DAILY-RATE |
COT127 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 908 |
RULE-1565 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: BORDER-STATE-IND |
BORDER-STATE-IND |
COT128 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 909 |
RULE-1566 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
BENEFICIARY-COINSURANCE-AMOUNT |
COT130 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 910 |
RULE-1567 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
BENEFICIARY-COINSURANCE-DATE-PAID |
COT131 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 911 |
RULE-1569 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
BENEFICIARY-COPAYMENT-AMOUNT |
COT132 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 912 |
RULE-1570 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
BENEFICIARY-COPAYMENT-DATE-PAID |
COT133 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 913 |
RULE-1572 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
BENEFICIARY-DEDUCTIBLE-AMOUNT |
COT134 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 914 |
RULE-1573 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
BENEFICIARY-DEDUCTIBLE-DATE-PAID |
COT135 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 915 |
RULE-1575 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-DENIED-INDICATOR |
CLAIM-DENIED-INDICATOR |
COT136 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 916 |
RULE-1576 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.isEqual(@val.TYPE-OF-CLAIM, "Z"), then fns.isEqual(@val.CLAIM-DENIED-INDICATOR, "0")' |
TYPE-OF-CLAIM,CLAIM-DENIED-INDICATOR |
COT037,COT136 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 917 |
RULE-1577 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: COPAY-WAIVED-IND |
COPAY-WAIVED-IND |
COT137 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 918 |
RULE-1578 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.HEALTH-HOME-ENTITY-NAME), then fns.matches(@val.HEALTH-HOME-ENTITY-NAME, "^[^|*]*$")' |
HEALTH-HOME-ENTITY-NAME |
COT138 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 919 |
RULE-1579 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
THIRD-PARTY-COINSURANCE-AMOUNT-PAID |
COT140 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 920 |
RULE-1580 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
THIRD-PARTY-COINSURANCE-DATE-PAID |
COT141 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 921 |
RULE-1582 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
THIRD-PARTY-COPAYMENT-AMOUNT-PAID |
COT142 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 922 |
RULE-1583 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
THIRD-PARTY-COPAYMENT-DATE-PAID |
COT143 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 923 |
RULE-1585 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
DATE-CAPITATED-AMOUNT-REQUESTED |
COT144 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 924 |
RULE-1588 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.HEALTH-HOME-PROVIDER-NPI), then fns.isValidNPI(@val.HEALTH-HOME-PROVIDER-NPI)' |
HEALTH-HOME-PROVIDER-NPI |
COT146 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 925 |
RULE-1589 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
HEALTH-HOME-PROVIDER-NPI |
COT146 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 926 |
RULE-1590 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
'if fns.isEqual(@secondaryRecord.TYPE-OF-SERVICE, "121"), then !fns.hasValue(@primaryRecord.HEALTH-HOME-PROVIDER-NPI)' |
HEALTH-HOME-PROVIDER-NPI |
COT146 |
TYPE-OF-SERVICE |
COT186 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT017,COT019,COT020,COT035 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT155,COT158,COT159,COT221 |
|
|
|
|
|
|
|
|
| 927 |
RULE-1591 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PROV-IDENTIFIERS |
PRV00005 |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
For every record of type CLAIM-HEADER-RECORD-OT, if fns.hasValue(@secondaryRecord.HEALTH-HOME-PROVIDER-NPI) && !fns.isEqualToAny(@secondaryRecord.TYPE-OF-CLAIM, "3", "C", "W"), there must be a valid record of type PROV-IDENTIFIERS that matches on the join keys, where fns.isEqual(@primaryRecord.PROV-IDENTIFIER-TYPE, "2") |
PROV-IDENTIFIER-TYPE |
PRV077 |
HEALTH-HOME-PROVIDER-NPI,TYPE-OF-CLAIM |
COT146,COT037 |
|
|
SUBMITTING-STATE,PROV-IDENTIFIER |
PRV073,PRV081 |
SUBMITTING-STATE,HEALTH-HOME-PROVIDER-NPI |
COT017,COT146 |
|
|
|
|
|
|
|
|
| 928 |
RULE-1592 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.MEDICARE-BENEFICIARY-IDENTIFIER), then fns.matches(@val.MEDICARE-BENEFICIARY-IDENTIFIER, "^[^|*]*$")' |
MEDICARE-BENEFICIARY-IDENTIFIER |
COT147 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 929 |
RULE-1593 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
FILE-HEADER-RECORD-OT |
COT00001 |
|
|
'if fns.isGreaterThanOrEqual(@fileHeader.END-OF-TIME-PERIOD, "2015-11-10") && fns.isEqual(@val.CROSSOVER-INDICATOR, "1") && !fns.hasValue(@val.MEDICARE-HIC-NUM), then fns.hasValue(@val.MEDICARE-BENEFICIARY-IDENTIFIER)' |
CROSSOVER-INDICATOR,MEDICARE-HIC-NUM,MEDICARE-BENEFICIARY-IDENTIFIER |
COT023,COT122,COT147 |
END-OF-TIME-PERIOD |
COT010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 930 |
RULE-1594 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.UNDER-DIRECTION-OF-PROV-NPI), then fns.isValidNPI(@val.UNDER-DIRECTION-OF-PROV-NPI)' |
UNDER-DIRECTION-OF-PROV-NPI |
COT148 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 931 |
RULE-1595 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TAXONOMY |
UNDER-DIRECTION-OF-PROV-TAXONOMY |
COT149 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 932 |
RULE-1596 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.UNDER-SUPERVISION-OF-PROV-NPI), then fns.isValidNPI(@val.UNDER-SUPERVISION-OF-PROV-NPI)' |
UNDER-SUPERVISION-OF-PROV-NPI |
COT150 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 933 |
RULE-1597 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
UNDER-SUPERVISION-OF-PROV-NPI |
COT150 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 934 |
RULE-1598 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
'if fns.isEqual(@secondaryRecord.TYPE-OF-SERVICE, "121"), then !fns.hasValue(@primaryRecord.UNDER-SUPERVISION-OF-PROV-NPI)' |
UNDER-SUPERVISION-OF-PROV-NPI |
COT150 |
TYPE-OF-SERVICE |
COT186 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT017,COT019,COT020,COT035 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT155,COT158,COT159,COT221 |
|
|
|
|
|
|
|
|
| 935 |
RULE-1599 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TAXONOMY |
UNDER-SUPERVISION-OF-PROV-TAXONOMY |
COT151 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 936 |
RULE-1600 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
COT152 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 937 |
RULE-1603 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
COT155 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 938 |
RULE-1604 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-LINE-RECORD-OT |
COT00003 |
FILE-HEADER-RECORD-OT |
COT00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
COT155 |
SUBMITTING-STATE |
COT007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 939 |
RULE-1606 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type CLAIM-LINE-RECORD-OT |
RECORD-NUMBER |
COT156 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 940 |
RULE-1609 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
'if fns.isEqualToAny(@primaryRecord.TYPE-OF-CLAIM, "4", "D", "X"), then fns.matches(@secondaryRecord.MSIS-IDENTIFICATION-NUM, "^&.*$")' |
TYPE-OF-CLAIM |
COT037 |
MSIS-IDENTIFICATION-NUM |
COT157 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT017,COT019,COT020,COT035 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT155,COT158,COT159,COT221 |
|
|
|
|
|
|
|
|
| 941 |
RULE-1610 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
record CLAIM-LINE-RECORD-OT has corresponding parent record CLAIM-HEADER-RECORD-OT |
|
|
|
|
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT017,COT019,COT020,COT035 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT155,COT158,COT159,COT221 |
|
|
|
|
|
|
|
|
| 942 |
RULE-1611 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.hasValue(@val.ICN-ORIG), then fns.matches(@val.ICN-ORIG, "^[^|*]*$")' |
ICN-ORIG |
COT158 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 943 |
RULE-1612 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.hasValue(@val.ICN-ADJ), then fns.matches(@val.ICN-ADJ, "^[^|*]*$")' |
ICN-ADJ |
COT159 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 944 |
RULE-1613 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.hasValue(@val.LINE-NUM-ORIG), then fns.isNonNegative(@val.LINE-NUM-ORIG)' |
LINE-NUM-ORIG |
COT160 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 945 |
RULE-1614 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.hasValue(@val.LINE-NUM-ADJ), then fns.isNonNegative(@val.LINE-NUM-ADJ)' |
LINE-NUM-ADJ |
COT161 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 946 |
RULE-1615 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.isEqual(@val.LINE-ADJUSTMENT-IND, "0"), then !fns.hasValue(@val.LINE-NUM-ADJ)' |
LINE-ADJUSTMENT-IND,LINE-NUM-ADJ |
COT162,COT161 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 947 |
RULE-1616 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: LINE-ADJUSTMENT-IND |
LINE-ADJUSTMENT-IND |
COT162 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 948 |
RULE-1617 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.hasValue(@val.LINE-NUM-ADJ), then fns.hasValue(@val.LINE-ADJUSTMENT-IND)' |
LINE-NUM-ADJ,LINE-ADJUSTMENT-IND |
COT161,COT162 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 949 |
RULE-1618 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: ADJUSTMENT-REASON-CODE |
LINE-ADJUSTMENT-REASON-CODE |
COT163 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 950 |
RULE-1620 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-STATUS |
CLAIM-LINE-STATUS |
COT165 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 951 |
RULE-1621 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
BEGINNING-DATE-OF-SERVICE |
COT166 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 952 |
RULE-1623 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.hasValue(@val.BEGINNING-DATE-OF-SERVICE) && fns.hasValue(@val.ENDING-DATE-OF-SERVICE), then fns.isLessThanOrEqual(@val.BEGINNING-DATE-OF-SERVICE, @val.ENDING-DATE-OF-SERVICE)' |
BEGINNING-DATE-OF-SERVICE,ENDING-DATE-OF-SERVICE |
COT166,COT167 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 953 |
RULE-1624 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.hasValue(@val.BEGINNING-DATE-OF-SERVICE) && fns.hasValue(@val.ADJUDICATION-DATE), then fns.isLessThanOrEqual(@val.BEGINNING-DATE-OF-SERVICE, @val.ADJUDICATION-DATE)' |
BEGINNING-DATE-OF-SERVICE,ADJUDICATION-DATE |
COT166,COT221 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 954 |
RULE-1625 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.BEGINNING-DATE-OF-SERVICE), then fns.isLessThanOrEqual(@secondaryRecord.BEGINNING-DATE-OF-SERVICE, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
BEGINNING-DATE-OF-SERVICE |
COT166 |
|
|
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG019,ELG017 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
COT157,COT155 |
|
|
|
|
|
|
|
|
| 955 |
RULE-1626 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-LINE-RECORD-OT |
COT00003 |
FILE-HEADER-RECORD-OT |
COT00001 |
|
|
'if fns.hasValue(@val.BEGINNING-DATE-OF-SERVICE) && fns.hasValue(@fileHeader.END-OF-TIME-PERIOD), then fns.isLessThanOrEqual(@val.BEGINNING-DATE-OF-SERVICE, @fileHeader.END-OF-TIME-PERIOD)' |
BEGINNING-DATE-OF-SERVICE |
COT166 |
END-OF-TIME-PERIOD |
COT010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 956 |
RULE-1627 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
ENDING-DATE-OF-SERVICE |
COT167 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 957 |
RULE-1630 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.hasValue(@val.ENDING-DATE-OF-SERVICE) && fns.hasValue(@val.ADJUDICATION-DATE), then fns.isLessThanOrEqual(@val.ENDING-DATE-OF-SERVICE, @val.ADJUDICATION-DATE)' |
ENDING-DATE-OF-SERVICE,ADJUDICATION-DATE |
COT167,COT221 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 958 |
RULE-1631 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.ENDING-DATE-OF-SERVICE), then fns.isLessThanOrEqual(@secondaryRecord.ENDING-DATE-OF-SERVICE, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
ENDING-DATE-OF-SERVICE |
COT167 |
|
|
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG019,ELG017 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
COT157,COT155 |
|
|
|
|
|
|
|
|
| 959 |
RULE-1632 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-LINE-RECORD-OT |
COT00003 |
FILE-HEADER-RECORD-OT |
COT00001 |
|
|
'if fns.hasValue(@val.ENDING-DATE-OF-SERVICE) && fns.hasValue(@fileHeader.END-OF-TIME-PERIOD), then fns.isLessThanOrEqual(@val.ENDING-DATE-OF-SERVICE, @fileHeader.END-OF-TIME-PERIOD)' |
ENDING-DATE-OF-SERVICE |
COT167 |
END-OF-TIME-PERIOD |
COT010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 960 |
RULE-1633 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: REVENUE-CODE |
REVENUE-CODE |
COT168 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 961 |
RULE-1634 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROCEDURE-CODE |
PROCEDURE-CODE |
COT169 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 962 |
RULE-1635 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
PROCEDURE-CODE-DATE |
COT170 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 963 |
RULE-1637 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.hasValue(@val.PROCEDURE-CODE-DATE) && fns.hasValue(@val.ENDING-DATE-OF-SERVICE), then fns.isLessThanOrEqual(@val.PROCEDURE-CODE-DATE, @val.ENDING-DATE-OF-SERVICE)' |
PROCEDURE-CODE-DATE,ENDING-DATE-OF-SERVICE |
COT170,COT167 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 964 |
RULE-1638 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.hasValue(@val.BEGINNING-DATE-OF-SERVICE) && fns.hasValue(@val.PROCEDURE-CODE-DATE), then fns.isLessThanOrEqual(@val.BEGINNING-DATE-OF-SERVICE, @val.PROCEDURE-CODE-DATE)' |
BEGINNING-DATE-OF-SERVICE,PROCEDURE-CODE-DATE |
COT166,COT170 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 965 |
RULE-1639 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.PROCEDURE-CODE-DATE), then fns.isLessThanOrEqual(@secondaryRecord.PROCEDURE-CODE-DATE, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
PROCEDURE-CODE-DATE |
COT170 |
|
|
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG019,ELG017 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
COT157,COT155 |
|
|
|
|
|
|
|
|
| 966 |
RULE-1640 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if and only if fns.hasValue(@val.PROCEDURE-CODE), then fns.hasValue(@val.PROCEDURE-CODE-DATE)' |
PROCEDURE-CODE,PROCEDURE-CODE-DATE |
COT169,COT170 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 967 |
RULE-1641 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROCEDURE-CODE-FLAG |
PROCEDURE-CODE-FLAG |
COT171 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 968 |
RULE-1642 |
1.1 |
Value Error |
E1104 |
Value not valid for state-supplied format (format or valid values) |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROCEDURE-CODE-MOD |
PROCEDURE-CODE-MOD-1 |
COT172 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 969 |
RULE-1644 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: IMMUNIZATION-TYPE |
IMMUNIZATION-TYPE |
COT173 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 970 |
RULE-1645 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
BILLED-AMT |
COT174 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 971 |
RULE-1646 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
ALLOWED-AMT |
COT175 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 972 |
RULE-1648 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TPL-AMT |
COT177 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 973 |
RULE-1649 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
MEDICAID-PAID-AMT |
COT178 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 974 |
RULE-1651 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
'if fns.isEqualToAny(@primaryRecord.TYPE-OF-CLAIM, "C", "3", "W"), then fns.hasValue(@secondaryRecord.MEDICAID-FFS-EQUIVALENT-AMT)' |
TYPE-OF-CLAIM |
COT037 |
MEDICAID-FFS-EQUIVALENT-AMT |
COT179 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT017,COT019,COT020,COT035 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT155,COT158,COT159,COT221 |
|
|
|
|
|
|
|
|
| 975 |
RULE-1652 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
MEDICARE-PAID-AMT |
COT182 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 976 |
RULE-1653 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(6)V999 |
OT-RX-CLAIM-QUANTITY-ACTUAL |
COT183 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 977 |
RULE-1655 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: TYPE-OF-SERVICE |
TYPE-OF-SERVICE |
COT186 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 978 |
RULE-1656 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'fns.isEqualToAny(@val.TYPE-OF-SERVICE, "002", "003", "004", "005", "006", "007", "008", "010", "011", "012", "013", "014", "015", "016", "017", "018", "019", "020", "021", "022", "023", "024", "025", "026", "027", "028", "029", "030", "031", "032", "035", "036", "037", "038", "039", "040", "041", "042", "043", "049", "050","051", "052", "053", "054", "055", "056", "057", "058", "060", "061", "062", "063", "064", "065", "066", "067", "068", "069", "070", "071", "072", "073", "074", "075", "076", "077", "078", "079", "080", "081", "082", "083", "084", "085", "087", "088", "089", "115", "119", "120", "121", "122", "131", "134", "135")' |
TYPE-OF-SERVICE |
COT186 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 979 |
RULE-1657 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
'if fns.isEqual(@primaryRecord.SEX, "M"), then !fns.isEqualToAny(@secondaryRecord.TYPE-OF-SERVICE, "025", "085")' |
SEX |
ELG023 |
TYPE-OF-SERVICE |
COT186 |
|
|
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG019,ELG017 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
COT157,COT155 |
|
|
|
|
|
|
|
|
| 980 |
RULE-1658 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.hasValue(@val.TOOTH-QUAD-CODE), then fns.isEqualToAny(@val.TYPE-OF-SERVICE, "013", "029")' |
TOOTH-QUAD-CODE,TYPE-OF-SERVICE |
COT197,COT186 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 981 |
RULE-1659 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.hasValue(@val.TOOTH-SURFACE-CODE), then fns.isEqualToAny(@val.TYPE-OF-SERVICE, "013", "029")' |
TOOTH-SURFACE-CODE,TYPE-OF-SERVICE |
COT198,COT186 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 982 |
RULE-1660 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: HCBS-TAXONOMY |
HCBS-TAXONOMY |
COT188 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 983 |
RULE-1662 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.isEqualToAny(@val.TYPE-OF-SERVICE, "119", "120", "121", "122"), then !fns.hasValue(@val.SERVICING-PROV-NUM)' |
TYPE-OF-SERVICE,SERVICING-PROV-NUM |
COT186,COT189 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 984 |
RULE-1663 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Three Record Type Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
CLAIM-LINE-RECORD-OT |
COT00003 |
PROV-IDENTIFIERS |
PRV00005 |
For every record of type CLAIM-LINE-RECORD-OT, if fns.hasValue(@secondaryRecord.SERVICING-PROV-NUM) && !fns.isEqualToAny(@primaryRecord.TYPE-OF-CLAIM, "3", "C", "W"), there must be a valid record of type CLAIM-HEADER-RECORD-OT that matches on the join keys, where fns.isEqual(@tertiaryRecord.PROV-IDENTIFIER-TYPE, "1") |
TYPE-OF-CLAIM |
COT037 |
SERVICING-PROV-NUM |
COT189 |
PROV-IDENTIFIER-TYPE |
PRV077 |
SUBMITTING-STATE,ICN-ADJ,ICN-ORIG,ADJUDICATION-DATE |
COT017,COT020,COT019,COT035 |
SUBMITTING-STATE,ICN-ADJ,ICN-ORIG,ADJUDICATION-DATE |
COT155,COT159,COT158,COT221 |
SUBMITTING-STATE,SERVICING-PROV-NUM |
|
SUBMITTING-STATE,PROV-IDENTIFIER |
PRV073,PRV081 |
|
|
|
|
| 985 |
RULE-1664 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
SERVICING-PROV-NPI-NUM |
COT190 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 986 |
RULE-1665 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.hasValue(@val.SERVICING-PROV-NPI-NUM), then fns.isValidNPI(@val.SERVICING-PROV-NPI-NUM)' |
SERVICING-PROV-NPI-NUM |
COT190 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 987 |
RULE-1666 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.isEqualToAny(@val.TYPE-OF-SERVICE, "119", "120", "121", "122"), then !fns.hasValue(@val.SERVICING-PROV-NPI-NUM)' |
TYPE-OF-SERVICE,SERVICING-PROV-NPI-NUM |
COT186,COT190 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 988 |
RULE-1667 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.isEqual(@val.TYPE-OF-SERVICE, "121"), then !fns.hasValue(@val.SERVICING-PROV-NPI-NUM)' |
TYPE-OF-SERVICE,SERVICING-PROV-NPI-NUM |
COT186,COT190 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 989 |
RULE-1668 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Three Record Type Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
CLAIM-LINE-RECORD-OT |
COT00003 |
PROV-IDENTIFIERS |
PRV00005 |
For every record of type CLAIM-LINE-RECORD-OT, if fns.hasValue(@secondaryRecord.SERVICING-PROV-NUM) && !fns.isEqualToAny(@primaryRecord.TYPE-OF-CLAIM, "3", "C", "W"), there must be a valid record of type CLAIM-HEADER-RECORD-OT that matches on the join keys, where fns.isEqual(@tertiaryRecord.PROV-IDENTIFIER-TYPE, "2") |
TYPE-OF-CLAIM |
COT037 |
SERVICING-PROV-NUM |
COT189 |
PROV-IDENTIFIER-TYPE |
PRV077 |
SUBMITTING-STATE,ICN-ADJ,ICN-ORIG,ADJUDICATION-DATE |
COT017,COT020,COT019,COT035 |
SUBMITTING-STATE,ICN-ADJ,ICN-ORIG,ADJUDICATION-DATE |
COT155,COT159,COT158,COT221 |
SUBMITTING-STATE,SERVICING-PROV-NPI-NUM |
|
SUBMITTING-STATE,PROV-IDENTIFIER |
PRV073,PRV081 |
|
|
|
|
| 990 |
RULE-1669 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TAXONOMY |
SERVICING-PROV-TAXONOMY |
COT191 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 991 |
RULE-1670 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.isEqualToAny(@val.TYPE-OF-SERVICE, "119", "120", "121", "122"), then !fns.hasValue(@val.SERVICING-PROV-TAXONOMY)' |
TYPE-OF-SERVICE,SERVICING-PROV-TAXONOMY |
COT186,COT191 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 992 |
RULE-1671 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TYPE |
SERVICING-PROV-TYPE |
COT192 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 993 |
RULE-1672 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-SPECIALTY |
SERVICING-PROV-SPECIALTY |
COT193 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 994 |
RULE-1673 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OTHER-TPL-COLLECTION |
OTHER-TPL-COLLECTION |
COT194 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 995 |
RULE-1674 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: TOOTH-DESIGNATION-SYSTEM |
TOOTH-DESIGNATION-SYSTEM |
COT195 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 996 |
RULE-1675 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: TOOTH-NUM |
TOOTH-NUM |
COT196 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 997 |
RULE-1676 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: TOOTH-QUAD-CODE |
TOOTH-QUAD-CODE |
COT197 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 998 |
RULE-1677 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: TOOTH-SURFACE-CODE |
TOOTH-SURFACE-CODE |
COT198 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 999 |
RULE-1678 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.hasValue(@val.ORIGINATION-ADDR-LN1), then fns.matches(@val.ORIGINATION-ADDR-LN1, "^[^|*]*$")' |
ORIGINATION-ADDR-LN1 |
COT199 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,000 |
RULE-1679 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.hasValue(@val.ORIGINATION-ADDR-LN2), then fns.matches(@val.ORIGINATION-ADDR-LN2, "^[^|*]*$")' |
ORIGINATION-ADDR-LN2 |
COT200 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,001 |
RULE-1680 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.hasValue(@val.ORIGINATION-CITY), then fns.matches(@val.ORIGINATION-CITY, "^[^|*]*$")' |
ORIGINATION-CITY |
COT201 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,002 |
RULE-1681 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
ORIGINATION-STATE |
COT202 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,003 |
RULE-1682 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.hasValue(@val.ORIGINATION-ZIP-CODE), then fns.matches(@val.ORIGINATION-ZIP-CODE, "^[0-9]{5}|[0-9]{9}$")' |
ORIGINATION-ZIP-CODE |
COT203 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,004 |
RULE-1683 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.hasValue(@val.DESTINATION-ADDR-LN1), then fns.matches(@val.DESTINATION-ADDR-LN1, "^[^|*]*$")' |
DESTINATION-ADDR-LN1 |
COT204 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,005 |
RULE-1684 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.hasValue(@val.DESTINATION-ADDR-LN2), then fns.matches(@val.DESTINATION-ADDR-LN2, "^[^|*]*$")' |
DESTINATION-ADDR-LN2 |
COT205 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,006 |
RULE-1685 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.hasValue(@val.DESTINATION-ADDR-LN2), then !fns.isEqual(@val.DESTINATION-ADDR-LN2, @val.DESTINATION-ADDR-LN1)' |
DESTINATION-ADDR-LN2,DESTINATION-ADDR-LN1 |
COT205,COT204 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,007 |
RULE-1686 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.hasValue(@val.DESTINATION-CITY), then fns.matches(@val.DESTINATION-CITY, "^[^|*]*$")' |
DESTINATION-CITY |
COT206 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,008 |
RULE-1687 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
DESTINATION-STATE |
COT207 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,009 |
RULE-1688 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.hasValue(@val.DESTINATION-ZIP-CODE), then fns.matches(@val.DESTINATION-ZIP-CODE, "^[0-9]{5}|[0-9]{9}$")' |
DESTINATION-ZIP-CODE |
COT208 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,010 |
RULE-1689 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: BENEFIT-TYPE |
BENEFIT-TYPE |
COT209 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,011 |
RULE-1690 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT |
CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT |
COT210 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,012 |
RULE-1691 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
'if fns.isEqualToAny(@primaryRecord.CHIP-CODE, "0", "1", "2"), then !fns.isEqual(@secondaryRecord.CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT, "02")' |
CHIP-CODE |
ELG054 |
CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT |
COT210 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG031,ELG033 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
COT155,COT157 |
|
|
|
|
|
|
|
|
| 1,013 |
RULE-1692 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
'if fns.isEqual(@primaryRecord.MEDICAID-BASIS-OF-ELIGIBILITY, "00"), then !fns.isEqual(@secondaryRecord.CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT, "01")' |
MEDICAID-BASIS-OF-ELIGIBILITY |
ELG084 |
CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT |
COT210 |
|
|
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG082,ELG080 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
COT157,COT155 |
|
|
|
|
|
|
|
|
| 1,014 |
RULE-1693 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: XIX-MBESCBES-CATEGORY-OF-SERVICE |
XIX-MBESCBES-CATEGORY-OF-SERVICE |
COT211 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,015 |
RULE-1694 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
'if fns.isEqual(@primaryRecord.SEX, "M"), then !fns.isEqualToAny(@secondaryRecord.XIX-MBESCBES-CATEGORY-OF-SERVICE, "14", "35", "42", "44")' |
SEX |
ELG023 |
XIX-MBESCBES-CATEGORY-OF-SERVICE |
COT211 |
|
|
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG019,ELG017 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
COT157,COT155 |
|
|
|
|
|
|
|
|
| 1,016 |
RULE-1695 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: XXI-MBESCBES-CATEGORY-OF-SERVICE |
XXI-MBESCBES-CATEGORY-OF-SERVICE |
COT212 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,017 |
RULE-1697 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
OTHER-INSURANCE-AMT |
COT213 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,018 |
RULE-1698 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
COT214 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,019 |
RULE-1702 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.hasValue(@val.NATIONAL-DRUG-CODE), then fns.isValidNationalDrugCode(@val.NATIONAL-DRUG-CODE)' |
NATIONAL-DRUG-CODE |
COT217 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,020 |
RULE-1703 |
1.1 |
Value Error |
E1104 |
Value not valid for state-supplied format (format or valid values) |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROCEDURE-CODE-MOD |
PROCEDURE-CODE-MOD-3 |
COT218 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,021 |
RULE-1706 |
1.1 |
Value Error |
E1104 |
Value not valid for state-supplied format (format or valid values) |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROCEDURE-CODE-MOD |
PROCEDURE-CODE-MOD-4 |
COT219 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,022 |
RULE-1709 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.hasValue(@val.HCPCS-RATE), then fns.matches(@val.HCPCS-RATE, "^[^|*]*$")' |
HCPCS-RATE |
COT220 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,023 |
RULE-1710 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
ADJUDICATION-DATE |
COT221 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,024 |
RULE-1712 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-LINE-RECORD-OT |
COT00003 |
FILE-HEADER-RECORD-OT |
COT00001 |
|
|
'if fns.hasValue(@val.ADJUDICATION-DATE) && fns.hasValue(@fileHeader.END-OF-TIME-PERIOD), then fns.isLessThanOrEqual(@val.ADJUDICATION-DATE, @fileHeader.END-OF-TIME-PERIOD)' |
ADJUDICATION-DATE |
COT221 |
END-OF-TIME-PERIOD |
COT010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,025 |
RULE-1713 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: SELF-DIRECTION-TYPE |
SELF-DIRECTION-TYPE |
COT222 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,026 |
RULE-1714 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'if fns.hasValue(@val.PRE-AUTHORIZATION-NUM), then fns.matches(@val.PRE-AUTHORIZATION-NUM, "^[^|*]*$")' |
PRE-AUTHORIZATION-NUM |
COT223 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,027 |
RULE-1715 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: NDC-UNIT-OF-MEASURE |
NDC-UNIT-OF-MEASURE |
COT224 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,028 |
RULE-1716 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: S9(6)V999 |
NDC-QUANTITY |
COT225 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,029 |
RULE-1717 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if fns.hasValue(@val.PROV-LOCATION-ID), then fns.matches(@val.PROV-LOCATION-ID, "^[^|*]*$")' |
PROV-LOCATION-ID |
COT226 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,030 |
RULE-1718 |
1.1 |
Value Error |
E1104 |
Value not valid for state-supplied format (format or valid values) |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROCEDURE-CODE-MOD |
PROCEDURE-CODE-MOD-2 |
COT227 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,031 |
RULE-1728 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-RX |
CRX00001 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
DATE-FILE-CREATED |
CRX008 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,032 |
RULE-1732 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-RX |
CRX00001 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
START-OF-TIME-PERIOD |
CRX009 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,033 |
RULE-1736 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-RX |
CRX00001 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
END-OF-TIME-PERIOD |
CRX010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,034 |
RULE-1743 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
FILE-HEADER-RECORD-RX |
CRX00001 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
'if fns.hasValue(@primaryRecord.SSN-INDICATOR) && fns.hasValue(@secondaryRecord.SSN-INDICATOR), then fns.isEqual(@primaryRecord.SSN-INDICATOR, @secondaryRecord.SSN-INDICATOR)' |
SSN-INDICATOR |
CRX012 |
SSN-INDICATOR |
ELG012 |
|
|
SUBMITTING-STATE,START-OF-TIME-PERIOD,END-OF-TIME-PERIOD |
CRX007,CRX009,CRX010 |
SUBMITTING-STATE,START-OF-TIME-PERIOD,END-OF-TIME-PERIOD |
ELG007,ELG009,ELG010 |
|
|
|
|
|
|
|
|
| 1,035 |
RULE-1744 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-RX |
CRX00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
TOT-REC-CNT |
CRX013 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,036 |
RULE-1749 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
CRX017 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,037 |
RULE-1750 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
FILE-HEADER-RECORD-RX |
CRX00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
CRX017 |
SUBMITTING-STATE |
CRX007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,038 |
RULE-1752 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
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Field RECORD-NUMBER should be unique across all records of type CLAIM-HEADER-RECORD-RX |
RECORD-NUMBER |
CRX018 |
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| 1,039 |
RULE-1753 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
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|
|
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'if fns.hasValue(@val.ICN-ORIG), then fns.matches(@val.ICN-ORIG, "^[^|*]*$")' |
ICN-ORIG |
CRX019 |
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| 1,040 |
RULE-1754 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
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'if fns.hasValue(@val.ICN-ADJ), then fns.matches(@val.ICN-ADJ, "^[^|*]*$")' |
ICN-ADJ |
CRX020 |
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| 1,041 |
RULE-1758 |
3 |
Relational error |
E3001 |
Missing corresponding record (multi file) (ex. missing eligibility record for claim header) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
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|
For every record of type CLAIM-HEADER-RECORD-RX, there must be a valid record of type PRIMARY-DEMOGRAPHICS-ELIGIBILITY that matches on the join keys |
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SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CRX017,CRX022 |
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| 1,042 |
RULE-1759 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
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If the field is populated, the value must be contained in the set of valid values with id: CROSSOVER-INDICATOR |
CROSSOVER-INDICATOR |
CRX023 |
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| 1,043 |
RULE-1760 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
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|
If the field is populated, the value must be contained in the set of valid values with id: 1115A-DEMONSTRATION-IND |
1115A-DEMONSTRATION-IND |
CRX024 |
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| 1,044 |
RULE-1761 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
1115A-DEMONSTRATION-INFORMATION |
ELG00018 |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
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|
'if fns.isEqual(@primaryRecord.1115A-DEMONSTRATION-IND, "0") || !fns.hasValue(@primaryRecord.1115A-DEMONSTRATION-IND), then fns.isEqual(@secondaryRecord.1115A-DEMONSTRATION-IND, "0") || !fns.hasValue(@secondaryRecord.1115A-DEMONSTRATION-IND)' |
1115A-DEMONSTRATION-IND |
ELG233 |
1115A-DEMONSTRATION-IND |
CRX024 |
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|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG230,ELG232 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CRX017,CRX022 |
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| 1,045 |
RULE-1762 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
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|
|
|
If the field is populated, the value must be contained in the set of valid values with id: ADJUSTMENT-IND |
ADJUSTMENT-IND |
CRX025 |
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| 1,046 |
RULE-1763 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
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|
|
If the field is populated, the value must be contained in the set of valid values with id: ADJUSTMENT-REASON-CODE |
ADJUSTMENT-REASON-CODE |
CRX026 |
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| 1,047 |
RULE-1764 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
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|
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Value must be a valid date of the form CCYYMMDD |
ADJUDICATION-DATE |
CRX027 |
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| 1,048 |
RULE-1766 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
FILE-HEADER-RECORD-RX |
CRX00001 |
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|
'if fns.hasValue(@val.ADJUDICATION-DATE) && fns.hasValue(@fileHeader.END-OF-TIME-PERIOD), then fns.isLessThanOrEqual(@val.ADJUDICATION-DATE, @fileHeader.END-OF-TIME-PERIOD)' |
ADJUDICATION-DATE |
CRX027 |
END-OF-TIME-PERIOD |
CRX010 |
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|
|
| 1,049 |
RULE-1767 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
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|
|
Value must be a valid date of the form CCYYMMDD |
MEDICAID-PAID-DATE |
CRX028 |
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|
| 1,050 |
RULE-1769 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
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|
If the field is populated, the value must be contained in the set of valid values with id: TYPE-OF-CLAIM |
TYPE-OF-CLAIM |
CRX029 |
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|
|
| 1,051 |
RULE-1770 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
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|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-STATUS |
CLAIM-STATUS |
CRX030 |
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|
| 1,052 |
RULE-1771 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-STATUS-CATEGORY |
CLAIM-STATUS-CATEGORY |
CRX031 |
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|
| 1,053 |
RULE-1772 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: SOURCE-LOCATION |
SOURCE-LOCATION |
CRX032 |
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|
|
| 1,054 |
RULE-1773 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.hasValue(@val.CHECK-NUM), then fns.matches(@val.CHECK-NUM, "^[^|*]*$")' |
CHECK-NUM |
CRX033 |
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|
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|
|
| 1,055 |
RULE-1774 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
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|
|
|
Value must be a valid date of the form CCYYMMDD |
CHECK-EFF-DATE |
CRX034 |
|
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|
|
|
|
|
|
|
| 1,056 |
RULE-1776 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-PYMT-REM-CODE |
CLAIM-PYMT-REM-CODE-1 |
CRX035 |
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|
|
|
|
|
|
|
|
| 1,057 |
RULE-1777 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
The values of the following fields should be unique (non-repeating) within each record: CLAIM-PYMT-REM-CODE-1,CLAIM-PYMT-REM-CODE-2,CLAIM-PYMT-REM-CODE-3,CLAIM-PYMT-REM-CODE-4 |
CLAIM-PYMT-REM-CODE-1,CLAIM-PYMT-REM-CODE-2,CLAIM-PYMT-REM-CODE-3,CLAIM-PYMT-REM-CODE-4 |
CRX035,CRX036,CRX037,CRX038 |
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|
|
|
|
|
|
| 1,058 |
RULE-1778 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-PYMT-REM-CODE |
CLAIM-PYMT-REM-CODE-2 |
CRX036 |
|
|
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|
|
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|
|
|
|
|
|
|
|
|
| 1,059 |
RULE-1780 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if !fns.hasValue(@val.CLAIM-PYMT-REM-CODE-1), then !fns.hasValue(@val.CLAIM-PYMT-REM-CODE-2)' |
CLAIM-PYMT-REM-CODE-1,CLAIM-PYMT-REM-CODE-2 |
CRX035,CRX036 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,060 |
RULE-1781 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-PYMT-REM-CODE |
CLAIM-PYMT-REM-CODE-3 |
CRX037 |
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
| 1,061 |
RULE-1783 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if !fns.hasValue(@val.CLAIM-PYMT-REM-CODE-2), then !fns.hasValue(@val.CLAIM-PYMT-REM-CODE-3)' |
CLAIM-PYMT-REM-CODE-2,CLAIM-PYMT-REM-CODE-3 |
CRX036,CRX037 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,062 |
RULE-1784 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-PYMT-REM-CODE |
CLAIM-PYMT-REM-CODE-4 |
CRX038 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,063 |
RULE-1786 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if !fns.hasValue(@val.CLAIM-PYMT-REM-CODE-3), then !fns.hasValue(@val.CLAIM-PYMT-REM-CODE-4)' |
CLAIM-PYMT-REM-CODE-3,CLAIM-PYMT-REM-CODE-4 |
CRX037,CRX038 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,064 |
RULE-1787 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-BILLED-AMT |
CRX039 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,065 |
RULE-1788 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.isEqualToAny(@val.TYPE-OF-CLAIM, "4", "D", "X"), then fns.isEqual(@val.TOT-BILLED-AMT, "0.00")' |
TYPE-OF-CLAIM,TOT-BILLED-AMT |
CRX029,CRX039 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,066 |
RULE-1789 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to Many) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
'fns.isDollarSumEqual(@primaryRecord.TOT-BILLED-AMT, @secondaryRecords.BILLED-AMT)' |
TOT-BILLED-AMT |
CRX039 |
BILLED-AMT |
CRX121 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CRX017,CRX019,CRX020,CRX027 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CRX109,CRX112,CRX113,CRX157 |
|
|
|
|
|
|
|
|
| 1,067 |
RULE-1790 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-ALLOWED-AMT |
CRX040 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,068 |
RULE-1791 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to Many) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
'fns.isDollarSumEqual(@primaryRecord.TOT-ALLOWED-AMT, @secondaryRecords.ALLOWED-AMT)' |
TOT-ALLOWED-AMT |
CRX040 |
ALLOWED-AMT |
CRX122 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CRX017,CRX019,CRX020,CRX027 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CRX109,CRX112,CRX113,CRX157 |
|
|
|
|
|
|
|
|
| 1,069 |
RULE-1792 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-MEDICAID-PAID-AMT |
CRX041 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,070 |
RULE-1793 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-COPAY-AMT |
CRX042 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,071 |
RULE-1794 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-MEDICARE-DEDUCTIBLE-AMT |
CRX043 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,072 |
RULE-1795 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.hasValue(@val.TOT-MEDICARE-DEDUCTIBLE-AMT) && fns.hasValue(@val.TOT-BILLED-AMT), then fns.isLessThanOrEqual(@val.TOT-MEDICARE-DEDUCTIBLE-AMT, @val.TOT-BILLED-AMT)' |
TOT-MEDICARE-DEDUCTIBLE-AMT,TOT-BILLED-AMT |
CRX043,CRX039 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,073 |
RULE-1796 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to Many) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
'fns.isDollarSumEqual(@primaryRecord.TOT-MEDICARE-DEDUCTIBLE-AMT, @secondaryRecords.MEDICARE-DEDUCTIBLE-AMT)' |
TOT-MEDICARE-DEDUCTIBLE-AMT |
CRX043 |
MEDICARE-DEDUCTIBLE-AMT |
CRX127 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CRX017,CRX019,CRX020,CRX027 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CRX109,CRX112,CRX113,CRX157 |
|
|
|
|
|
|
|
|
| 1,074 |
RULE-1797 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-MEDICARE-COINS-AMT |
CRX044 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,075 |
RULE-1798 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.hasValue(@val.TOT-MEDICARE-COINS-AMT) && fns.hasValue(@val.TOT-BILLED-AMT), then fns.isLessThan(@val.TOT-MEDICARE-COINS-AMT, @val.TOT-BILLED-AMT)' |
TOT-MEDICARE-COINS-AMT,TOT-BILLED-AMT |
CRX044,CRX039 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,076 |
RULE-1799 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if !fns.hasValue(@val.TOT-MEDICARE-DEDUCTIBLE-AMT), then !fns.hasValue(@val.TOT-MEDICARE-COINS-AMT)' |
TOT-MEDICARE-DEDUCTIBLE-AMT,TOT-MEDICARE-COINS-AMT |
CRX043,CRX044 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,077 |
RULE-1800 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.isEqualToAny(@val.TYPE-OF-CLAIM, "3", "C", "W"), then !fns.hasValue(@val.TOT-MEDICARE-COINS-AMT)' |
TYPE-OF-CLAIM,TOT-MEDICARE-COINS-AMT |
CRX029,CRX044 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,078 |
RULE-1801 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.isEqual(@val.MEDICARE-COMB-DED-IND, "1"), then fns.isEqual(@val.TOT-MEDICARE-COINS-AMT, "0.00")' |
MEDICARE-COMB-DED-IND,TOT-MEDICARE-COINS-AMT |
CRX160,CRX044 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,079 |
RULE-1802 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
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|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-TPL-AMT |
CRX045 |
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|
|
|
|
|
|
|
|
|
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|
|
| 1,080 |
RULE-1803 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
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|
|
|
'if fns.hasValue(@val.TOT-TPL-AMT) && fns.hasValue(@val.TOT-BILLED-AMT) && fns.hasValue(@val.TOT-MEDICARE-COINS-AMT) && fns.hasValue(@val.TOT-MEDICARE-DEDUCTIBLE-AMT), then fns.isLessThanOrEqual(@val.TOT-TPL-AMT, fns.remainingLiability(@val.TOT-BILLED-AMT, @val.TOT-MEDICARE-COINS-AMT, @val.TOT-MEDICARE-DEDUCTIBLE-AMT))' |
TOT-TPL-AMT,TOT-BILLED-AMT,TOT-MEDICARE-COINS-AMT,TOT-MEDICARE-DEDUCTIBLE-AMT |
CRX045,CRX039,CRX044,CRX043 |
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|
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|
|
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|
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| 1,081 |
RULE-1804 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
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|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TOT-OTHER-INSURANCE-AMT |
CRX047 |
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| 1,082 |
RULE-1805 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
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If the field is populated, the value must be contained in the set of valid values with id: OTHER-INSURANCE-IND |
OTHER-INSURANCE-IND |
CRX048 |
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| 1,083 |
RULE-1806 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
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|
If the field is populated, the value must be contained in the set of valid values with id: OTHER-TPL-COLLECTION |
OTHER-TPL-COLLECTION |
CRX049 |
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| 1,084 |
RULE-1807 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
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If the field is populated, the value must be contained in the set of valid values with id: SERVICE-TRACKING-TYPE |
SERVICE-TRACKING-TYPE |
CRX050 |
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| 1,085 |
RULE-1808 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
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|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
SERVICE-TRACKING-PAYMENT-AMT |
CRX051 |
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|
|
| 1,086 |
RULE-1809 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
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|
|
|
'if !fns.isEqual(@val.SERVICE-TRACKING-TYPE, "00") && fns.isEqual(@val.TOT-MEDICAID-PAID-AMT, "0.00"), then fns.isGreaterThanZero(@val.SERVICE-TRACKING-PAYMENT-AMT)' |
SERVICE-TRACKING-TYPE,TOT-MEDICAID-PAID-AMT,SERVICE-TRACKING-PAYMENT-AMT |
CRX050,CRX041,CRX051 |
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|
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|
|
|
|
| 1,087 |
RULE-1810 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.isEqual(@val.SERVICE-TRACKING-TYPE, "00") && fns.isGreaterThanZero(@val.TOT-MEDICAID-PAID-AMT), then fns.isEqual(@val.SERVICE-TRACKING-PAYMENT-AMT, "0.00")' |
SERVICE-TRACKING-TYPE,TOT-MEDICAID-PAID-AMT,SERVICE-TRACKING-PAYMENT-AMT |
CRX050,CRX041,CRX051 |
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|
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|
|
|
|
|
|
|
|
|
|
|
|
| 1,088 |
RULE-1811 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
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|
|
If the field is populated, the value must be contained in the set of valid values with id: FIXED-PAYMENT-IND |
FIXED-PAYMENT-IND |
CRX052 |
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|
|
|
|
|
|
| 1,089 |
RULE-1812 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
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|
|
If the field is populated, the value must be contained in the set of valid values with id: FUNDING-CODE |
FUNDING-CODE |
CRX053 |
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|
|
|
|
| 1,090 |
RULE-1813 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
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|
|
If the field is populated, the value must be contained in the set of valid values with id: FUNDING-SOURCE-NONFEDERAL-SHARE |
FUNDING-SOURCE-NONFEDERAL-SHARE |
CRX054 |
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|
|
|
|
|
|
|
| 1,091 |
RULE-1814 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
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|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROGRAM-TYPE |
PROGRAM-TYPE |
CRX055 |
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|
|
| 1,092 |
RULE-1815 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
STATE-PLAN-OPTION-PARTICIPATION |
ELG00011 |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
'if fns.isEqual(@secondaryRecord.PROGRAM-TYPE, "13"), then fns.isEqual(@primaryRecord.STATE-PLAN-OPTION-TYPE, "02")' |
STATE-PLAN-OPTION-TYPE |
ELG163 |
PROGRAM-TYPE |
CRX055 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG160,ELG162 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CRX017,CRX022 |
|
|
|
|
|
|
|
|
| 1,093 |
RULE-1816 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.isEqual(@val.PROGRAM-TYPE, "07"), then fns.isEqualToAny(@val.WAIVER-TYPE, "06", "07", "08", "09", "10", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20")' |
PROGRAM-TYPE,WAIVER-TYPE |
CRX055,CRX068 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,094 |
RULE-1817 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.hasValue(@val.PLAN-ID-NUMBER), then fns.matches(@val.PLAN-ID-NUMBER, "^[^|*]*$")' |
PLAN-ID-NUMBER |
CRX056 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,095 |
RULE-1818 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if !fns.isEqualToAny(@val.TYPE-OF-CLAIM, "3", "C", "W"), then !fns.hasValue(@val.PLAN-ID-NUMBER)' |
TYPE-OF-CLAIM,PLAN-ID-NUMBER |
CRX029,CRX056 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,096 |
RULE-1819 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
'if fns.isEqualToAny(@secondaryRecord.TYPE-OF-SERVICE, "119", "120", "122"), then fns.isEqual(@primaryRecord.PLAN-ID-NUMBER, @primaryRecord.BILLING-PROV-NUM)' |
PLAN-ID-NUMBER,BILLING-PROV-NUM |
CRX056,CRX070 |
TYPE-OF-SERVICE |
CRX134 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CRX017,CRX019,CRX020,CRX027 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CRX109,CRX112,CRX113,CRX157 |
|
|
|
|
|
|
|
|
| 1,097 |
RULE-1820 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.hasValue(@val.NATIONAL-HEALTH-CARE-ENTITY-ID), then fns.matches(@val.NATIONAL-HEALTH-CARE-ENTITY-ID, "^[^|*]*$")' |
NATIONAL-HEALTH-CARE-ENTITY-ID |
CRX057 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,098 |
RULE-1821 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
FILE-HEADER-RECORD-RX |
CRX00001 |
|
|
'if fns.isGreaterThanOrEqual(@fileHeader.START-OF-TIME-PERIOD, "2015-11-05"), then fns.hasValue(@val.NATIONAL-HEALTH-CARE-ENTITY-ID)' |
NATIONAL-HEALTH-CARE-ENTITY-ID |
CRX057 |
START-OF-TIME-PERIOD |
CRX009 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,099 |
RULE-1822 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
'if fns.isEqualToAny(@secondaryRecord.TYPE-OF-CLAIM, "C", "3", "W"), then fns.isEqual(@secondaryRecord.NATIONAL-HEALTH-CARE-ENTITY-ID, @primaryRecord.NATIONAL-HEALTH-CARE-ENTITY-ID)' |
NATIONAL-HEALTH-CARE-ENTITY-ID |
ELG194 |
TYPE-OF-CLAIM,NATIONAL-HEALTH-CARE-ENTITY-ID |
CRX029,CRX057 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG189,ELG191 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CRX017,CRX022 |
|
|
|
|
|
|
|
|
| 1,100 |
RULE-1823 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PAYMENT-LEVEL-IND |
PAYMENT-LEVEL-IND |
CRX058 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,101 |
RULE-1824 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: MEDICARE-REIM-TYPE |
MEDICARE-REIM-TYPE |
CRX059 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,102 |
RULE-1826 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to Many) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
'if fns.hasValue(@primaryRecord.CLAIM-LINE-COUNT), then fns.isValueEqualToNumberOfRecords(@primaryRecord.CLAIM-LINE-COUNT, @secondaryRecords.LINE-NUM-ORIG)' |
CLAIM-LINE-COUNT |
CRX060 |
LINE-NUM-ORIG |
CRX114 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CRX017,CRX019,CRX020,CRX027 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CRX109,CRX112,CRX113,CRX157 |
|
|
|
|
|
|
|
|
| 1,103 |
RULE-1827 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: FORCED-CLAIM-IND |
FORCED-CLAIM-IND |
CRX061 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,104 |
RULE-1828 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.hasValue(@val.PATIENT-CONTROL-NUM), then fns.matches(@val.PATIENT-CONTROL-NUM, "^[^|*]*$")' |
PATIENT-CONTROL-NUM |
CRX062 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,105 |
RULE-1829 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.hasValue(@val.ELIGIBLE-LAST-NAME), then fns.matches(@val.ELIGIBLE-LAST-NAME, "^[^|*]*$")' |
ELIGIBLE-LAST-NAME |
CRX063 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,106 |
RULE-1830 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.hasValue(@val.ELIGIBLE-FIRST-NAME), then fns.matches(@val.ELIGIBLE-FIRST-NAME, "^[^|*]*$")' |
ELIGIBLE-FIRST-NAME |
CRX064 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,107 |
RULE-1831 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.hasValue(@val.ELIGIBLE-MIDDLE-INIT), then fns.matches(@val.ELIGIBLE-MIDDLE-INIT, "^[^|*]*$")' |
ELIGIBLE-MIDDLE-INIT |
CRX065 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,108 |
RULE-1832 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
DATE-OF-BIRTH |
CRX066 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,109 |
RULE-1834 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Three Record Type Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
'if fns.hasValue(@secondaryRecord.CONCEPTION-TO-BIRTH-IND) && !fns.isEqual(@secondaryRecord.CONCEPTION-TO-BIRTH-IND, "1") && fns.hasValue(@secondaryRecord.ELIGIBILITY-GROUP) && !fns.isEqual(@secondaryRecord.ELIGIBILITY-GROUP, "64") && fns.hasValue(@primaryRecord.DATE-OF-BIRTH) && fns.hasValue(@tertiaryRecord.DATE-OF-DEATH), then fns.isLessThanOrEqual(@primaryRecord.DATE-OF-BIRTH, @tertiaryRecord.DATE-OF-DEATH)' |
DATE-OF-BIRTH |
CRX066 |
CONCEPTION-TO-BIRTH-IND,ELIGIBILITY-GROUP |
ELG094,ELG087 |
DATE-OF-DEATH |
ELG025 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CRX017,CRX022 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG080,ELG082 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CRX017,CRX022 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
|
|
|
|
| 1,110 |
RULE-1835 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Three Record Type Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
'if fns.hasValue(@secondaryRecord.CONCEPTION-TO-BIRTH-IND) && !fns.isEqual(@secondaryRecord.CONCEPTION-TO-BIRTH-IND, "1") && fns.hasValue(@secondaryRecord.ELIGIBILITY-GROUP) && !fns.isEqual(@secondaryRecord.ELIGIBILITY-GROUP, "64") && fns.hasValue(@primaryRecord.DATE-OF-BIRTH) && fns.hasValue(@tertiaryRecord.DATE-OF-BIRTH), then fns.isEqual(@primaryRecord.DATE-OF-BIRTH, @tertiaryRecord.DATE-OF-BIRTH)' |
DATE-OF-BIRTH |
CRX066 |
CONCEPTION-TO-BIRTH-IND,ELIGIBILITY-GROUP |
ELG094,ELG087 |
DATE-OF-BIRTH |
ELG024 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CRX017,CRX022 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG080,ELG082 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CRX017,CRX022 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
|
|
|
|
| 1,111 |
RULE-1836 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: HEALTH-HOME-PROV-IND |
HEALTH-HOME-PROV-IND |
CRX067 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,112 |
RULE-1837 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.hasValue(@val.HEALTH-HOME-ENTITY-NAME), then fns.isEqual(@val.HEALTH-HOME-PROV-IND, "1")' |
HEALTH-HOME-ENTITY-NAME,HEALTH-HOME-PROV-IND |
CRX096,CRX067 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,113 |
RULE-1838 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: WAIVER-TYPE |
WAIVER-TYPE |
CRX068 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,114 |
RULE-1839 |
1.1 |
Value Error |
E1104 |
Value not valid for state-supplied format (format or valid values) |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: WAIVER-ID |
WAIVER-ID |
CRX069 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,115 |
RULE-1840 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if and only if fns.hasValue(@val.WAIVER-TYPE), then fns.hasValue(@val.WAIVER-ID)' |
WAIVER-TYPE,WAIVER-ID |
CRX068,CRX069 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,116 |
RULE-1845 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PROV-IDENTIFIERS |
PRV00005 |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
For every record of type CLAIM-HEADER-RECORD-RX, if fns.hasValue(@secondaryRecord.BILLING-PROV-NUM) && !fns.isEqualToAny(@secondaryRecord.TYPE-OF-CLAIM, "3", "C", "W"), there must be a valid record of type PROV-IDENTIFIERS that matches on the join keys, where fns.isEqual(@primaryRecord.PROV-IDENTIFIER-TYPE, "1") |
PROV-IDENTIFIER-TYPE |
PRV077 |
BILLING-PROV-NUM,TYPE-OF-CLAIM |
CRX070,CRX029 |
|
|
SUBMITTING-STATE,PROV-IDENTIFIER |
PRV073,PRV081 |
SUBMITTING-STATE,BILLING-PROV-NUM |
CRX017,CRX070 |
|
|
|
|
|
|
|
|
| 1,117 |
RULE-1846 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.hasValue(@val.BILLING-PROV-NPI-NUM), then fns.isValidNPI(@val.BILLING-PROV-NPI-NUM)' |
BILLING-PROV-NPI-NUM |
CRX071 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,118 |
RULE-1848 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PROV-IDENTIFIERS |
PRV00005 |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
For every record of type CLAIM-HEADER-RECORD-RX, if fns.hasValue(@secondaryRecord.BILLING-PROV-NPI-NUM) && !fns.isEqualToAny(@secondaryRecord.TYPE-OF-CLAIM, "3", "C", "W"), there must be a valid record of type PROV-IDENTIFIERS that matches on the join keys, where fns.isEqual(@primaryRecord.PROV-IDENTIFIER-TYPE, "2") |
PROV-IDENTIFIER-TYPE |
PRV077 |
BILLING-PROV-NPI-NUM,TYPE-OF-CLAIM |
CRX071,CRX029 |
|
|
SUBMITTING-STATE,PROV-IDENTIFIER |
PRV073,PRV081 |
SUBMITTING-STATE,BILLING-PROV-NPI-NUM |
CRX017,CRX071 |
|
|
|
|
|
|
|
|
| 1,119 |
RULE-1849 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TAXONOMY |
BILLING-PROV-TAXONOMY |
CRX072 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,120 |
RULE-1850 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-SPECIALTY |
BILLING-PROV-SPECIALTY |
CRX073 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,121 |
RULE-1852 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.hasValue(@val.PRESCRIBING-PROV-NPI-NUM), then fns.isValidNPI(@val.PRESCRIBING-PROV-NPI-NUM)' |
PRESCRIBING-PROV-NPI-NUM |
CRX075 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,122 |
RULE-1854 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TAXONOMY |
PRESCRIBING-PROV-TAXONOMY |
CRX076 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,123 |
RULE-1855 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TYPE |
PRESCRIBING-PROV-TYPE |
CRX077 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,124 |
RULE-1856 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-SPECIALTY |
PRESCRIBING-PROV-SPECIALTY |
CRX078 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,125 |
RULE-1857 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.hasValue(@val.MEDICARE-HIC-NUM), then fns.matches(@val.MEDICARE-HIC-NUM, "^[^|*]*$")' |
MEDICARE-HIC-NUM |
CRX079 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,126 |
RULE-1858 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.isEqual(@val.CROSSOVER-INDICATOR, "1") && !fns.hasValue(@val.MEDICARE-BENEFICIARY-IDENTIFIER), then fns.hasValue(@val.MEDICARE-HIC-NUM)' |
CROSSOVER-INDICATOR,MEDICARE-BENEFICIARY-IDENTIFIER,MEDICARE-HIC-NUM |
CRX023,CRX105,CRX079 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,127 |
RULE-1859 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.hasValue(@val.REMITTANCE-NUM), then fns.matches(@val.REMITTANCE-NUM, "^[^|*]*$")' |
REMITTANCE-NUM |
CRX081 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,128 |
RULE-1860 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: BORDER-STATE-IND |
BORDER-STATE-IND |
CRX082 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,129 |
RULE-1861 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
DATE-PRESCRIBED |
CRX084 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,130 |
RULE-1863 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.hasValue(@val.DATE-PRESCRIBED) && fns.hasValue(@val.PRESCRIPTION-FILL-DATE), then fns.isLessThanOrEqual(@val.DATE-PRESCRIBED, @val.PRESCRIPTION-FILL-DATE)' |
DATE-PRESCRIBED,PRESCRIPTION-FILL-DATE |
CRX084,CRX085 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,131 |
RULE-1864 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.hasValue(@val.DATE-PRESCRIBED) && fns.hasValue(@val.ADJUDICATION-DATE), then fns.isLessThanOrEqual(@val.DATE-PRESCRIBED, @val.ADJUDICATION-DATE)' |
DATE-PRESCRIBED,ADJUDICATION-DATE |
CRX084,CRX027 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,132 |
RULE-1865 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.DATE-PRESCRIBED), then fns.isLessThanOrEqual(@secondaryRecord.DATE-PRESCRIBED, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
DATE-PRESCRIBED |
CRX084 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CRX017,CRX022 |
|
|
|
|
|
|
|
|
| 1,133 |
RULE-1866 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
FILE-HEADER-RECORD-RX |
CRX00001 |
|
|
'if fns.hasValue(@val.DATE-PRESCRIBED) && fns.hasValue(@fileHeader.END-OF-TIME-PERIOD), then fns.isLessThanOrEqual(@val.DATE-PRESCRIBED, @fileHeader.END-OF-TIME-PERIOD)' |
DATE-PRESCRIBED |
CRX084 |
END-OF-TIME-PERIOD |
CRX010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,134 |
RULE-1867 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
PRESCRIPTION-FILL-DATE |
CRX085 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,135 |
RULE-1869 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
FILE-HEADER-RECORD-RX |
CRX00001 |
|
|
'if fns.hasValue(@val.PRESCRIPTION-FILL-DATE) && fns.hasValue(@fileHeader.END-OF-TIME-PERIOD), then fns.isLessThanOrEqual(@val.PRESCRIPTION-FILL-DATE, @fileHeader.END-OF-TIME-PERIOD)' |
PRESCRIPTION-FILL-DATE |
CRX085 |
END-OF-TIME-PERIOD |
CRX010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,136 |
RULE-1871 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.PRESCRIPTION-FILL-DATE), then fns.isLessThanOrEqual(@secondaryRecord.PRESCRIPTION-FILL-DATE, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
PRESCRIPTION-FILL-DATE |
CRX085 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CRX017,CRX022 |
|
|
|
|
|
|
|
|
| 1,137 |
RULE-1872 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: COMPOUND-DRUG-IND |
COMPOUND-DRUG-IND |
CRX086 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,138 |
RULE-1873 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
BENEFICIARY-COINSURANCE-AMOUNT |
CRX087 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,139 |
RULE-1875 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
BENEFICIARY-COINSURANCE-DATE-PAID |
CRX088 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,140 |
RULE-1876 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
BENEFICIARY-COPAYMENT-AMOUNT |
CRX089 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,141 |
RULE-1877 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
BENEFICIARY-COPAYMENT-DATE-PAID |
CRX090 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,142 |
RULE-1879 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
BENEFICIARY-DEDUCTIBLE-DATE-PAID |
CRX093 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,143 |
RULE-1881 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-DENIED-INDICATOR |
CLAIM-DENIED-INDICATOR |
CRX094 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,144 |
RULE-1882 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.isEqual(@val.TYPE-OF-CLAIM, "Z"), then fns.isEqual(@val.CLAIM-DENIED-INDICATOR, "0")' |
TYPE-OF-CLAIM,CLAIM-DENIED-INDICATOR |
CRX029,CRX094 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,145 |
RULE-1883 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: COPAY-WAIVED-IND |
COPAY-WAIVED-IND |
CRX095 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,146 |
RULE-1884 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.hasValue(@val.HEALTH-HOME-ENTITY-NAME), then fns.matches(@val.HEALTH-HOME-ENTITY-NAME, "^[^|*]*$")' |
HEALTH-HOME-ENTITY-NAME |
CRX096 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,147 |
RULE-1885 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
THIRD-PARTY-COINSURANCE-AMOUNT-PAID |
CRX098 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,148 |
RULE-1887 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
THIRD-PARTY-COINSURANCE-DATE-PAID |
CRX099 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,149 |
RULE-1889 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
THIRD-PARTY-COPAYMENT-DATE-PAID |
CRX101 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,150 |
RULE-1891 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.hasValue(@val.DISPENSING-PRESCRIPTION-DRUG-PROV-NPI), then fns.isValidNPI(@val.DISPENSING-PRESCRIPTION-DRUG-PROV-NPI)' |
DISPENSING-PRESCRIPTION-DRUG-PROV-NPI |
CRX102 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,151 |
RULE-1893 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PROV-IDENTIFIERS |
PRV00005 |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
For every record of type CLAIM-HEADER-RECORD-RX, if fns.hasValue(@secondaryRecord.DISPENSING-PRESCRIPTION-DRUG-PROV-NPI) && !fns.isEqualToAny(@secondaryRecord.DISPENSING-PRESCRIPTION-DRUG-PROV-NPI,"3", "C", "W"), there must be a valid record of type PROV-IDENTIFIERS that matches on the join keys, where fns.isEqual(@primaryRecord.PROV-IDENTIFIER-TYPE, "2") |
PROV-IDENTIFIER-TYPE |
PRV077 |
DISPENSING-PRESCRIPTION-DRUG-PROV-NPI |
CRX102 |
|
|
SUBMITTING-STATE,PROV-IDENTIFIER |
PRV073,PRV081 |
SUBMITTING-STATE,DISPENSING-PRESCRIPTION-DRUG-PROV-NPI |
CRX017,CRX102 |
|
|
|
|
|
|
|
|
| 1,152 |
RULE-1894 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-TAXONOMY |
DISPENSING-PRESCRIPTION-DRUG-PROV-TAXONOMY |
CRX103 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,153 |
RULE-1895 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.hasValue(@val.HEALTH-HOME-PROVIDER-NPI), then fns.isValidNPI(@val.HEALTH-HOME-PROVIDER-NPI)' |
HEALTH-HOME-PROVIDER-NPI |
CRX104 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,154 |
RULE-1897 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.hasValue(@val.MEDICARE-BENEFICIARY-IDENTIFIER), then fns.matches(@val.MEDICARE-BENEFICIARY-IDENTIFIER, "^[^|*]*$")' |
MEDICARE-BENEFICIARY-IDENTIFIER |
CRX105 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,155 |
RULE-1898 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
FILE-HEADER-RECORD-RX |
CRX00001 |
|
|
'if fns.isGreaterThanOrEqual(@fileHeader.END-OF-TIME-PERIOD, "2015-11-10") && fns.isEqual(@val.CROSSOVER-INDICATOR, "1") && !fns.hasValue(@val.MEDICARE-HIC-NUM), then fns.hasValue(@val.MEDICARE-BENEFICIARY-IDENTIFIER)' |
CROSSOVER-INDICATOR,MEDICARE-HIC-NUM,MEDICARE-BENEFICIARY-IDENTIFIER |
CRX023,CRX079,CRX105 |
END-OF-TIME-PERIOD |
CRX010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,156 |
RULE-1899 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
CRX106 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,157 |
RULE-1902 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
CRX109 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,158 |
RULE-1903 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-LINE-RECORD-RX |
CRX00003 |
FILE-HEADER-RECORD-RX |
CRX00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
CRX109 |
SUBMITTING-STATE |
CRX007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,159 |
RULE-1905 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type CLAIM-LINE-RECORD-RX |
RECORD-NUMBER |
CRX110 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,160 |
RULE-1908 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
'if fns.isEqualToAny(@primaryRecord.TYPE-OF-CLAIM, "4", "D", "X"), then fns.matches(@secondaryRecord.MSIS-IDENTIFICATION-NUM, "^&.*$")' |
TYPE-OF-CLAIM |
CRX029 |
MSIS-IDENTIFICATION-NUM |
CRX111 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CRX017,CRX019,CRX020,CRX027 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CRX109,CRX112,CRX113,CRX157 |
|
|
|
|
|
|
|
|
| 1,161 |
RULE-1909 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
record CLAIM-LINE-RECORD-RX has corresponding parent record CLAIM-HEADER-RECORD-RX |
|
|
|
|
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CRX017,CRX019,CRX020,CRX027 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CRX109,CRX112,CRX113,CRX157 |
|
|
|
|
|
|
|
|
| 1,162 |
RULE-1910 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
'if fns.hasValue(@val.ICN-ORIG), then fns.matches(@val.ICN-ORIG, "^[^|*]*$")' |
ICN-ORIG |
CRX112 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,163 |
RULE-1911 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
'if fns.hasValue(@val.ICN-ADJ), then fns.matches(@val.ICN-ADJ, "^[^|*]*$")' |
ICN-ADJ |
CRX113 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,164 |
RULE-1912 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
'if fns.hasValue(@val.LINE-NUM-ORIG), then fns.isNonNegative(@val.LINE-NUM-ORIG)' |
LINE-NUM-ORIG |
CRX114 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,165 |
RULE-1913 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
'if fns.hasValue(@val.LINE-NUM-ADJ), then fns.isNonNegative(@val.LINE-NUM-ADJ)' |
LINE-NUM-ADJ |
CRX115 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,166 |
RULE-1914 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
'if fns.isEqual(@val.LINE-ADJUSTMENT-IND, "0"), then !fns.hasValue(@val.LINE-NUM-ADJ)' |
LINE-ADJUSTMENT-IND,LINE-NUM-ADJ |
CRX116,CRX115 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,167 |
RULE-1915 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
'if fns.isEqual(@primaryRecord.ADJUSTMENT-IND, "0"), then !fns.hasValue(@secondaryRecord.LINE-NUM-ADJ)' |
ADJUSTMENT-IND |
CRX025 |
LINE-NUM-ADJ |
CRX115 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CRX017,CRX019,CRX020,CRX027 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CRX109,CRX112,CRX113,CRX157 |
|
|
|
|
|
|
|
|
| 1,168 |
RULE-1916 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: LINE-ADJUSTMENT-IND |
LINE-ADJUSTMENT-IND |
CRX116 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,169 |
RULE-1917 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
'if fns.hasValue(@val.LINE-NUM-ADJ), then fns.hasValue(@val.LINE-ADJUSTMENT-IND)' |
LINE-NUM-ADJ,LINE-ADJUSTMENT-IND |
CRX115,CRX116 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,170 |
RULE-1918 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: ADJUSTMENT-REASON-CODE |
LINE-ADJUSTMENT-REASON-CODE |
CRX117 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,171 |
RULE-1920 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CLAIM-STATUS |
CLAIM-LINE-STATUS |
CRX119 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,172 |
RULE-1921 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
'if fns.hasValue(@val.NATIONAL-DRUG-CODE), then fns.isValidNationalDrugCode(@val.NATIONAL-DRUG-CODE)' |
NATIONAL-DRUG-CODE |
CRX120 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,173 |
RULE-1924 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
BILLED-AMT |
CRX121 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,174 |
RULE-1925 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
ALLOWED-AMT |
CRX122 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,175 |
RULE-1926 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(5)V99 |
COPAY-AMT |
CRX123 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,176 |
RULE-1927 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
TPL-AMT |
CRX124 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,177 |
RULE-1928 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
MEDICAID-PAID-AMT |
CRX125 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,178 |
RULE-1929 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
MEDICAID-FFS-EQUIVALENT-AMT |
CRX126 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,179 |
RULE-1930 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
'if fns.isEqualToAny(@primaryRecord.TYPE-OF-CLAIM, "C", "3", "W"), then fns.hasValue(@secondaryRecord.MEDICAID-FFS-EQUIVALENT-AMT)' |
TYPE-OF-CLAIM |
CRX029 |
MEDICAID-FFS-EQUIVALENT-AMT |
CRX126 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CRX017,CRX019,CRX020,CRX027 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CRX109,CRX112,CRX113,CRX157 |
|
|
|
|
|
|
|
|
| 1,180 |
RULE-1931 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
MEDICARE-DEDUCTIBLE-AMT |
CRX127 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,181 |
RULE-1932 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
MEDICARE-COINS-AMT |
CRX128 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,182 |
RULE-1933 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
MEDICARE-PAID-AMT |
CRX129 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,183 |
RULE-1934 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(6)V999 |
OT-RX-CLAIM-QUANTITY-ALLOWED |
CRX131 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,184 |
RULE-1935 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(6)V999 |
OT-RX-CLAIM-QUANTITY-ACTUAL |
CRX132 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,185 |
RULE-1936 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: UNIT-OF-MEASURE |
UNIT-OF-MEASURE |
CRX133 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,186 |
RULE-1937 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: TYPE-OF-SERVICE |
TYPE-OF-SERVICE |
CRX134 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,187 |
RULE-1938 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
'fns.isEqualToAny(@val.TYPE-OF-SERVICE, "011", "033", "034", "085", "131")' |
TYPE-OF-SERVICE |
CRX134 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,188 |
RULE-1939 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
'if fns.isEqual(@primaryRecord.SEX, "M"), then !fns.isEqual(@secondaryRecord.TYPE-OF-SERVICE, "086")' |
SEX |
ELG023 |
TYPE-OF-SERVICE |
CRX134 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CRX109,CRX111 |
|
|
|
|
|
|
|
|
| 1,189 |
RULE-1940 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: HCBS-SERVICE-CODE |
HCBS-SERVICE-CODE |
CRX135 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,190 |
RULE-1941 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: HCBS-TAXONOMY |
HCBS-TAXONOMY |
CRX136 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,191 |
RULE-1942 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OTHER-TPL-COLLECTION |
OTHER-TPL-COLLECTION |
CRX137 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,192 |
RULE-1943 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
'if fns.hasValue(@val.DAYS-SUPPLY), then fns.inRange(@val.DAYS-SUPPLY, -365,365)' |
DAYS-SUPPLY |
CRX138 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,193 |
RULE-1944 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: NEW-REFILL-IND |
NEW-REFILL-IND |
CRX139 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,194 |
RULE-1945 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: BRAND-GENERIC-IND |
BRAND-GENERIC-IND |
CRX140 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,195 |
RULE-1946 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(6)V99 |
DISPENSE-FEE |
CRX141 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,196 |
RULE-1947 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
'if fns.hasValue(@val.PRESCRIPTION-NUM), then fns.matches(@val.PRESCRIPTION-NUM, "^[^|*]*$")' |
PRESCRIPTION-NUM |
CRX142 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,197 |
RULE-1948 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DRUG-UTILIZATION-CODE |
DRUG-UTILIZATION-CODE |
CRX143 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,198 |
RULE-1949 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: S9(7)V999 |
DTL-METRIC-DEC-QTY |
CRX144 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,199 |
RULE-1950 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: COMPOUND-DOSAGE-FORM |
COMPOUND-DOSAGE-FORM |
CRX145 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,200 |
RULE-1951 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: REBATE-ELIGIBLE-INDICATOR |
REBATE-ELIGIBLE-INDICATOR |
CRX146 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,201 |
RULE-1952 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: IMMUNIZATION-TYPE |
IMMUNIZATION-TYPE |
CRX147 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,202 |
RULE-1953 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: BENEFIT-TYPE |
BENEFIT-TYPE |
CRX148 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,203 |
RULE-1954 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT |
CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT |
CRX149 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,204 |
RULE-1955 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
'if fns.isEqualToAny(@primaryRecord.CHIP-CODE, "0", "1", "2"), then !fns.isEqual(@secondaryRecord.CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT, "02")' |
CHIP-CODE |
ELG054 |
CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT |
CRX149 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG031,ELG033 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CRX109,CRX111 |
|
|
|
|
|
|
|
|
| 1,205 |
RULE-1956 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
'if fns.isEqual(@primaryRecord.MEDICAID-BASIS-OF-ELIGIBILITY, "00"), then !fns.isEqual(@secondaryRecord.CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT, "01")' |
MEDICAID-BASIS-OF-ELIGIBILITY |
ELG084 |
CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT |
CRX149 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG080,ELG082 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CRX109,CRX111 |
|
|
|
|
|
|
|
|
| 1,206 |
RULE-1957 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: XIX-MBESCBES-CATEGORY-OF-SERVICE |
XIX-MBESCBES-CATEGORY-OF-SERVICE |
CRX150 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,207 |
RULE-1958 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
'if fns.isEqual(@primaryRecord.SEX, "M"), then !fns.isEqualToAny(@secondaryRecord.XIX-MBESCBES-CATEGORY-OF-SERVICE, "14", "35", "42", "44")' |
SEX |
ELG023 |
XIX-MBESCBES-CATEGORY-OF-SERVICE |
CRX150 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
CRX109,CRX111 |
|
|
|
|
|
|
|
|
| 1,208 |
RULE-1959 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: XXI-MBESCBES-CATEGORY-OF-SERVICE |
XXI-MBESCBES-CATEGORY-OF-SERVICE |
CRX151 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,209 |
RULE-1960 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
OTHER-INSURANCE-AMT |
CRX152 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,210 |
RULE-1961 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
CRX153 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,211 |
RULE-1964 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PROV-IDENTIFIERS |
PRV00005 |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
For every record of type CLAIM-HEADER-RECORD-RX, if fns.hasValue(@secondaryRecord.DISPENSING-PRESCRIPTION-DRUG-PROV-NUM) && !fns.isEqualToAny(@secondaryRecord.TYPE-OF-CLAIM, "3", "C", "W"), there must be a valid record of type PROV-IDENTIFIERS that matches on the join keys, where fns.isEqual(@primaryRecord.PROV-IDENTIFIER-TYPE, "1") |
PROV-IDENTIFIER-TYPE |
PRV077 |
DISPENSING-PRESCRIPTION-DRUG-PROV-NUM,TYPE-OF-CLAIM |
CRX156,CRX029 |
|
|
SUBMITTING-STATE,PROV-IDENTIFIER |
PRV073,PRV081 |
SUBMITTING-STATE,DISPENSING-PRESCRIPTION-DRUG-PROV-NUM |
CRX017,CRX156 |
|
|
|
|
|
|
|
|
| 1,212 |
RULE-1965 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
ADJUDICATION-DATE |
CRX157 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,213 |
RULE-1967 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-LINE-RECORD-RX |
CRX00003 |
FILE-HEADER-RECORD-RX |
CRX00001 |
|
|
'if fns.hasValue(@val.ADJUDICATION-DATE) && fns.hasValue(@fileHeader.END-OF-TIME-PERIOD), then fns.isLessThanOrEqual(@val.ADJUDICATION-DATE, @fileHeader.END-OF-TIME-PERIOD)' |
ADJUDICATION-DATE |
CRX157 |
END-OF-TIME-PERIOD |
CRX010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,214 |
RULE-1968 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: SELF-DIRECTION-TYPE |
SELF-DIRECTION-TYPE |
CRX158 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,215 |
RULE-1969 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
'if fns.hasValue(@val.PRE-AUTHORIZATION-NUM), then fns.matches(@val.PRE-AUTHORIZATION-NUM, "^[^|*]*$")' |
PRE-AUTHORIZATION-NUM |
CRX159 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,216 |
RULE-1970 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: MEDICARE-COMB-DED-IND |
MEDICARE-COMB-DED-IND |
CRX160 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,217 |
RULE-1971 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.isEqual(@val.CROSSOVER-INDICATOR, "0") || fns.isEqualToAny(@val.TYPE-OF-CLAIM, "3", "C", "W"), then fns.isEqual(@val.MEDICARE-COMB-DED-IND, "0")' |
CROSSOVER-INDICATOR,TYPE-OF-CLAIM,MEDICARE-COMB-DED-IND |
CRX023,CRX029,CRX160 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,218 |
RULE-1972 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
'if fns.hasValue(@val.PROV-LOCATION-ID), then fns.matches(@val.PROV-LOCATION-ID, "^[^|*]*$")' |
PROV-LOCATION-ID |
CRX161 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,219 |
RULE-1982 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
DATE-FILE-CREATED |
ELG008 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,220 |
RULE-1986 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
START-OF-TIME-PERIOD |
ELG009 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,221 |
RULE-1991 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
END-OF-TIME-PERIOD |
ELG010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,222 |
RULE-1997 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
TOT-REC-CNT |
ELG013 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,223 |
RULE-2003 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
ELG017 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,224 |
RULE-2004 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
ELG017 |
SUBMITTING-STATE |
ELG007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,225 |
RULE-2006 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
RECORD-NUMBER |
ELG018 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,226 |
RULE-2009 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
|
|
|
|
'if fns.hasValue(@val.ELIGIBLE-FIRST-NAME), then fns.matches(@val.ELIGIBLE-FIRST-NAME, "^[^|*]*$")' |
ELIGIBLE-FIRST-NAME |
ELG020 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,227 |
RULE-2010 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
|
|
|
|
'if fns.hasValue(@val.ELIGIBLE-LAST-NAME), then fns.matches(@val.ELIGIBLE-LAST-NAME, "^[^|*]*$")' |
ELIGIBLE-LAST-NAME |
ELG021 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,228 |
RULE-2011 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
|
|
|
|
'if fns.hasValue(@val.ELIGIBLE-MIDDLE-INIT), then fns.matches(@val.ELIGIBLE-MIDDLE-INIT, "^[^|*]*$")' |
ELIGIBLE-MIDDLE-INIT |
ELG022 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,229 |
RULE-2012 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: SEX |
SEX |
ELG023 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,230 |
RULE-2013 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
'if fns.isEqual(@secondaryRecord.PREGNANCY-IND, "1"), then fns.isEqual(@primaryRecord.SEX, "F")' |
SEX |
ELG023 |
PREGNANCY-IND |
ELG049 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG031,ELG033 |
|
|
|
|
|
|
|
|
| 1,231 |
RULE-2014 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
DATE-OF-BIRTH |
ELG024 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,232 |
RULE-2016 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Three Record Type Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
'if !fns.isEqual(@secondaryRecord.CONCEPTION-TO-BIRTH-IND, "1") && !fns.isEqual(@secondaryRecord.ELIGIBILITY-GROUP, "64"), then fns.isLessThanOrEqual(@primaryRecord.DATE-OF-BIRTH, @fileHeader.END-OF-TIME-PERIOD)' |
DATE-OF-BIRTH |
ELG024 |
CONCEPTION-TO-BIRTH-IND,ELIGIBILITY-GROUP |
ELG094,ELG087 |
END-OF-TIME-PERIOD |
ELG010 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG080,ELG082 |
|
|
|
|
|
|
|
|
| 1,233 |
RULE-2017 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Three Record Type Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
'if !fns.isEqual(@secondaryRecord.CONCEPTION-TO-BIRTH-IND, "1") && !fns.isEqual(@secondaryRecord.ELIGIBILITY-GROUP, "64"), then fns.isDifferenceInYearsLessThanOrEqual(@primaryRecord.DATE-OF-BIRTH, @fileHeader.START-OF-TIME-PERIOD, 125)' |
DATE-OF-BIRTH |
ELG024 |
CONCEPTION-TO-BIRTH-IND,ELIGIBILITY-GROUP |
ELG094,ELG087 |
START-OF-TIME-PERIOD |
ELG009 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG080,ELG082 |
|
|
|
|
|
|
|
|
| 1,234 |
RULE-2018 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
DATE-OF-DEATH |
ELG025 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,235 |
RULE-2020 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
|
|
|
|
'if fns.hasValue(@val.DATE-OF-DEATH) && fns.hasValue(@val.DATE-OF-BIRTH), then fns.isDifferenceInYearsLessThanOrEqual(@val.DATE-OF-BIRTH, @val.DATE-OF-DEATH, 125)' |
DATE-OF-DEATH,DATE-OF-BIRTH |
ELG025,ELG024 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,236 |
RULE-2021 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
'if fns.hasValue(@val.DATE-OF-DEATH) && fns.hasValue(@fileHeader.END-OF-TIME-PERIOD), then fns.isLessThanOrEqual(@val.DATE-OF-DEATH, @fileHeader.END-OF-TIME-PERIOD)' |
DATE-OF-DEATH |
ELG025 |
END-OF-TIME-PERIOD |
ELG010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,237 |
RULE-2022 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Three Record Type Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && !fns.hasValue(@secondaryRecord.STATE-SPEC-ELIG-GROUP) && fns.hasValue(@fileHeader.START-OF-TIME-PERIOD), then fns.isLessThanOrEqual(@fileHeader.START-OF-TIME-PERIOD, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
STATE-SPEC-ELIG-GROUP |
ELG093 |
START-OF-TIME-PERIOD |
ELG009 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG080,ELG082 |
|
|
|
|
|
|
|
|
| 1,238 |
RULE-2023 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Three Record Type Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.isEqualToAny(@secondaryRecord.MAINTENANCE-ASSISTANCE-STATUS, "1", "2", "3", "4", "5"), then fns.isLessThanOrEqual(@fileHeader.START-OF-TIME-PERIOD, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
MAINTENANCE-ASSISTANCE-STATUS |
ELG096 |
START-OF-TIME-PERIOD |
ELG009 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG080,ELG082 |
|
|
|
|
|
|
|
|
| 1,239 |
RULE-2025 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
PRIMARY-DEMOGRAPHIC-ELEMENT-EFF-DATE |
ELG026 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,240 |
RULE-2027 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
|
|
|
|
'if fns.hasValue(@val.PRIMARY-DEMOGRAPHIC-ELEMENT-EFF-DATE) && fns.hasValue(@val.PRIMARY-DEMOGRAPHIC-ELEMENT-END-DATE), then fns.isLessThanOrEqual(@val.PRIMARY-DEMOGRAPHIC-ELEMENT-EFF-DATE, @val.PRIMARY-DEMOGRAPHIC-ELEMENT-END-DATE)' |
PRIMARY-DEMOGRAPHIC-ELEMENT-EFF-DATE,PRIMARY-DEMOGRAPHIC-ELEMENT-END-DATE |
ELG026,ELG027 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,241 |
RULE-2028 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: PRIMARY-DEMOGRAPHIC-ELEMENT-EFF-DATE. End date field: PRIMARY-DEMOGRAPHIC-ELEMENT-END-DATE |
PRIMARY-DEMOGRAPHIC-ELEMENT-EFF-DATE,PRIMARY-DEMOGRAPHIC-ELEMENT-END-DATE |
ELG026,ELG027 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,242 |
RULE-2030 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
PRIMARY-DEMOGRAPHIC-ELEMENT-END-DATE |
ELG027 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,243 |
RULE-2033 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
ELG028 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,244 |
RULE-2036 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
ELG031 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,245 |
RULE-2037 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
ELG031 |
SUBMITTING-STATE |
ELG007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,246 |
RULE-2038 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
RECORD-NUMBER |
ELG032 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,247 |
RULE-2039 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
record VARIABLE-DEMOGRAPHICS-ELIGIBILITY has corresponding parent record PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
|
|
|
|
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG031,ELG033 |
|
|
|
|
|
|
|
|
| 1,248 |
RULE-2040 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
'if fns.isDifferenceInYearsLessThanOrEqual(@primaryRecord.DATE-OF-BIRTH, @secondaryRecord.VARIABLE-DEMOGRAPHIC-ELEMENT-EFF-DATE, 12), then fns.isEqual(@secondaryRecord.MARITAL-STATUS, "13") || !fns.hasValue(@secondaryRecord.MARITAL-STATUS)' |
DATE-OF-BIRTH |
ELG024 |
VARIABLE-DEMOGRAPHIC-ELEMENT-EFF-DATE,MARITAL-STATUS |
ELG057,ELG034 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG031,ELG033 |
|
|
|
|
|
|
|
|
| 1,249 |
RULE-2041 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
'if fns.isEqual(@val.MARITAL-STATUS, "14"), then fns.hasValue(@val.MARITAL-STATUS-OTHER-EXPLANATION)' |
MARITAL-STATUS,MARITAL-STATUS-OTHER-EXPLANATION |
ELG034,ELG035 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,250 |
RULE-2043 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: SSN-VERIFICATION-FLAG |
SSN-VERIFICATION-FLAG |
ELG037 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,251 |
RULE-2044 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: INCOME-CODE |
INCOME-CODE |
ELG038 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,252 |
RULE-2045 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: VETERAN-IND |
VETERAN-IND |
ELG039 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,253 |
RULE-2046 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
'if fns.isDifferenceInYearsLessThanOrEqual(@primaryRecord.DATE-OF-BIRTH, @secondaryRecord.VARIABLE-DEMOGRAPHIC-ELEMENT-EFF-DATE, 17), then fns.isEqual(@secondaryRecord.VETERAN-IND, "0") || !fns.hasValue(@secondaryRecord.VETERAN-IND)' |
DATE-OF-BIRTH |
ELG024 |
VARIABLE-DEMOGRAPHIC-ELEMENT-EFF-DATE,VETERAN-IND |
ELG057,ELG039 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG031,ELG033 |
|
|
|
|
|
|
|
|
| 1,254 |
RULE-2047 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CITIZENSHIP-IND |
CITIZENSHIP-IND |
ELG040 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,255 |
RULE-2048 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
'if fns.isEqualToAny(@val.IMMIGRATION-STATUS, "1", "2", "3"), then fns.isEqual(@val.CITIZENSHIP-IND, "0")' |
IMMIGRATION-STATUS,CITIZENSHIP-IND |
ELG042,ELG040 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,256 |
RULE-2049 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CITIZENSHIP-VERIFICATION-FLAG |
CITIZENSHIP-VERIFICATION-FLAG |
ELG041 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,257 |
RULE-2050 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: IMMIGRATION-STATUS |
IMMIGRATION-STATUS |
ELG042 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,258 |
RULE-2051 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
'if fns.isEqual(@val.CITIZENSHIP-IND, "1"), then fns.isEqual(@val.IMMIGRATION-STATUS, "8")' |
CITIZENSHIP-IND,IMMIGRATION-STATUS |
ELG040,ELG042 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,259 |
RULE-2052 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: IMMIGRATION-VERIFICATION-FLAG |
IMMIGRATION-VERIFICATION-FLAG |
ELG043 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,260 |
RULE-2053 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
IMMIGRATION-STATUS-FIVE-YEAR-BAR-END-DATE |
ELG044 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,261 |
RULE-2054 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
'if fns.isEqual(@val.IMMIGRATION-STATUS, "8"), then !fns.hasValue(@val.IMMIGRATION-STATUS-FIVE-YEAR-BAR-END-DATE)' |
IMMIGRATION-STATUS,IMMIGRATION-STATUS-FIVE-YEAR-BAR-END-DATE |
ELG042,ELG044 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,262 |
RULE-2056 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
'if fns.isEqualToAny(@val.IMMIGRATION-STATUS, "1", "2", "3"), then fns.hasValue(@val.IMMIGRATION-STATUS-FIVE-YEAR-BAR-END-DATE)' |
IMMIGRATION-STATUS,IMMIGRATION-STATUS-FIVE-YEAR-BAR-END-DATE |
ELG042,ELG044 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,263 |
RULE-2057 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PRIMARY-LANGUAGE-ENGL-PROF-CODE |
PRIMARY-LANGUAGE-ENGL-PROF-CODE |
ELG045 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,264 |
RULE-2058 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Three Record Type Rule |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
'if fns.hasValue(@primaryRecord.CONCEPTION-TO-BIRTH-IND) && !fns.isEqual(@primaryRecord.CONCEPTION-TO-BIRTH-IND, "1") && fns.hasValue(@primaryRecord.ELIGIBILITY-GROUP) && !fns.isEqual(@primaryRecord.ELIGIBILITY-GROUP, "64") && fns.hasValue(@secondaryRecord.DATE-OF-BIRTH) && fns.hasValue(@tertiaryRecord.VARIABLE-DEMOGRAPHIC-ELEMENT-EFF-DATE) && fns.isDifferenceInYearsLessThan(@secondaryRecord.DATE-OF-BIRTH, @tertiaryRecord.VARIABLE-DEMOGRAPHIC-ELEMENT-EFF-DATE, 5), then !fns.isEqualToAny(@tertiaryRecord.PRIMARY-LANGUAGE-ENGL-PROF-CODE, "0", "1", "2", "3")' |
CONCEPTION-TO-BIRTH-IND,ELIGIBILITY-GROUP |
ELG094,ELG087 |
DATE-OF-BIRTH |
ELG024 |
VARIABLE-DEMOGRAPHIC-ELEMENT-EFF-DATE,PRIMARY-LANGUAGE-ENGL-PROF-CODE |
ELG057,ELG045 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG082,ELG080 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG019,ELG017 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG082,ELG080 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG033,ELG031 |
|
|
|
|
| 1,265 |
RULE-2059 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PRIMARY-LANGUAGE-CODE |
PRIMARY-LANGUAGE-CODE |
ELG046 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,266 |
RULE-2060 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Three Record Type Rule |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
'if fns.hasValue(@primaryRecord.CONCEPTION-TO-BIRTH-IND) && !fns.isEqual(@primaryRecord.CONCEPTION-TO-BIRTH-IND, "1") && fns.hasValue(@primaryRecord.ELIGIBILITY-GROUP) && !fns.isEqual(@primaryRecord.ELIGIBILITY-GROUP, "64") && fns.hasValue(@secondaryRecord.DATE-OF-BIRTH) && fns.hasValue(@tertiaryRecord.VARIABLE-DEMOGRAPHIC-ELEMENT-EFF-DATE) && fns.isDifferenceInYearsLessThan(@secondaryRecord.DATE-OF-BIRTH, @tertiaryRecord.VARIABLE-DEMOGRAPHIC-ELEMENT-EFF-DATE, 5), then !fns.hasValue(@tertiaryRecord.PRIMARY-LANGUAGE-CODE)' |
CONCEPTION-TO-BIRTH-IND,ELIGIBILITY-GROUP |
ELG094,ELG087 |
DATE-OF-BIRTH |
ELG024 |
VARIABLE-DEMOGRAPHIC-ELEMENT-EFF-DATE,PRIMARY-LANGUAGE-CODE |
ELG057,ELG046 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG082,ELG080 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG019,ELG017 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG082,ELG080 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG033,ELG031 |
|
|
|
|
| 1,267 |
RULE-2061 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: HOUSEHOLD-SIZE |
HOUSEHOLD-SIZE |
ELG047 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,268 |
RULE-2062 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PREGNANCY-IND |
PREGNANCY-IND |
ELG049 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,269 |
RULE-2063 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
'if fns.hasValue(@val.MEDICARE-HIC-NUM), then fns.matches(@val.MEDICARE-HIC-NUM, "^[^|*]*$")' |
MEDICARE-HIC-NUM |
ELG050 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,270 |
RULE-2064 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
'if fns.isEqual(@primaryRecord.DUAL-ELIGIBLE-CODE, "00"), then !fns.hasValue(@secondaryRecord.MEDICARE-HIC-NUM)' |
DUAL-ELIGIBLE-CODE |
ELG085 |
MEDICARE-HIC-NUM |
ELG050 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG080,ELG082 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG031,ELG033 |
|
|
|
|
|
|
|
|
| 1,271 |
RULE-2065 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
'if fns.hasValue(@val.MEDICARE-BENEFICIARY-IDENTIFIER), then fns.matches(@val.MEDICARE-BENEFICIARY-IDENTIFIER, "^[^|*]*$")' |
MEDICARE-BENEFICIARY-IDENTIFIER |
ELG051 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,272 |
RULE-2066 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Three Record Type Rule |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
'if fns.isEqual(@primaryRecord.DUAL-ELIGIBLE-CODE, "00") && fns.isGreaterThanOrEqual(@fileHeader.END-OF-TIME-PERIOD, "2015-11-01"), then !fns.hasValue(@secondaryRecord.MEDICARE-BENEFICIARY-IDENTIFIER)' |
DUAL-ELIGIBLE-CODE |
ELG085 |
MEDICARE-BENEFICIARY-IDENTIFIER |
ELG051 |
END-OF-TIME-PERIOD |
ELG010 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG080,ELG082 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG031,ELG033 |
|
|
|
|
|
|
|
|
| 1,273 |
RULE-2067 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CHIP-CODE |
CHIP-CODE |
ELG054 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,274 |
RULE-2068 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
'if fns.isEqual(@primaryRecord.CONCEPTION-TO-BIRTH-IND, "1"), then fns.isEqualToAny(@secondaryRecord.CHIP-CODE, "3", "4")' |
CONCEPTION-TO-BIRTH-IND |
ELG094 |
CHIP-CODE |
ELG054 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG080,ELG082 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG031,ELG033 |
|
|
|
|
|
|
|
|
| 1,275 |
RULE-2069 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
VARIABLE-DEMOGRAPHIC-ELEMENT-EFF-DATE |
ELG057 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,276 |
RULE-2071 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: VARIABLE-DEMOGRAPHIC-ELEMENT-EFF-DATE. End date field: VARIABLE-DEMOGRAPHIC-ELEMENT-END-DATE |
VARIABLE-DEMOGRAPHIC-ELEMENT-EFF-DATE,VARIABLE-DEMOGRAPHIC-ELEMENT-END-DATE |
ELG057,ELG058 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,277 |
RULE-2073 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
VARIABLE-DEMOGRAPHIC-ELEMENT-END-DATE |
ELG058 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,278 |
RULE-2075 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
'if fns.hasValue(@val.VARIABLE-DEMOGRAPHIC-ELEMENT-EFF-DATE) && fns.hasValue(@val.VARIABLE-DEMOGRAPHIC-ELEMENT-END-DATE), then fns.isLessThanOrEqual(@val.VARIABLE-DEMOGRAPHIC-ELEMENT-EFF-DATE, @val.VARIABLE-DEMOGRAPHIC-ELEMENT-END-DATE)' |
VARIABLE-DEMOGRAPHIC-ELEMENT-EFF-DATE,VARIABLE-DEMOGRAPHIC-ELEMENT-END-DATE |
ELG057,ELG058 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,279 |
RULE-2077 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
ELG059 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,280 |
RULE-2080 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
ELG062 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,281 |
RULE-2081 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
ELG062 |
SUBMITTING-STATE |
ELG007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,282 |
RULE-2083 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type ELIGIBLE-CONTACT-INFORMATION |
RECORD-NUMBER |
ELG063 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,283 |
RULE-2086 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
record ELIGIBLE-CONTACT-INFORMATION has corresponding parent record PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
|
|
|
|
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG062,ELG064 |
|
|
|
|
|
|
|
|
| 1,284 |
RULE-2087 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: ELIGIBLE-ADDR-TYPE |
ELIGIBLE-ADDR-TYPE |
ELG065 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,285 |
RULE-2089 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
'if fns.hasValue(@val.ELIGIBLE-ADDR-LN1), then fns.matches(@val.ELIGIBLE-ADDR-LN1, "^[^|*]*$")' |
ELIGIBLE-ADDR-LN1 |
ELG066 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,286 |
RULE-2090 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
'if fns.hasValue(@val.ELIGIBLE-ADDR-LN2), then fns.matches(@val.ELIGIBLE-ADDR-LN2, "^[^|*]*$")' |
ELIGIBLE-ADDR-LN2 |
ELG067 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,287 |
RULE-2092 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
'if fns.hasValue(@val.ELIGIBLE-ADDR-LN3), then fns.matches(@val.ELIGIBLE-ADDR-LN3, "^[^|*]*$")' |
ELIGIBLE-ADDR-LN3 |
ELG068 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,288 |
RULE-2094 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
'if !fns.hasValue(@val.ELIGIBLE-ADDR-LN2), then !fns.hasValue(@val.ELIGIBLE-ADDR-LN3)' |
ELIGIBLE-ADDR-LN2,ELIGIBLE-ADDR-LN3 |
ELG067,ELG068 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,289 |
RULE-2095 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
'if fns.hasValue(@val.ELIGIBLE-CITY), then fns.matches(@val.ELIGIBLE-CITY, "^[^|*]*$")' |
ELIGIBLE-CITY |
ELG069 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,290 |
RULE-2096 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
ELIGIBLE-STATE |
ELG070 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,291 |
RULE-2097 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
'if fns.hasValue(@val.ELIGIBLE-ZIP-CODE), then fns.matches(@val.ELIGIBLE-ZIP-CODE, "^[0-9]{5}|[0-9]{9}$")' |
ELIGIBLE-ZIP-CODE |
ELG071 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,292 |
RULE-2098 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: COUNTY |
ELIGIBLE-COUNTY-CODE |
ELG072 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,293 |
RULE-2099 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
ELIGIBLE-COUNTY-CODE |
ELG072 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,294 |
RULE-2100 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
ELIGIBLE-PHONE-NUM |
ELG073 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,295 |
RULE-2101 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
'if fns.hasValue(@val.TYPE-OF-LIVING-ARRANGEMENT), then fns.matches(@val.TYPE-OF-LIVING-ARRANGEMENT, "^[^|*]*$")' |
TYPE-OF-LIVING-ARRANGEMENT |
ELG074 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,296 |
RULE-2102 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
ELIGIBLE-ADDR-EFF-DATE |
ELG075 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,297 |
RULE-2104 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
'if fns.hasValue(@val.ELIGIBLE-ADDR-EFF-DATE) && fns.hasValue(@val.ELIGIBLE-ADDR-END-DATE), then fns.isLessThanOrEqual(@val.ELIGIBLE-ADDR-EFF-DATE, @val.ELIGIBLE-ADDR-END-DATE)' |
ELIGIBLE-ADDR-EFF-DATE,ELIGIBLE-ADDR-END-DATE |
ELG075,ELG076 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,298 |
RULE-2105 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: ELIGIBLE-ADDR-EFF-DATE. End date field: ELIGIBLE-ADDR-END-DATE |
ELIGIBLE-ADDR-EFF-DATE,ELIGIBLE-ADDR-END-DATE |
ELG075,ELG076 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,299 |
RULE-2107 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
ELIGIBLE-ADDR-END-DATE |
ELG076 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,300 |
RULE-2111 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
ELG077 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,301 |
RULE-2114 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
ELG080 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,302 |
RULE-2115 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
ELG080 |
SUBMITTING-STATE |
ELG007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,303 |
RULE-2117 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type ELIGIBILITY-DETERMINANTS |
RECORD-NUMBER |
ELG081 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,304 |
RULE-2120 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
record ELIGIBILITY-DETERMINANTS has corresponding parent record PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
|
|
|
|
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG080,ELG082 |
|
|
|
|
|
|
|
|
| 1,305 |
RULE-2122 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: MEDICAID-BASIS-OF-ELIGIBILITY |
MEDICAID-BASIS-OF-ELIGIBILITY |
ELG084 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,306 |
RULE-2123 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
'if fns.isEqual(@secondaryRecord.CHIP-CODE, "3"), then fns.isEqual(@primaryRecord.MEDICAID-BASIS-OF-ELIGIBILITY, "00")' |
MEDICAID-BASIS-OF-ELIGIBILITY |
ELG084 |
CHIP-CODE |
ELG054 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG080,ELG082 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG031,ELG033 |
|
|
|
|
|
|
|
|
| 1,307 |
RULE-2124 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Three Record Type Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
'if fns.isEqual(@secondaryRecord.MEDICAID-BASIS-OF-ELIGIBILITY, "01"), then fns.isDifferenceInYearsGreaterThanOrEqual(@primaryRecord.DATE-OF-BIRTH, @fileHeader.START-OF-TIME-PERIOD, 64)' |
DATE-OF-BIRTH |
ELG024 |
MEDICAID-BASIS-OF-ELIGIBILITY |
ELG084 |
START-OF-TIME-PERIOD |
ELG009 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG080,ELG082 |
|
|
|
|
|
|
|
|
| 1,308 |
RULE-2125 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Three Record Type Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
'if !fns.isEqual(@secondaryRecord.CONCEPTION-TO-BIRTH-IND, "1") && !fns.isEqual(@secondaryRecord.ELIGIBILITY-GROUP, "64") && fns.isEqualToAny(@secondaryRecord.MEDICAID-BASIS-OF-ELIGIBILITY, "04") && fns.hasValue(@fileHeader.START-OF-TIME-PERIOD) && fns.hasValue(@primaryRecord.DATE-OF-BIRTH), then fns.isDifferenceInYearsLessThanOrEqual(@primaryRecord.DATE-OF-BIRTH, @fileHeader.START-OF-TIME-PERIOD, 21)' |
DATE-OF-BIRTH |
ELG024 |
CONCEPTION-TO-BIRTH-IND,ELIGIBILITY-GROUP,MEDICAID-BASIS-OF-ELIGIBILITY |
ELG094,ELG087,ELG084 |
START-OF-TIME-PERIOD |
ELG009 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG080,ELG082 |
|
|
|
|
|
|
|
|
| 1,309 |
RULE-2126 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DUAL-ELIGIBLE-CODE |
DUAL-ELIGIBLE-CODE |
ELG085 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,310 |
RULE-2129 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
'if fns.isEqualToAny(@val.DUAL-ELIGIBLE-CODE, "01", "02", "03", "04", "05", "06", "07", "08", "09"), then !fns.isEqual(@val.MAINTENANCE-ASSISTANCE-STATUS, "0")' |
DUAL-ELIGIBLE-CODE,MAINTENANCE-ASSISTANCE-STATUS |
ELG085,ELG096 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,311 |
RULE-2130 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
'if fns.isEqualToAny(@val.DUAL-ELIGIBLE-CODE, "01", "02", "03", "04", "05", "06", "07", "08", "09"), then !fns.isEqual(@val.MEDICAID-BASIS-OF-ELIGIBILITY, "00")' |
DUAL-ELIGIBLE-CODE,MEDICAID-BASIS-OF-ELIGIBILITY |
ELG085,ELG084 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,312 |
RULE-2131 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
'if fns.isEqual(@val.RESTRICTED-BENEFITS-CODE, "3"), then fns.isEqualToAny(@val.DUAL-ELIGIBLE-CODE, "01", "03", "05", "06")' |
RESTRICTED-BENEFITS-CODE,DUAL-ELIGIBLE-CODE |
ELG097,ELG085 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,313 |
RULE-2132 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PRIMARY-ELIGIBILITY-GROUP-IND |
PRIMARY-ELIGIBILITY-GROUP-IND |
ELG086 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,314 |
RULE-2133 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
'fns.isOnlyOneMarkedPrimary(@vals.PRIMARY-ELIGIBILITY-GROUP-IND, "1", "0")' |
PRIMARY-ELIGIBILITY-GROUP-IND |
ELG086 |
|
|
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM,MSIS-CASE-NUM |
ELG080,ELG082,ELG083 |
|
|
|
|
|
|
|
|
|
|
| 1,315 |
RULE-2135 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: ELIGIBILITY-GROUP |
ELIGIBILITY-GROUP |
ELG087 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,316 |
RULE-2136 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: LEVEL-OF-CARE-STATUS |
LEVEL-OF-CARE-STATUS |
ELG088 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,317 |
RULE-2137 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: SSDI-IND |
SSDI-IND |
ELG089 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,318 |
RULE-2138 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: SSI-IND |
SSI-IND |
ELG090 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,319 |
RULE-2139 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
'if fns.isEqual(@val.SSI-IND, "1"), then fns.hasValue(@val.SSI-STATUS)' |
SSI-IND,SSI-STATUS |
ELG090,ELG092 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,320 |
RULE-2140 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: SSI-STATE-SUPPLEMENT-STATUS-CODE |
SSI-STATE-SUPPLEMENT-STATUS-CODE |
ELG091 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,321 |
RULE-2141 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
'if !fns.hasValue(@val.SSI-STATUS), then !fns.hasValue(@val.SSI-STATE-SUPPLEMENT-STATUS-CODE)' |
SSI-STATUS,SSI-STATE-SUPPLEMENT-STATUS-CODE |
ELG092,ELG091 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,322 |
RULE-2142 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: SSI-STATUS |
SSI-STATUS |
ELG092 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,323 |
RULE-2143 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
'if fns.isEqual(@val.SSI-STATUS, "003") || !fns.hasValue(@val.SSI-STATUS), then fns.isEqual(@val.SSI-IND, "0")' |
SSI-STATUS,SSI-IND |
ELG092,ELG090 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,324 |
RULE-2144 |
1.1 |
Value Error |
E1104 |
Value not valid for state-supplied format (format or valid values) |
Valid Value |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE-SPEC-ELIG-GROUP |
STATE-SPEC-ELIG-GROUP |
ELG093 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,325 |
RULE-2145 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CONCEPTION-TO-BIRTH-IND |
CONCEPTION-TO-BIRTH-IND |
ELG094 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,326 |
RULE-2146 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: ELIGIBILITY-CHANGE-REASON |
ELIGIBILITY-CHANGE-REASON |
ELG095 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,327 |
RULE-2149 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
'if fns.isEqualToAny(@val.MAINTENANCE-ASSISTANCE-STATUS, "1", "2", "3", "4", "5"), then fns.isEqualToAny(@val.MEDICAID-BASIS-OF-ELIGIBILITY, "01", "02", "03", "04", "05", "06", "07", "08", "10", "11")' |
MAINTENANCE-ASSISTANCE-STATUS,MEDICAID-BASIS-OF-ELIGIBILITY |
ELG096,ELG084 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,328 |
RULE-2150 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
'if fns.isEqual(@val.MEDICAID-BASIS-OF-ELIGIBILITY, "08"), then fns.isEqual(@val.MAINTENANCE-ASSISTANCE-STATUS, "4")' |
MEDICAID-BASIS-OF-ELIGIBILITY,MAINTENANCE-ASSISTANCE-STATUS |
ELG084,ELG096 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,329 |
RULE-2151 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
'if fns.isEqualToAny(@val.MEDICAID-BASIS-OF-ELIGIBILITY, "06", "07"), then fns.isEqual(@val.MAINTENANCE-ASSISTANCE-STATUS, "1")' |
MEDICAID-BASIS-OF-ELIGIBILITY,MAINTENANCE-ASSISTANCE-STATUS |
ELG084,ELG096 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,330 |
RULE-2152 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
'if fns.isEqual(@val.MEDICAID-BASIS-OF-ELIGIBILITY, "11"), then fns.isEqual(@val.MAINTENANCE-ASSISTANCE-STATUS, "3")' |
MEDICAID-BASIS-OF-ELIGIBILITY,MAINTENANCE-ASSISTANCE-STATUS |
ELG084,ELG096 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,331 |
RULE-2153 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
'if fns.isEqualToAny(@val.DUAL-ELIGIBLE-CODE, "01", "03", "05", "06"), then fns.isEqual(@val.MAINTENANCE-ASSISTANCE-STATUS, "3")' |
DUAL-ELIGIBLE-CODE,MAINTENANCE-ASSISTANCE-STATUS |
ELG085,ELG096 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,332 |
RULE-2154 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: RESTRICTED-BENEFITS-CODE |
RESTRICTED-BENEFITS-CODE |
ELG097 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,333 |
RULE-2155 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
'if fns.isEqual(@secondaryRecord.RESTRICTED-BENEFITS-CODE, "4"), then fns.isEqual(@primaryRecord.SEX, "F")' |
SEX |
ELG023 |
RESTRICTED-BENEFITS-CODE |
ELG097 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG080,ELG082 |
|
|
|
|
|
|
|
|
| 1,334 |
RULE-2156 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
'if fns.isEqual(@val.MEDICAID-BASIS-OF-ELIGIBILITY, "00") && fns.isEqual(@val.MAINTENANCE-ASSISTANCE-STATUS, "0"), then fns.isEqual(@val.RESTRICTED-BENEFITS-CODE, "0")' |
MEDICAID-BASIS-OF-ELIGIBILITY,MAINTENANCE-ASSISTANCE-STATUS,RESTRICTED-BENEFITS-CODE |
ELG084,ELG096,ELG097 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,335 |
RULE-2157 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
'if fns.isEqual(@primaryRecord.RESTRICTED-BENEFITS-CODE, "2"), then !fns.isEqual(@secondaryRecord.CITIZENSHIP-IND, "1")' |
RESTRICTED-BENEFITS-CODE |
ELG097 |
CITIZENSHIP-IND |
ELG040 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG080,ELG082 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG031,ELG033 |
|
|
|
|
|
|
|
|
| 1,336 |
RULE-2158 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
'if fns.isEqualToAny(@val.RESTRICTED-BENEFITS-CODE, "1", "2", "3", "4", "5", "6", "7", "A", "B", "C", "D"), then !fns.isEqual(@val.MAINTENANCE-ASSISTANCE-STATUS, "0") && !fns.isEqual(@val.MEDICAID-BASIS-OF-ELIGIBILITY, "00")' |
RESTRICTED-BENEFITS-CODE,MAINTENANCE-ASSISTANCE-STATUS,MEDICAID-BASIS-OF-ELIGIBILITY |
ELG097,ELG096,ELG084 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,337 |
RULE-2159 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: TANF-CASH-CODE |
TANF-CASH-CODE |
ELG098 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,338 |
RULE-2160 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
'if !fns.hasValue(@val.MEDICAID-BASIS-OF-ELIGIBILITY) || fns.isEqual(@val.MEDICAID-BASIS-OF-ELIGIBILITY, "00"), then !fns.hasValue(@val.TANF-CASH-CODE) || fns.isEqual(@val.TANF-CASH-CODE, "0")' |
MEDICAID-BASIS-OF-ELIGIBILITY,TANF-CASH-CODE |
ELG084,ELG098 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,339 |
RULE-2161 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
'if fns.isEqual(@val.MAINTENANCE-ASSISTANCE-STATUS, "0") || !fns.hasValue(@val.MAINTENANCE-ASSISTANCE-STATUS), then !fns.hasValue(@val.TANF-CASH-CODE) || fns.isEqual(@val.TANF-CASH-CODE, "0")' |
MAINTENANCE-ASSISTANCE-STATUS,TANF-CASH-CODE |
ELG096,ELG098 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,340 |
RULE-2162 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
ELIGIBILITY-DETERMINANT-EFF-DATE |
ELG099 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,341 |
RULE-2164 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
'if fns.hasValue(@val.ELIGIBILITY-DETERMINANT-EFF-DATE) && fns.hasValue(@val.ELIGIBILITY-DETERMINANT-END-DATE), then fns.isLessThanOrEqual(@val.ELIGIBILITY-DETERMINANT-EFF-DATE, @val.ELIGIBILITY-DETERMINANT-END-DATE)' |
ELIGIBILITY-DETERMINANT-EFF-DATE,ELIGIBILITY-DETERMINANT-END-DATE |
ELG099,ELG100 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,342 |
RULE-2165 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: ELIGIBILITY-DETERMINANT-EFF-DATE. End date field: ELIGIBILITY-DETERMINANT-END-DATE |
ELIGIBILITY-DETERMINANT-EFF-DATE,ELIGIBILITY-DETERMINANT-END-DATE |
ELG099,ELG100 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,343 |
RULE-2167 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
ELIGIBILITY-DETERMINANT-END-DATE |
ELG100 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,344 |
RULE-2171 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
ELG101 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,345 |
RULE-2174 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
HEALTH-HOME-SPA-PARTICIPATION-INFORMATION |
ELG00006 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
ELG104 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,346 |
RULE-2175 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
HEALTH-HOME-SPA-PARTICIPATION-INFORMATION |
ELG00006 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
ELG104 |
SUBMITTING-STATE |
ELG007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,347 |
RULE-2177 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
HEALTH-HOME-SPA-PARTICIPATION-INFORMATION |
ELG00006 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type HEALTH-HOME-SPA-PARTICIPATION-INFORMATION |
RECORD-NUMBER |
ELG105 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,348 |
RULE-2180 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
HEALTH-HOME-SPA-PARTICIPATION-INFORMATION |
ELG00006 |
|
|
record HEALTH-HOME-SPA-PARTICIPATION-INFORMATION has corresponding parent record PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
|
|
|
|
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG104,ELG106 |
|
|
|
|
|
|
|
|
| 1,349 |
RULE-2181 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
HEALTH-HOME-SPA-PARTICIPATION-INFORMATION |
ELG00006 |
|
|
|
|
'if fns.hasValue(@val.HEALTH-HOME-SPA-NAME), then fns.matches(@val.HEALTH-HOME-SPA-NAME, "^[^|*]*$")' |
HEALTH-HOME-SPA-NAME |
ELG107 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,350 |
RULE-2183 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
HEALTH-HOME-SPA-PARTICIPATION-INFORMATION |
ELG00006 |
|
|
|
|
'if fns.hasValue(@val.HEALTH-HOME-ENTITY-NAME), then fns.matches(@val.HEALTH-HOME-ENTITY-NAME, "^[^|*]*$")' |
HEALTH-HOME-ENTITY-NAME |
ELG108 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,351 |
RULE-2184 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-SPA-PARTICIPATION-INFORMATION |
ELG00006 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
HEALTH-HOME-SPA-PARTICIPATION-EFF-DATE |
ELG109 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,352 |
RULE-2186 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
HEALTH-HOME-SPA-PARTICIPATION-INFORMATION |
ELG00006 |
|
|
|
|
'if fns.hasValue(@val.HEALTH-HOME-SPA-PARTICIPATION-EFF-DATE) && fns.hasValue(@val.HEALTH-HOME-SPA-PARTICIPATION-END-DATE), then fns.isLessThanOrEqual(@val.HEALTH-HOME-SPA-PARTICIPATION-EFF-DATE, @val.HEALTH-HOME-SPA-PARTICIPATION-END-DATE)' |
HEALTH-HOME-SPA-PARTICIPATION-EFF-DATE,HEALTH-HOME-SPA-PARTICIPATION-END-DATE |
ELG109,ELG110 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,353 |
RULE-2187 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
HEALTH-HOME-SPA-PARTICIPATION-INFORMATION |
ELG00006 |
|
|
'if fns.isEqual(@primaryRecord.MAINTENANCE-ASSISTANCE-STATUS, "0") && fns.isEqual(@primaryRecord.MEDICAID-BASIS-OF-ELIGIBILITY, "0"), then fns.hasValue(@secondaryRecord.HEALTH-HOME-SPA-PARTICIPATION-EFF-DATE)' |
MAINTENANCE-ASSISTANCE-STATUS,MEDICAID-BASIS-OF-ELIGIBILITY |
ELG096,ELG084 |
HEALTH-HOME-SPA-PARTICIPATION-EFF-DATE |
ELG109 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG080,ELG082 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG104,ELG106 |
|
|
|
|
|
|
|
|
| 1,354 |
RULE-2188 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
HEALTH-HOME-SPA-PARTICIPATION-INFORMATION |
ELG00006 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: HEALTH-HOME-SPA-PARTICIPATION-EFF-DATE. End date field: HEALTH-HOME-SPA-PARTICIPATION-END-DATE |
HEALTH-HOME-SPA-PARTICIPATION-EFF-DATE,HEALTH-HOME-SPA-PARTICIPATION-END-DATE |
ELG109,ELG110 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,355 |
RULE-2191 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-SPA-PARTICIPATION-INFORMATION |
ELG00006 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
HEALTH-HOME-SPA-PARTICIPATION-END-DATE |
ELG110 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,356 |
RULE-2195 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
HEALTH-HOME-SPA-PARTICIPATION-INFORMATION |
ELG00006 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.HEALTH-HOME-SPA-PARTICIPATION-END-DATE), then fns.isLessThanOrEqual(@secondaryRecord.HEALTH-HOME-SPA-PARTICIPATION-END-DATE, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
HEALTH-HOME-SPA-PARTICIPATION-END-DATE |
ELG110 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG104,ELG106 |
|
|
|
|
|
|
|
|
| 1,357 |
RULE-2196 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-SPA-PARTICIPATION-INFORMATION |
ELG00006 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
HEALTH-HOME-ENTITY-EFF-DATE |
ELG111 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,358 |
RULE-2198 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
HEALTH-HOME-SPA-PARTICIPATION-INFORMATION |
ELG00006 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
ELG112 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,359 |
RULE-2201 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
HEALTH-HOME-SPA-PROVIDERS |
ELG00007 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
ELG115 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,360 |
RULE-2202 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
HEALTH-HOME-SPA-PROVIDERS |
ELG00007 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
ELG115 |
SUBMITTING-STATE |
ELG007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,361 |
RULE-2204 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
HEALTH-HOME-SPA-PROVIDERS |
ELG00007 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type HEALTH-HOME-SPA-PROVIDERS |
RECORD-NUMBER |
ELG116 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,362 |
RULE-2207 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
HEALTH-HOME-SPA-PARTICIPATION-INFORMATION |
ELG00006 |
HEALTH-HOME-SPA-PROVIDERS |
ELG00007 |
|
|
record HEALTH-HOME-SPA-PROVIDERS has corresponding parent record HEALTH-HOME-SPA-PARTICIPATION-INFORMATION |
|
|
|
|
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM,HEALTH-HOME-SPA-NAME,HEALTH-HOME-ENTITY-NAME |
ELG104,ELG106,ELG107,ELG108 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM,HEALTH-HOME-SPA-NAME,HEALTH-HOME-ENTITY-NAME |
ELG115,ELG117,ELG118,ELG119 |
|
|
|
|
|
|
|
|
| 1,363 |
RULE-2208 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
HEALTH-HOME-SPA-PROVIDERS |
ELG00007 |
|
|
|
|
'if fns.hasValue(@val.HEALTH-HOME-SPA-NAME), then fns.matches(@val.HEALTH-HOME-SPA-NAME, "^[^|*]*$")' |
HEALTH-HOME-SPA-NAME |
ELG118 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,364 |
RULE-2210 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
HEALTH-HOME-SPA-PROVIDERS |
ELG00007 |
|
|
|
|
'if fns.hasValue(@val.HEALTH-HOME-ENTITY-NAME), then fns.matches(@val.HEALTH-HOME-ENTITY-NAME, "^[^|*]*$")' |
HEALTH-HOME-ENTITY-NAME |
ELG119 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,365 |
RULE-2212 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PROV-IDENTIFIERS |
PRV00005 |
HEALTH-HOME-SPA-PROVIDERS |
ELG00007 |
|
|
For every record of type HEALTH-HOME-SPA-PROVIDERS, there must be a valid record of type PROV-IDENTIFIERS that matches on the join keys |
|
|
|
|
|
|
SUBMITTING-STATE,PROV-IDENTIFIER |
PRV073,PRV081 |
SUBMITTING-STATE,HEALTH-HOME-PROV-NUM |
ELG115,ELG120 |
|
|
|
|
|
|
|
|
| 1,366 |
RULE-2213 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-SPA-PROVIDERS |
ELG00007 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
HEALTH-HOME-SPA-PROVIDER-EFF-DATE |
ELG121 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,367 |
RULE-2215 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
HEALTH-HOME-SPA-PROVIDERS |
ELG00007 |
|
|
|
|
'if fns.hasValue(@val.HEALTH-HOME-SPA-PROVIDER-EFF-DATE) && fns.hasValue(@val.HEALTH-HOME-SPA-PROVIDER-END-DATE), then fns.isLessThanOrEqual(@val.HEALTH-HOME-SPA-PROVIDER-EFF-DATE, @val.HEALTH-HOME-SPA-PROVIDER-END-DATE)' |
HEALTH-HOME-SPA-PROVIDER-EFF-DATE,HEALTH-HOME-SPA-PROVIDER-END-DATE |
ELG121,ELG122 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,368 |
RULE-2217 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
HEALTH-HOME-SPA-PROVIDERS |
ELG00007 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: HEALTH-HOME-SPA-PROVIDER-EFF-DATE. End date field: HEALTH-HOME-SPA-PROVIDER-END-DATE |
HEALTH-HOME-SPA-PROVIDER-EFF-DATE,HEALTH-HOME-SPA-PROVIDER-END-DATE |
ELG121,ELG122 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,369 |
RULE-2219 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-SPA-PROVIDERS |
ELG00007 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
HEALTH-HOME-SPA-PROVIDER-END-DATE |
ELG122 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,370 |
RULE-2223 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-SPA-PROVIDERS |
ELG00007 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
HEALTH-HOME-ENTITY-EFF-DATE |
ELG123 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,371 |
RULE-2225 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
HEALTH-HOME-SPA-PROVIDERS |
ELG00007 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
ELG124 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,372 |
RULE-2228 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
HEALTH-HOME-CHRONIC-CONDITIONS |
ELG00008 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
ELG127 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,373 |
RULE-2229 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
HEALTH-HOME-CHRONIC-CONDITIONS |
ELG00008 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
ELG127 |
SUBMITTING-STATE |
ELG007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,374 |
RULE-2231 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
HEALTH-HOME-CHRONIC-CONDITIONS |
ELG00008 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type HEALTH-HOME-CHRONIC-CONDITIONS |
RECORD-NUMBER |
ELG128 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,375 |
RULE-2234 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
HEALTH-HOME-CHRONIC-CONDITIONS |
ELG00008 |
|
|
record HEALTH-HOME-CHRONIC-CONDITIONS has corresponding parent record PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
|
|
|
|
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG127,ELG129 |
|
|
|
|
|
|
|
|
| 1,376 |
RULE-2235 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
HEALTH-HOME-CHRONIC-CONDITIONS |
ELG00008 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: HEALTH-HOME-CHRONIC-CONDITION |
HEALTH-HOME-CHRONIC-CONDITION |
ELG130 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,377 |
RULE-2236 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
HEALTH-HOME-CHRONIC-CONDITIONS |
ELG00008 |
|
|
|
|
'if fns.isEqual(@val.HEALTH-HOME-CHRONIC-CONDITION, "H"), then fns.hasValue(@val.HEALTH-HOME-CHRONIC-CONDITION-OTHER-EXPLANATION)' |
HEALTH-HOME-CHRONIC-CONDITION,HEALTH-HOME-CHRONIC-CONDITION-OTHER-EXPLANATION |
ELG130,ELG131 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,378 |
RULE-2237 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
HEALTH-HOME-CHRONIC-CONDITIONS |
ELG00008 |
|
|
|
|
'if fns.hasValue(@val.HEALTH-HOME-CHRONIC-CONDITION-OTHER-EXPLANATION), then fns.matches(@val.HEALTH-HOME-CHRONIC-CONDITION-OTHER-EXPLANATION, "^[^|*]*$")' |
HEALTH-HOME-CHRONIC-CONDITION-OTHER-EXPLANATION |
ELG131 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,379 |
RULE-2238 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-CHRONIC-CONDITIONS |
ELG00008 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
HEALTH-HOME-CHRONIC-CONDITION-EFF-DATE |
ELG132 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,380 |
RULE-2240 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
HEALTH-HOME-CHRONIC-CONDITIONS |
ELG00008 |
|
|
|
|
'if fns.hasValue(@val.HEALTH-HOME-CHRONIC-CONDITION-EFF-DATE) && fns.hasValue(@val.HEALTH-HOME-CHRONIC-CONDITION-END-DATE), then fns.isLessThanOrEqual(@val.HEALTH-HOME-CHRONIC-CONDITION-EFF-DATE, @val.HEALTH-HOME-CHRONIC-CONDITION-END-DATE)' |
HEALTH-HOME-CHRONIC-CONDITION-EFF-DATE,HEALTH-HOME-CHRONIC-CONDITION-END-DATE |
ELG132,ELG133 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,381 |
RULE-2241 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
HEALTH-HOME-CHRONIC-CONDITIONS |
ELG00008 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: HEALTH-HOME-CHRONIC-CONDITION-EFF-DATE. End date field: HEALTH-HOME-CHRONIC-CONDITION-END-DATE |
HEALTH-HOME-CHRONIC-CONDITION-EFF-DATE,HEALTH-HOME-CHRONIC-CONDITION-END-DATE |
ELG132,ELG133 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,382 |
RULE-2243 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-CHRONIC-CONDITIONS |
ELG00008 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
HEALTH-HOME-CHRONIC-CONDITION-END-DATE |
ELG133 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,383 |
RULE-2247 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
HEALTH-HOME-CHRONIC-CONDITIONS |
ELG00008 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
ELG134 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,384 |
RULE-2250 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
LOCK-IN-INFORMATION |
ELG00009 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
ELG137 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,385 |
RULE-2251 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
LOCK-IN-INFORMATION |
ELG00009 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
ELG137 |
SUBMITTING-STATE |
ELG007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,386 |
RULE-2253 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
LOCK-IN-INFORMATION |
ELG00009 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type LOCK-IN-INFORMATION |
RECORD-NUMBER |
ELG138 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,387 |
RULE-2256 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
LOCK-IN-INFORMATION |
ELG00009 |
|
|
record LOCK-IN-INFORMATION has corresponding parent record PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
|
|
|
|
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG137,ELG139 |
|
|
|
|
|
|
|
|
| 1,388 |
RULE-2258 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PROV-IDENTIFIERS |
PRV00005 |
LOCK-IN-INFORMATION |
ELG00009 |
|
|
For every record of type LOCK-IN-INFORMATION, there must be a valid record of type PROV-IDENTIFIERS that matches on the join keys |
|
|
|
|
|
|
SUBMITTING-STATE,PROV-IDENTIFIER |
PRV073,PRV081 |
SUBMITTING-STATE,LOCKIN-PROV-NUM |
ELG137,ELG140 |
|
|
|
|
|
|
|
|
| 1,389 |
RULE-2259 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Three Record Type Rule |
PROV-TAXONOMY-CLASSIFICATION |
PRV00006 |
PROV-IDENTIFIERS |
PRV00005 |
LOCK-IN-INFORMATION |
ELG00009 |
For every record of type PROV-IDENTIFIERS, there must be a valid record of type PROV-TAXONOMY-CLASSIFICATION that matches on the join keys, where fns.isEqual(@primaryRecord.PROV-CLASSIFICATION-TYPE, "3") && fns.isEqual(@secondaryRecord.PROV-IDENTIFIER-TYPE, "1") |
PROV-CLASSIFICATION-TYPE |
PRV088 |
PROV-IDENTIFIER-TYPE |
PRV077 |
|
|
SUBMITTING-STATE,SUBMITTING-STATE-PROV-ID |
PRV085,PRV087 |
SUBMITTING-STATE,SUBMITTING-STATE-PROV-ID |
PRV073,PRV075 |
SUBMITTING-STATE,PROV-IDENTIFIER |
|
SUBMITTING-STATE,LOCKIN-PROV-NUM |
ELG137,ELG140 |
|
|
|
|
| 1,390 |
RULE-2260 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
LOCK-IN-INFORMATION |
ELG00009 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
LOCKIN-EFF-DATE |
ELG142 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,391 |
RULE-2262 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
LOCK-IN-INFORMATION |
ELG00009 |
|
|
|
|
'if fns.hasValue(@val.LOCKIN-EFF-DATE) && fns.hasValue(@val.LOCKIN-END-DATE), then fns.isLessThanOrEqual(@val.LOCKIN-EFF-DATE, @val.LOCKIN-END-DATE)' |
LOCKIN-EFF-DATE,LOCKIN-END-DATE |
ELG142,ELG143 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,392 |
RULE-2263 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
LOCK-IN-INFORMATION |
ELG00009 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: LOCKIN-EFF-DATE. End date field: LOCKIN-END-DATE |
LOCKIN-EFF-DATE,LOCKIN-END-DATE |
ELG142,ELG143 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,393 |
RULE-2265 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
LOCK-IN-INFORMATION |
ELG00009 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
LOCKIN-END-DATE |
ELG143 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,394 |
RULE-2268 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
LOCK-IN-INFORMATION |
ELG00009 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.LOCKIN-END-DATE), then fns.isLessThanOrEqual(@secondaryRecord.LOCKIN-END-DATE, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
LOCKIN-END-DATE |
ELG143 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG137,ELG139 |
|
|
|
|
|
|
|
|
| 1,395 |
RULE-2270 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
LOCK-IN-INFORMATION |
ELG00009 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
ELG144 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,396 |
RULE-2273 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
MFP-INFORMATION |
ELG00010 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
ELG147 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,397 |
RULE-2274 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
MFP-INFORMATION |
ELG00010 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
ELG147 |
SUBMITTING-STATE |
ELG007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,398 |
RULE-2276 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
MFP-INFORMATION |
ELG00010 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type MFP-INFORMATION |
RECORD-NUMBER |
ELG148 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,399 |
RULE-2279 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
MFP-INFORMATION |
ELG00010 |
|
|
record MFP-INFORMATION has corresponding parent record PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
|
|
|
|
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG147,ELG149 |
|
|
|
|
|
|
|
|
| 1,400 |
RULE-2280 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
MFP-INFORMATION |
ELG00010 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: MFP-LIVES-WITH-FAMILY |
MFP-LIVES-WITH-FAMILY |
ELG150 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,401 |
RULE-2281 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
MFP-INFORMATION |
ELG00010 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: MFP-QUALIFIED-INSTITUTION |
MFP-QUALIFIED-INSTITUTION |
ELG151 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,402 |
RULE-2282 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
MFP-INFORMATION |
ELG00010 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: MFP-QUALIFIED-RESIDENCE |
MFP-QUALIFIED-RESIDENCE |
ELG152 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,403 |
RULE-2283 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
MFP-INFORMATION |
ELG00010 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: MFP-REASON-PARTICIPATION-ENDED |
MFP-REASON-PARTICIPATION-ENDED |
ELG153 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,404 |
RULE-2284 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
MFP-INFORMATION |
ELG00010 |
|
|
|
|
'if fns.isEqual(@val.MFP-ENROLLMENT-END-DATE, "9999-12-31"), then !fns.hasValue(@val.MFP-REASON-PARTICIPATION-ENDED)' |
MFP-ENROLLMENT-END-DATE,MFP-REASON-PARTICIPATION-ENDED |
ELG156,ELG153 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,405 |
RULE-2285 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
MFP-INFORMATION |
ELG00010 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: MFP-REINSTITUTIONALIZED-REASON |
MFP-REINSTITUTIONALIZED-REASON |
ELG154 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,406 |
RULE-2286 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MFP-INFORMATION |
ELG00010 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
MFP-ENROLLMENT-EFF-DATE |
ELG155 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,407 |
RULE-2288 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
MFP-INFORMATION |
ELG00010 |
|
|
|
|
'if fns.hasValue(@val.MFP-ENROLLMENT-EFF-DATE) && fns.hasValue(@val.MFP-ENROLLMENT-END-DATE), then fns.isLessThanOrEqual(@val.MFP-ENROLLMENT-EFF-DATE, @val.MFP-ENROLLMENT-END-DATE)' |
MFP-ENROLLMENT-EFF-DATE,MFP-ENROLLMENT-END-DATE |
ELG155,ELG156 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,408 |
RULE-2289 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
MFP-INFORMATION |
ELG00010 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: MFP-ENROLLMENT-EFF-DATE. End date field: MFP-ENROLLMENT-END-DATE |
MFP-ENROLLMENT-EFF-DATE,MFP-ENROLLMENT-END-DATE |
ELG155,ELG156 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,409 |
RULE-2291 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MFP-INFORMATION |
ELG00010 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
MFP-ENROLLMENT-END-DATE |
ELG156 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,410 |
RULE-2294 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
MFP-INFORMATION |
ELG00010 |
|
|
'if fns.isEqual(@primaryRecord.RESTRICTED-BENEFITS-CODE, "D"), then fns.isGreaterThan(@secondaryRecord.MFP-ENROLLMENT-END-DATE, @primaryRecord.ELIGIBILITY-DETERMINANT-EFF-DATE)' |
RESTRICTED-BENEFITS-CODE,ELIGIBILITY-DETERMINANT-EFF-DATE |
ELG097,ELG099 |
MFP-ENROLLMENT-END-DATE |
ELG156 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG080,ELG082 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG147,ELG149 |
|
|
|
|
|
|
|
|
| 1,411 |
RULE-2295 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
MFP-INFORMATION |
ELG00010 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.MFP-ENROLLMENT-END-DATE), then fns.isLessThanOrEqual(@secondaryRecord.MFP-ENROLLMENT-END-DATE, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
MFP-ENROLLMENT-END-DATE |
ELG156 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG147,ELG149 |
|
|
|
|
|
|
|
|
| 1,412 |
RULE-2297 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
MFP-INFORMATION |
ELG00010 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
ELG157 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,413 |
RULE-2300 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
STATE-PLAN-OPTION-PARTICIPATION |
ELG00011 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
ELG160 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,414 |
RULE-2301 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
STATE-PLAN-OPTION-PARTICIPATION |
ELG00011 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
ELG160 |
SUBMITTING-STATE |
ELG007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,415 |
RULE-2303 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
STATE-PLAN-OPTION-PARTICIPATION |
ELG00011 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type STATE-PLAN-OPTION-PARTICIPATION |
RECORD-NUMBER |
ELG161 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,416 |
RULE-2306 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
STATE-PLAN-OPTION-PARTICIPATION |
ELG00011 |
|
|
record STATE-PLAN-OPTION-PARTICIPATION has corresponding parent record PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
|
|
|
|
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG160,ELG162 |
|
|
|
|
|
|
|
|
| 1,417 |
RULE-2307 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
STATE-PLAN-OPTION-PARTICIPATION |
ELG00011 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE-PLAN-OPTION-TYPE |
STATE-PLAN-OPTION-TYPE |
ELG163 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,418 |
RULE-2308 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
STATE-PLAN-OPTION-PARTICIPATION |
ELG00011 |
|
|
'if fns.isEqual(@primaryRecord.MAINTENANCE-ASSISTANCE-STATUS, "0") && fns.isEqual(@primaryRecord.MEDICAID-BASIS-OF-ELIGIBILITY, "00"), then fns.isEqual(@secondaryRecord.STATE-PLAN-OPTION-TYPE, "00")' |
MAINTENANCE-ASSISTANCE-STATUS,MEDICAID-BASIS-OF-ELIGIBILITY |
ELG096,ELG084 |
STATE-PLAN-OPTION-TYPE |
ELG163 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG080,ELG082 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG160,ELG162 |
|
|
|
|
|
|
|
|
| 1,419 |
RULE-2309 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
STATE-PLAN-OPTION-PARTICIPATION |
ELG00011 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
STATE-PLAN-OPTION-EFF-DATE |
ELG164 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,420 |
RULE-2311 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
STATE-PLAN-OPTION-PARTICIPATION |
ELG00011 |
|
|
|
|
'if fns.hasValue(@val.STATE-PLAN-OPTION-EFF-DATE) && fns.hasValue(@val.STATE-PLAN-OPTION-END-DATE), then fns.isLessThanOrEqual(@val.STATE-PLAN-OPTION-EFF-DATE, @val.STATE-PLAN-OPTION-END-DATE)' |
STATE-PLAN-OPTION-EFF-DATE,STATE-PLAN-OPTION-END-DATE |
ELG164,ELG165 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,421 |
RULE-2313 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
STATE-PLAN-OPTION-PARTICIPATION |
ELG00011 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: STATE-PLAN-OPTION-EFF-DATE. End date field: STATE-PLAN-OPTION-END-DATE |
STATE-PLAN-OPTION-EFF-DATE,STATE-PLAN-OPTION-END-DATE |
ELG164,ELG165 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,422 |
RULE-2315 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
STATE-PLAN-OPTION-PARTICIPATION |
ELG00011 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
STATE-PLAN-OPTION-END-DATE |
ELG165 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,423 |
RULE-2318 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
STATE-PLAN-OPTION-PARTICIPATION |
ELG00011 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.STATE-PLAN-OPTION-END-DATE), then fns.isLessThanOrEqual(@secondaryRecord.STATE-PLAN-OPTION-END-DATE, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
STATE-PLAN-OPTION-END-DATE |
ELG165 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG160,ELG162 |
|
|
|
|
|
|
|
|
| 1,424 |
RULE-2320 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
STATE-PLAN-OPTION-PARTICIPATION |
ELG00011 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
ELG166 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,425 |
RULE-2323 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
WAIVER-PARTICIPATION |
ELG00012 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
ELG169 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,426 |
RULE-2324 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
WAIVER-PARTICIPATION |
ELG00012 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
ELG169 |
SUBMITTING-STATE |
ELG007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,427 |
RULE-2326 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
WAIVER-PARTICIPATION |
ELG00012 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type WAIVER-PARTICIPATION |
RECORD-NUMBER |
ELG170 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,428 |
RULE-2329 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
WAIVER-PARTICIPATION |
ELG00012 |
|
|
record WAIVER-PARTICIPATION has corresponding parent record PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
|
|
|
|
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG169,ELG171 |
|
|
|
|
|
|
|
|
| 1,429 |
RULE-2330 |
1.1 |
Value Error |
E1104 |
Value not valid for state-supplied format (format or valid values) |
Valid Value |
WAIVER-PARTICIPATION |
ELG00012 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: WAIVER-ID |
WAIVER-ID |
ELG172 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,430 |
RULE-2331 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
WAIVER-PARTICIPATION |
ELG00012 |
|
|
|
|
'if and only if fns.hasValue(@val.WAIVER-TYPE), then fns.hasValue(@val.WAIVER-ID)' |
WAIVER-TYPE,WAIVER-ID |
ELG173,ELG172 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,431 |
RULE-2334 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
WAIVER-PARTICIPATION |
ELG00012 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: WAIVER-TYPE |
WAIVER-TYPE |
ELG173 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,432 |
RULE-2335 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
WAIVER-PARTICIPATION |
ELG00012 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
WAIVER-ENROLLMENT-EFF-DATE |
ELG174 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,433 |
RULE-2337 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
WAIVER-PARTICIPATION |
ELG00012 |
|
|
|
|
'if fns.hasValue(@val.WAIVER-ENROLLMENT-EFF-DATE) && fns.hasValue(@val.WAIVER-ENROLLMENT-END-DATE), then fns.isLessThanOrEqual(@val.WAIVER-ENROLLMENT-EFF-DATE, @val.WAIVER-ENROLLMENT-END-DATE)' |
WAIVER-ENROLLMENT-EFF-DATE,WAIVER-ENROLLMENT-END-DATE |
ELG174,ELG175 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,434 |
RULE-2338 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
WAIVER-PARTICIPATION |
ELG00012 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: WAIVER-ENROLLMENT-EFF-DATE. End date field: WAIVER-ENROLLMENT-END-DATE |
WAIVER-ENROLLMENT-EFF-DATE,WAIVER-ENROLLMENT-END-DATE |
ELG174,ELG175 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,435 |
RULE-2340 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
WAIVER-PARTICIPATION |
ELG00012 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
WAIVER-ENROLLMENT-END-DATE |
ELG175 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,436 |
RULE-2343 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
WAIVER-PARTICIPATION |
ELG00012 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.WAIVER-ENROLLMENT-END-DATE), then fns.isLessThanOrEqual(@secondaryRecord.WAIVER-ENROLLMENT-END-DATE, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
WAIVER-ENROLLMENT-END-DATE |
ELG175 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG169,ELG171 |
|
|
|
|
|
|
|
|
| 1,437 |
RULE-2345 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
WAIVER-PARTICIPATION |
ELG00012 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
ELG176 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,438 |
RULE-2348 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
LTSS-PARTICIPATION |
ELG00013 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
ELG179 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,439 |
RULE-2349 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
LTSS-PARTICIPATION |
ELG00013 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
ELG179 |
SUBMITTING-STATE |
ELG007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,440 |
RULE-2351 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
LTSS-PARTICIPATION |
ELG00013 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type LTSS-PARTICIPATION |
RECORD-NUMBER |
ELG180 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,441 |
RULE-2354 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
LTSS-PARTICIPATION |
ELG00013 |
|
|
record LTSS-PARTICIPATION has corresponding parent record PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
|
|
|
|
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG179,ELG181 |
|
|
|
|
|
|
|
|
| 1,442 |
RULE-2355 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
LTSS-PARTICIPATION |
ELG00013 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: LTSS-LEVEL-CARE |
LTSS-LEVEL-CARE |
ELG182 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,443 |
RULE-2357 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PROV-IDENTIFIERS |
PRV00005 |
LTSS-PARTICIPATION |
ELG00013 |
|
|
For every record of type LTSS-PARTICIPATION, there must be a valid record of type PROV-IDENTIFIERS that matches on the join keys |
|
|
|
|
|
|
SUBMITTING-STATE,PROV-IDENTIFIER |
PRV073,PRV081 |
SUBMITTING-STATE,LTSS-PROV-NUM |
ELG179,ELG183 |
|
|
|
|
|
|
|
|
| 1,444 |
RULE-2358 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
LTSS-PARTICIPATION |
ELG00013 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
LTSS-ELIGIBILITY-EFF-DATE |
ELG184 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,445 |
RULE-2360 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
LTSS-PARTICIPATION |
ELG00013 |
|
|
|
|
'if fns.hasValue(@val.LTSS-ELIGIBILITY-EFF-DATE) && fns.hasValue(@val.LTSS-ELIGIBILITY-END-DATE), then fns.isLessThanOrEqual(@val.LTSS-ELIGIBILITY-EFF-DATE, @val.LTSS-ELIGIBILITY-END-DATE)' |
LTSS-ELIGIBILITY-EFF-DATE,LTSS-ELIGIBILITY-END-DATE |
ELG184,ELG185 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,446 |
RULE-2361 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
LTSS-PARTICIPATION |
ELG00013 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: LTSS-ELIGIBILITY-EFF-DATE. End date field: LTSS-ELIGIBILITY-END-DATE |
LTSS-ELIGIBILITY-EFF-DATE,LTSS-ELIGIBILITY-END-DATE |
ELG184,ELG185 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,447 |
RULE-2363 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
LTSS-PARTICIPATION |
ELG00013 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
LTSS-ELIGIBILITY-END-DATE |
ELG185 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,448 |
RULE-2366 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
LTSS-PARTICIPATION |
ELG00013 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.LTSS-ELIGIBILITY-END-DATE), then fns.isLessThanOrEqual(@secondaryRecord.LTSS-ELIGIBILITY-END-DATE, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
LTSS-ELIGIBILITY-END-DATE |
ELG185 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG179,ELG181 |
|
|
|
|
|
|
|
|
| 1,449 |
RULE-2368 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
LTSS-PARTICIPATION |
ELG00013 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
ELG186 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,450 |
RULE-2371 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
ELG189 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,451 |
RULE-2372 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
ELG189 |
SUBMITTING-STATE |
ELG007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,452 |
RULE-2374 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type MANAGED-CARE-PARTICIPATION |
RECORD-NUMBER |
ELG190 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,453 |
RULE-2377 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
|
|
record MANAGED-CARE-PARTICIPATION has corresponding parent record PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
|
|
|
|
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG189,ELG191 |
|
|
|
|
|
|
|
|
| 1,454 |
RULE-2379 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
|
|
|
|
'if fns.hasValue(@val.MANAGED-CARE-PLAN-ID), then fns.matches(@val.MANAGED-CARE-PLAN-ID, "^[^|*]*$")' |
MANAGED-CARE-PLAN-ID |
ELG192 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,455 |
RULE-2380 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
|
|
|
|
'if !fns.hasValue(@val.MANAGED-CARE-PLAN-ID), then !fns.hasValue(@val.ENROLLED-MANAGED-CARE-PLAN-TYPE)' |
MANAGED-CARE-PLAN-ID,ENROLLED-MANAGED-CARE-PLAN-TYPE |
ELG192,ELG193 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,456 |
RULE-2382 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
MANAGED-CARE-MAIN |
MCR00002 |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
|
|
For every record of type MANAGED-CARE-PARTICIPATION, there must be a valid record of type MANAGED-CARE-MAIN that matches on the join keys |
|
|
|
|
|
|
SUBMITTING-STATE,STATE-PLAN-ID-NUM |
MCR017,MCR019 |
SUBMITTING-STATE,MANAGED-CARE-PLAN-ID |
ELG189,ELG192 |
|
|
|
|
|
|
|
|
| 1,457 |
RULE-2384 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
MANAGED-CARE-MAIN |
MCR00002 |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
|
|
'if fns.hasValue(@secondaryRecord.ENROLLED-MANAGED-CARE-PLAN-TYPE) && fns.hasValue(@primaryRecord.MANAGED-CARE-PLAN-TYPE), then fns.isEqual(@secondaryRecord.ENROLLED-MANAGED-CARE-PLAN-TYPE, @primaryRecord.MANAGED-CARE-PLAN-TYPE)' |
MANAGED-CARE-PLAN-TYPE |
MCR024 |
ENROLLED-MANAGED-CARE-PLAN-TYPE |
ELG193 |
|
|
SUBMITTING-STATE,STATE-PLAN-ID-NUM |
MCR017,MCR019 |
SUBMITTING-STATE,MANAGED-CARE-PLAN-ID |
ELG189,ELG192 |
|
|
|
|
|
|
|
|
| 1,458 |
RULE-2385 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: MANAGED-CARE-PLAN-TYPE |
ENROLLED-MANAGED-CARE-PLAN-TYPE |
ELG193 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,459 |
RULE-2386 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
|
|
|
|
'if fns.hasValue(@val.NATIONAL-HEALTH-CARE-ENTITY-ID), then fns.matches(@val.NATIONAL-HEALTH-CARE-ENTITY-ID, "^[^|*]*$")' |
NATIONAL-HEALTH-CARE-ENTITY-ID |
ELG194 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,460 |
RULE-2387 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
'if fns.isGreaterThanOrEqual(@fileHeader.START-OF-TIME-PERIOD, "2015-11-05") && fns.hasValue(@val.ENROLLED-MANAGED-CARE-PLAN-TYPE), then fns.hasValue(@val.NATIONAL-HEALTH-CARE-ENTITY-ID)' |
ENROLLED-MANAGED-CARE-PLAN-TYPE,NATIONAL-HEALTH-CARE-ENTITY-ID |
ELG193,ELG194 |
START-OF-TIME-PERIOD |
ELG009 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,461 |
RULE-2388 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: NATIONAL-HEALTH-CARE-ENTITY-ID-TYPE |
NATIONAL-HEALTH-CARE-ENTITY-ID-TYPE |
ELG195 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,462 |
RULE-2389 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
MANAGED-CARE-PLAN-ENROLLMENT-EFF-DATE |
ELG196 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,463 |
RULE-2391 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
|
|
|
|
'if fns.hasValue(@val.MANAGED-CARE-PLAN-ENROLLMENT-EFF-DATE) && fns.hasValue(@val.MANAGED-CARE-PLAN-ENROLLMENT-END-DATE), then fns.isLessThanOrEqual(@val.MANAGED-CARE-PLAN-ENROLLMENT-EFF-DATE, @val.MANAGED-CARE-PLAN-ENROLLMENT-END-DATE)' |
MANAGED-CARE-PLAN-ENROLLMENT-EFF-DATE,MANAGED-CARE-PLAN-ENROLLMENT-END-DATE |
ELG196,ELG197 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,464 |
RULE-2392 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: MANAGED-CARE-PLAN-ENROLLMENT-EFF-DATE. End date field: MANAGED-CARE-PLAN-ENROLLMENT-END-DATE |
MANAGED-CARE-PLAN-ENROLLMENT-EFF-DATE,MANAGED-CARE-PLAN-ENROLLMENT-END-DATE |
ELG196,ELG197 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,465 |
RULE-2394 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
MANAGED-CARE-PLAN-ENROLLMENT-END-DATE |
ELG197 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,466 |
RULE-2397 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.MANAGED-CARE-PLAN-ENROLLMENT-END-DATE), then fns.isLessThanOrEqual(@secondaryRecord.MANAGED-CARE-PLAN-ENROLLMENT-END-DATE, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
MANAGED-CARE-PLAN-ENROLLMENT-END-DATE |
ELG197 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG189,ELG191 |
|
|
|
|
|
|
|
|
| 1,467 |
RULE-2399 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
ELG198 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,468 |
RULE-2402 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
ETHNICITY-INFORMATION |
ELG00015 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
ELG201 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,469 |
RULE-2403 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
ETHNICITY-INFORMATION |
ELG00015 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
ELG201 |
SUBMITTING-STATE |
ELG007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,470 |
RULE-2405 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
ETHNICITY-INFORMATION |
ELG00015 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type ETHNICITY-INFORMATION |
RECORD-NUMBER |
ELG202 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,471 |
RULE-2408 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
ETHNICITY-INFORMATION |
ELG00015 |
|
|
record ETHNICITY-INFORMATION has corresponding parent record PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
|
|
|
|
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG201,ELG203 |
|
|
|
|
|
|
|
|
| 1,472 |
RULE-2409 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
ETHNICITY-INFORMATION |
ELG00015 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: ETHNICITY-CODE |
ETHNICITY-CODE |
ELG204 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,473 |
RULE-2410 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ETHNICITY-INFORMATION |
ELG00015 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
ETHNICITY-DECLARATION-EFF-DATE |
ELG205 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,474 |
RULE-2412 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
ETHNICITY-INFORMATION |
ELG00015 |
|
|
|
|
'if fns.hasValue(@val.ETHNICITY-DECLARATION-EFF-DATE) && fns.hasValue(@val.ETHNICITY-DECLARATION-END-DATE), then fns.isLessThanOrEqual(@val.ETHNICITY-DECLARATION-EFF-DATE, @val.ETHNICITY-DECLARATION-END-DATE)' |
ETHNICITY-DECLARATION-EFF-DATE,ETHNICITY-DECLARATION-END-DATE |
ELG205,ELG206 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,475 |
RULE-2413 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
ETHNICITY-INFORMATION |
ELG00015 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: ETHNICITY-DECLARATION-EFF-DATE. End date field: ETHNICITY-DECLARATION-END-DATE |
ETHNICITY-DECLARATION-EFF-DATE,ETHNICITY-DECLARATION-END-DATE |
ELG205,ELG206 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,476 |
RULE-2415 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ETHNICITY-INFORMATION |
ELG00015 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
ETHNICITY-DECLARATION-END-DATE |
ELG206 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,477 |
RULE-2419 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
ETHNICITY-INFORMATION |
ELG00015 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
ELG207 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,478 |
RULE-2424 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
RACE-INFORMATION |
ELG00016 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
ELG210 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,479 |
RULE-2425 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
RACE-INFORMATION |
ELG00016 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
ELG210 |
SUBMITTING-STATE |
ELG007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,480 |
RULE-2427 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
RACE-INFORMATION |
ELG00016 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type RACE-INFORMATION |
RECORD-NUMBER |
ELG211 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,481 |
RULE-2430 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
RACE-INFORMATION |
ELG00016 |
|
|
record RACE-INFORMATION has corresponding parent record PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
|
|
|
|
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG210,ELG212 |
|
|
|
|
|
|
|
|
| 1,482 |
RULE-2431 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
RACE-INFORMATION |
ELG00016 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: RACE |
RACE |
ELG213 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,483 |
RULE-2432 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
RACE-INFORMATION |
ELG00016 |
|
|
|
|
'if fns.isEqualToAny(@val.RACE, "010", "015"), then fns.hasValue(@val.RACE-OTHER)' |
RACE,RACE-OTHER |
ELG213,ELG214 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,484 |
RULE-2433 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
RACE-INFORMATION |
ELG00016 |
|
|
|
|
'if fns.hasValue(@val.RACE-OTHER), then fns.matches(@val.RACE-OTHER, "^[^|*]*$")' |
RACE-OTHER |
ELG214 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,485 |
RULE-2434 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
RACE-INFORMATION |
ELG00016 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CERTIFIED-AMERICAN-INDIAN-ALASKAN-NATIVE-INDICATOR |
CERTIFIED-AMERICAN-INDIAN-ALASKAN-NATIVE-INDICATOR |
ELG215 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,486 |
RULE-2435 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
RACE-INFORMATION |
ELG00016 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
RACE-DECLARATION-EFF-DATE |
ELG216 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,487 |
RULE-2437 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
RACE-INFORMATION |
ELG00016 |
|
|
|
|
'if fns.hasValue(@val.RACE-DECLARATION-EFF-DATE) && fns.hasValue(@val.RACE-DECLARATION-END-DATE), then fns.isLessThanOrEqual(@val.RACE-DECLARATION-EFF-DATE, @val.RACE-DECLARATION-END-DATE)' |
RACE-DECLARATION-EFF-DATE,RACE-DECLARATION-END-DATE |
ELG216,ELG217 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,488 |
RULE-2438 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
RACE-INFORMATION |
ELG00016 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: RACE-DECLARATION-EFF-DATE. End date field: RACE-DECLARATION-END-DATE |
RACE-DECLARATION-EFF-DATE,RACE-DECLARATION-END-DATE |
ELG216,ELG217 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,489 |
RULE-2440 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
RACE-INFORMATION |
ELG00016 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
RACE-DECLARATION-END-DATE |
ELG217 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,490 |
RULE-2444 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
RACE-INFORMATION |
ELG00016 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
ELG218 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,491 |
RULE-2447 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
DISABILITY-INFORMATION |
ELG00017 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
ELG221 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,492 |
RULE-2448 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
DISABILITY-INFORMATION |
ELG00017 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
ELG221 |
SUBMITTING-STATE |
ELG007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,493 |
RULE-2450 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
DISABILITY-INFORMATION |
ELG00017 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type DISABILITY-INFORMATION |
RECORD-NUMBER |
ELG222 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,494 |
RULE-2453 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
DISABILITY-INFORMATION |
ELG00017 |
|
|
record DISABILITY-INFORMATION has corresponding parent record PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
|
|
|
|
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG221,ELG223 |
|
|
|
|
|
|
|
|
| 1,495 |
RULE-2454 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
DISABILITY-INFORMATION |
ELG00017 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DISABILITY-TYPE-CODE |
DISABILITY-TYPE-CODE |
ELG224 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,496 |
RULE-2455 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
DISABILITY-INFORMATION |
ELG00017 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
DISABILITY-TYPE-EFF-DATE |
ELG225 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,497 |
RULE-2457 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
DISABILITY-INFORMATION |
ELG00017 |
|
|
|
|
'if fns.hasValue(@val.DISABILITY-TYPE-EFF-DATE) && fns.hasValue(@val.DISABILITY-TYPE-END-DATE), then fns.isLessThanOrEqual(@val.DISABILITY-TYPE-EFF-DATE, @val.DISABILITY-TYPE-END-DATE)' |
DISABILITY-TYPE-EFF-DATE,DISABILITY-TYPE-END-DATE |
ELG225,ELG226 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,498 |
RULE-2458 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
DISABILITY-INFORMATION |
ELG00017 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: DISABILITY-TYPE-EFF-DATE. End date field: DISABILITY-TYPE-END-DATE |
DISABILITY-TYPE-EFF-DATE,DISABILITY-TYPE-END-DATE |
ELG225,ELG226 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,499 |
RULE-2460 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
DISABILITY-INFORMATION |
ELG00017 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
DISABILITY-TYPE-END-DATE |
ELG226 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,500 |
RULE-2464 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
DISABILITY-INFORMATION |
ELG00017 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
ELG227 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,501 |
RULE-2467 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
1115A-DEMONSTRATION-INFORMATION |
ELG00018 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
ELG230 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,502 |
RULE-2468 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
1115A-DEMONSTRATION-INFORMATION |
ELG00018 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
ELG230 |
SUBMITTING-STATE |
ELG007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,503 |
RULE-2470 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
1115A-DEMONSTRATION-INFORMATION |
ELG00018 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type 1115A-DEMONSTRATION-INFORMATION |
RECORD-NUMBER |
ELG231 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,504 |
RULE-2473 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
1115A-DEMONSTRATION-INFORMATION |
ELG00018 |
|
|
record 1115A-DEMONSTRATION-INFORMATION has corresponding parent record PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
|
|
|
|
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG230,ELG232 |
|
|
|
|
|
|
|
|
| 1,505 |
RULE-2474 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
1115A-DEMONSTRATION-INFORMATION |
ELG00018 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: 1115A-DEMONSTRATION-IND |
1115A-DEMONSTRATION-IND |
ELG233 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,506 |
RULE-2475 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
1115A-DEMONSTRATION-INFORMATION |
ELG00018 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
1115A-EFF-DATE |
ELG234 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,507 |
RULE-2477 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
1115A-DEMONSTRATION-INFORMATION |
ELG00018 |
|
|
|
|
'if fns.hasValue(@val.1115A-EFF-DATE) && fns.hasValue(@val.1115A-END-DATE), then fns.isLessThanOrEqual(@val.1115A-EFF-DATE, @val.1115A-END-DATE)' |
1115A-EFF-DATE,1115A-END-DATE |
ELG234,ELG235 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,508 |
RULE-2478 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
1115A-DEMONSTRATION-INFORMATION |
ELG00018 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: 1115A-EFF-DATE. End date field: 1115A-END-DATE |
1115A-EFF-DATE,1115A-END-DATE |
ELG234,ELG235 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,509 |
RULE-2480 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
1115A-DEMONSTRATION-INFORMATION |
ELG00018 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
1115A-END-DATE |
ELG235 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,510 |
RULE-2483 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
1115A-DEMONSTRATION-INFORMATION |
ELG00018 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.1115A-END-DATE), then fns.isLessThanOrEqual(@secondaryRecord.1115A-END-DATE, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
1115A-END-DATE |
ELG235 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG230,ELG232 |
|
|
|
|
|
|
|
|
| 1,511 |
RULE-2485 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
1115A-DEMONSTRATION-INFORMATION |
ELG00018 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
ELG236 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,512 |
RULE-2488 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
HCBS-CHRONIC-CONDITIONS-NON-HEALTH-HOME |
ELG00020 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
ELG239 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,513 |
RULE-2489 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
HCBS-CHRONIC-CONDITIONS-NON-HEALTH-HOME |
ELG00020 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
ELG239 |
SUBMITTING-STATE |
ELG007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,514 |
RULE-2491 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
HCBS-CHRONIC-CONDITIONS-NON-HEALTH-HOME |
ELG00020 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type HCBS-CHRONIC-CONDITIONS-NON-HEALTH-HOME |
RECORD-NUMBER |
ELG240 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,515 |
RULE-2494 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
HCBS-CHRONIC-CONDITIONS-NON-HEALTH-HOME |
ELG00020 |
|
|
record HCBS-CHRONIC-CONDITIONS-NON-HEALTH-HOME has corresponding parent record PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
|
|
|
|
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG239,ELG241 |
|
|
|
|
|
|
|
|
| 1,516 |
RULE-2495 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
HCBS-CHRONIC-CONDITIONS-NON-HEALTH-HOME |
ELG00020 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: HCBS-CHRONIC-CONDITION-NON-HEALTH-HOME-CODE |
HCBS-CHRONIC-CONDITION-NON-HEALTH-HOME-CODE |
ELG242 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,517 |
RULE-2496 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HCBS-CHRONIC-CONDITIONS-NON-HEALTH-HOME |
ELG00020 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
HCBS-CHRONIC-CONDITION-NON-HEALTH-HOME-EFF-DATE |
ELG243 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,518 |
RULE-2498 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
HCBS-CHRONIC-CONDITIONS-NON-HEALTH-HOME |
ELG00020 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: HCBS-CHRONIC-CONDITION-NON-HEALTH-HOME-EFF-DATE. End date field: HCBS-CHRONIC-CONDITION-NON-HEALTH-HOME-END-DATE |
HCBS-CHRONIC-CONDITION-NON-HEALTH-HOME-EFF-DATE,HCBS-CHRONIC-CONDITION-NON-HEALTH-HOME-END-DATE |
ELG243,ELG244 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,519 |
RULE-2500 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HCBS-CHRONIC-CONDITIONS-NON-HEALTH-HOME |
ELG00020 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
HCBS-CHRONIC-CONDITION-NON-HEALTH-HOME-END-DATE |
ELG244 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,520 |
RULE-2503 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
HCBS-CHRONIC-CONDITIONS-NON-HEALTH-HOME |
ELG00020 |
|
|
|
|
'if fns.hasValue(@val.HCBS-CHRONIC-CONDITION-NON-HEALTH-HOME-EFF-DATE) && fns.hasValue(@val.HCBS-CHRONIC-CONDITION-NON-HEALTH-HOME-END-DATE), then fns.isLessThanOrEqual(@val.HCBS-CHRONIC-CONDITION-NON-HEALTH-HOME-EFF-DATE, @val.HCBS-CHRONIC-CONDITION-NON-HEALTH-HOME-END-DATE)' |
HCBS-CHRONIC-CONDITION-NON-HEALTH-HOME-EFF-DATE,HCBS-CHRONIC-CONDITION-NON-HEALTH-HOME-END-DATE |
ELG243,ELG244 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,521 |
RULE-2504 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
HCBS-CHRONIC-CONDITIONS-NON-HEALTH-HOME |
ELG00020 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
ELG245 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,522 |
RULE-2507 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
ENROLLMENT-TIME-SPAN-SEGMENT |
ELG00021 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
ELG249 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,523 |
RULE-2508 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
ENROLLMENT-TIME-SPAN-SEGMENT |
ELG00021 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
ELG249 |
SUBMITTING-STATE |
ELG007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,524 |
RULE-2510 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
ENROLLMENT-TIME-SPAN-SEGMENT |
ELG00021 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type ENROLLMENT-TIME-SPAN-SEGMENT |
RECORD-NUMBER |
ELG250 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,525 |
RULE-2513 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
ENROLLMENT-TIME-SPAN-SEGMENT |
ELG00021 |
|
|
record ENROLLMENT-TIME-SPAN-SEGMENT has corresponding parent record PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
|
|
|
|
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG249,ELG251 |
|
|
|
|
|
|
|
|
| 1,526 |
RULE-2514 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
ENROLLMENT-TIME-SPAN-SEGMENT |
ELG00021 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: ENROLLMENT-TYPE |
ENROLLMENT-TYPE |
ELG252 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,527 |
RULE-2515 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ENROLLMENT-TIME-SPAN-SEGMENT |
ELG00021 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
ENROLLMENT-EFF-DATE |
ELG253 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,528 |
RULE-2517 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
ENROLLMENT-TIME-SPAN-SEGMENT |
ELG00021 |
|
|
|
|
'if fns.hasValue(@val.ENROLLMENT-EFF-DATE) && fns.hasValue(@val.ENROLLMENT-END-DATE), then fns.isLessThanOrEqual(@val.ENROLLMENT-EFF-DATE, @val.ENROLLMENT-END-DATE)' |
ENROLLMENT-EFF-DATE,ENROLLMENT-END-DATE |
ELG253,ELG254 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,529 |
RULE-2519 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
ENROLLMENT-TIME-SPAN-SEGMENT |
ELG00021 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: ENROLLMENT-EFF-DATE. End date field: ENROLLMENT-END-DATE |
ENROLLMENT-EFF-DATE,ENROLLMENT-END-DATE |
ELG253,ELG254 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,530 |
RULE-2522 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
ENROLLMENT-TIME-SPAN-SEGMENT |
ELG00021 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.ENROLLMENT-END-DATE), then fns.isLessThanOrEqual(@secondaryRecord.ENROLLMENT-END-DATE, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
ENROLLMENT-END-DATE |
ELG254 |
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG249,ELG251 |
|
|
|
|
|
|
|
|
| 1,531 |
RULE-2523 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
ENROLLMENT-TIME-SPAN-SEGMENT |
ELG00021 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
ELG255 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,532 |
RULE-2532 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-MANAGED-CARE |
MCR00001 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
DATE-FILE-CREATED |
MCR008 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,533 |
RULE-2536 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-MANAGED-CARE |
MCR00001 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
START-OF-TIME-PERIOD |
MCR009 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,534 |
RULE-2540 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-MANAGED-CARE |
MCR00001 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
END-OF-TIME-PERIOD |
MCR010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,535 |
RULE-2548 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-MANAGED-CARE |
MCR00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
TOT-REC-CNT |
MCR013 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,536 |
RULE-2553 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
MCR017 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,537 |
RULE-2554 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
MANAGED-CARE-MAIN |
MCR00002 |
FILE-HEADER-RECORD-MANAGED-CARE |
MCR00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
MCR017 |
SUBMITTING-STATE |
MCR007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,538 |
RULE-2556 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type MANAGED-CARE-MAIN |
RECORD-NUMBER |
MCR018 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,539 |
RULE-2558 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
'if fns.hasValue(@val.STATE-PLAN-ID-NUM), then fns.matches(@val.STATE-PLAN-ID-NUM, "^[^|*]*$")' |
STATE-PLAN-ID-NUM |
MCR019 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,540 |
RULE-2559 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
MANAGED-CARE-CONTRACT-EFF-DATE |
MCR020 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,541 |
RULE-2561 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
'if fns.hasValue(@val.MANAGED-CARE-CONTRACT-EFF-DATE) && fns.hasValue(@val.MANAGED-CARE-CONTRACT-END-DATE), then fns.isLessThanOrEqual(@val.MANAGED-CARE-CONTRACT-EFF-DATE, @val.MANAGED-CARE-CONTRACT-END-DATE)' |
MANAGED-CARE-CONTRACT-EFF-DATE,MANAGED-CARE-CONTRACT-END-DATE |
MCR020,MCR021 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,542 |
RULE-2562 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
MANAGED-CARE-CONTRACT-END-DATE |
MCR021 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,543 |
RULE-2566 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
'if fns.hasValue(@val.MANAGED-CARE-NAME), then fns.matches(@val.MANAGED-CARE-NAME, "^[^|*]*$")' |
MANAGED-CARE-NAME |
MCR022 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,544 |
RULE-2567 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: MANAGED-CARE-PROGRAM |
MANAGED-CARE-PROGRAM |
MCR023 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,545 |
RULE-2568 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: MANAGED-CARE-PLAN-TYPE |
MANAGED-CARE-PLAN-TYPE |
MCR024 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,546 |
RULE-2569 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: REIMBURSEMENT-ARRANGEMENT |
REIMBURSEMENT-ARRANGEMENT |
MCR025 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,547 |
RULE-2570 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: MANAGED-CARE-PROFIT-STATUS |
MANAGED-CARE-PROFIT-STATUS |
MCR026 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,548 |
RULE-2571 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: CORE-BASED-STATISTICAL-AREA-CODE |
CORE-BASED-STATISTICAL-AREA-CODE |
MCR027 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,549 |
RULE-2572 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
'if fns.hasValue(@val.PERCENT-BUSINESS), then fns.inRange(@val.PERCENT-BUSINESS, 0,100)' |
PERCENT-BUSINESS |
MCR028 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,550 |
RULE-2573 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(3) |
PERCENT-BUSINESS |
MCR028 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,551 |
RULE-2574 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: MANAGED-CARE-SERVICE-AREA |
MANAGED-CARE-SERVICE-AREA |
MCR029 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,552 |
RULE-2575 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
MANAGED-CARE-MAIN-REC-EFF-DATE |
MCR030 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,553 |
RULE-2577 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
'if fns.hasValue(@val.MANAGED-CARE-MAIN-REC-EFF-DATE) && fns.hasValue(@val.MANAGED-CARE-MAIN-REC-END-DATE), then fns.isLessThanOrEqual(@val.MANAGED-CARE-MAIN-REC-EFF-DATE, @val.MANAGED-CARE-MAIN-REC-END-DATE)' |
MANAGED-CARE-MAIN-REC-EFF-DATE,MANAGED-CARE-MAIN-REC-END-DATE |
MCR030,MCR031 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,554 |
RULE-2578 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: MANAGED-CARE-MAIN-REC-EFF-DATE. End date field: MANAGED-CARE-MAIN-REC-END-DATE |
MANAGED-CARE-MAIN-REC-EFF-DATE,MANAGED-CARE-MAIN-REC-END-DATE |
MCR030,MCR031 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,555 |
RULE-2580 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
MANAGED-CARE-MAIN-REC-END-DATE |
MCR031 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,556 |
RULE-2583 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
MCR032 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,557 |
RULE-2586 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
MCR035 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,558 |
RULE-2587 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
FILE-HEADER-RECORD-MANAGED-CARE |
MCR00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
MCR035 |
SUBMITTING-STATE |
MCR007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,559 |
RULE-2589 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
MCR036 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,560 |
RULE-2590 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
RECORD-NUMBER |
MCR036 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,561 |
RULE-2592 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
'if fns.hasValue(@val.STATE-PLAN-ID-NUM), then fns.matches(@val.STATE-PLAN-ID-NUM, "^[^|*]*$")' |
STATE-PLAN-ID-NUM |
MCR037 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,562 |
RULE-2593 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
MANAGED-CARE-MAIN |
MCR00002 |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
record MANAGED-CARE-LOCATION-AND-CONTACT-INFO has corresponding parent record MANAGED-CARE-MAIN |
|
|
|
|
|
|
SUBMITTING-STATE,STATE-PLAN-ID-NUM |
MCR017,MCR019 |
SUBMITTING-STATE,STATE-PLAN-ID-NUM |
MCR035,MCR037 |
|
|
|
|
|
|
|
|
| 1,563 |
RULE-2595 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO-EFF-DATE |
MCR039 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,564 |
RULE-2597 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
'if fns.hasValue(@val.MANAGED-CARE-LOCATION-AND-CONTACT-INFO-EFF-DATE) && fns.hasValue(@val.MANAGED-CARE-LOCATION-AND-CONTACT-INFO-END-DATE), then fns.isLessThanOrEqual(@val.MANAGED-CARE-LOCATION-AND-CONTACT-INFO-EFF-DATE , @val.MANAGED-CARE-LOCATION-AND-CONTACT-INFO-END-DATE)' |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO-EFF-DATE,MANAGED-CARE-LOCATION-AND-CONTACT-INFO-END-DATE |
MCR039,MCR040 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,565 |
RULE-2598 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: MANAGED-CARE-LOCATION-AND-CONTACT-INFO-EFF-DATE. End date field: MANAGED-CARE-LOCATION-AND-CONTACT-INFO-END-DATE |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO-EFF-DATE,MANAGED-CARE-LOCATION-AND-CONTACT-INFO-END-DATE |
MCR039,MCR040 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,566 |
RULE-2600 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO-END-DATE |
MCR040 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,567 |
RULE-2604 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: MANAGED-CARE-ADDR-TYPE |
MANAGED-CARE-ADDR-TYPE |
MCR041 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,568 |
RULE-2606 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
'if fns.hasValue(@val.MANAGED-CARE-ADDR-LN1), then fns.matches(@val.MANAGED-CARE-ADDR-LN1, "^[^|*]*$")' |
MANAGED-CARE-ADDR-LN1 |
MCR042 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,569 |
RULE-2607 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
'if fns.hasValue(@val.MANAGED-CARE-ADDR-LN2), then fns.matches(@val.MANAGED-CARE-ADDR-LN2, "^[^|*]*$")' |
MANAGED-CARE-ADDR-LN2 |
MCR043 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,570 |
RULE-2608 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
The values of the following fields should be unique (non-repeating) within each record: MANAGED-CARE-ADDR-LN1,MANAGED-CARE-ADDR-LN2,MANAGED-CARE-ADDR-LN3 |
MANAGED-CARE-ADDR-LN1,MANAGED-CARE-ADDR-LN2,MANAGED-CARE-ADDR-LN3 |
MCR042,MCR043,MCR044 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,571 |
RULE-2609 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
'if fns.hasValue(@val.MANAGED-CARE-ADDR-LN3), then fns.matches(@val.MANAGED-CARE-ADDR-LN3, "^[^|*]*$")' |
MANAGED-CARE-ADDR-LN3 |
MCR044 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,572 |
RULE-2611 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
'if !fns.hasValue(@val.MANAGED-CARE-ADDR-LN2), then !fns.hasValue(@val.MANAGED-CARE-ADDR-LN3)' |
MANAGED-CARE-ADDR-LN2,MANAGED-CARE-ADDR-LN3 |
MCR043,MCR044 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,573 |
RULE-2613 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
'if fns.hasValue(@val.MANAGED-CARE-CITY), then fns.matches(@val.MANAGED-CARE-CITY, "^[^|*]*$")' |
MANAGED-CARE-CITY |
MCR045 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,574 |
RULE-2614 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
MANAGED-CARE-STATE |
MCR046 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,575 |
RULE-2615 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
'if fns.hasValue(@val.MANAGED-CARE-ZIP-CODE), then fns.matches(@val.MANAGED-CARE-ZIP-CODE, "^[0-9]{5}|[0-9]{9}$")' |
MANAGED-CARE-ZIP-CODE |
MCR047 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,576 |
RULE-2616 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: COUNTY |
MANAGED-CARE-COUNTY |
MCR048 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,577 |
RULE-2617 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
MANAGED-CARE-TELEPHONE |
MCR049 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,578 |
RULE-2618 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
'if fns.hasValue(@val.MANAGED-CARE-EMAIL), then fns.matches(@val.MANAGED-CARE-EMAIL, "^.*@.*$")' |
MANAGED-CARE-EMAIL |
MCR050 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,579 |
RULE-2619 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
MANAGED-CARE-FAX-NUMBER |
MCR051 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,580 |
RULE-2620 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
MCR052 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,581 |
RULE-2623 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
MANAGED-CARE-SERVICE-AREA |
MCR00004 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
MCR055 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,582 |
RULE-2624 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
MANAGED-CARE-SERVICE-AREA |
MCR00004 |
FILE-HEADER-RECORD-MANAGED-CARE |
MCR00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
MCR055 |
SUBMITTING-STATE |
MCR007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,583 |
RULE-2626 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-SERVICE-AREA |
MCR00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
MCR056 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,584 |
RULE-2627 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
MANAGED-CARE-SERVICE-AREA |
MCR00004 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type MANAGED-CARE-SERVICE-AREA |
RECORD-NUMBER |
MCR056 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,585 |
RULE-2629 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
MANAGED-CARE-SERVICE-AREA |
MCR00004 |
|
|
|
|
'if fns.hasValue(@val.STATE-PLAN-ID-NUM), then fns.matches(@val.STATE-PLAN-ID-NUM, "^[^|*]*$")' |
STATE-PLAN-ID-NUM |
MCR057 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,586 |
RULE-2630 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
MANAGED-CARE-MAIN |
MCR00002 |
MANAGED-CARE-SERVICE-AREA |
MCR00004 |
|
|
record MANAGED-CARE-SERVICE-AREA has corresponding parent record MANAGED-CARE-MAIN |
|
|
|
|
|
|
SUBMITTING-STATE,STATE-PLAN-ID-NUM |
MCR017,MCR019 |
SUBMITTING-STATE,STATE-PLAN-ID-NUM |
MCR055,MCR057 |
|
|
|
|
|
|
|
|
| 1,587 |
RULE-2632 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
MANAGED-CARE-SERVICE-AREA |
MCR00004 |
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|
|
|
'if fns.hasValue(@val.MANAGED-CARE-SERVICE-AREA-NAME), then fns.matches(@val.MANAGED-CARE-SERVICE-AREA-NAME, "^[^|*]*$")' |
MANAGED-CARE-SERVICE-AREA-NAME |
MCR058 |
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|
|
|
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|
|
|
| 1,588 |
RULE-2633 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-SERVICE-AREA |
MCR00004 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
MANAGED-CARE-SERVICE-AREA-EFF-DATE |
MCR059 |
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|
|
|
|
|
|
| 1,589 |
RULE-2635 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
MANAGED-CARE-SERVICE-AREA |
MCR00004 |
|
|
|
|
'if fns.hasValue(@val.MANAGED-CARE-SERVICE-AREA-EFF-DATE) && fns.hasValue(@val.MANAGED-CARE-SERVICE-AREA-END-DATE), then fns.isLessThanOrEqual(@val.MANAGED-CARE-SERVICE-AREA-EFF-DATE , @val.MANAGED-CARE-SERVICE-AREA-END-DATE)' |
MANAGED-CARE-SERVICE-AREA-EFF-DATE,MANAGED-CARE-SERVICE-AREA-END-DATE |
MCR059,MCR060 |
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|
|
|
|
|
|
| 1,590 |
RULE-2636 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
MANAGED-CARE-SERVICE-AREA |
MCR00004 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: MANAGED-CARE-SERVICE-AREA-EFF-DATE. End date field: MANAGED-CARE-SERVICE-AREA-END-DATE |
MANAGED-CARE-SERVICE-AREA-EFF-DATE,MANAGED-CARE-SERVICE-AREA-END-DATE |
MCR059,MCR060 |
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|
|
|
|
|
|
| 1,591 |
RULE-2638 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-SERVICE-AREA |
MCR00004 |
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|
|
|
Value must be a valid date of the form CCYYMMDD |
MANAGED-CARE-SERVICE-AREA-END-DATE |
MCR060 |
|
|
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|
|
|
|
|
|
|
| 1,592 |
RULE-2642 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
MANAGED-CARE-SERVICE-AREA |
MCR00004 |
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|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
MCR061 |
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|
|
|
|
|
| 1,593 |
RULE-2645 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
MANAGED-CARE-OPERATING-AUTHORITY |
MCR00005 |
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|
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|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
MCR064 |
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|
|
|
|
|
|
| 1,594 |
RULE-2646 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
MANAGED-CARE-OPERATING-AUTHORITY |
MCR00005 |
FILE-HEADER-RECORD-MANAGED-CARE |
MCR00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
MCR064 |
SUBMITTING-STATE |
MCR007 |
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|
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|
|
|
| 1,595 |
RULE-2648 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-OPERATING-AUTHORITY |
MCR00005 |
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|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
MCR065 |
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|
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|
|
|
| 1,596 |
RULE-2649 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
MANAGED-CARE-OPERATING-AUTHORITY |
MCR00005 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type MANAGED-CARE-OPERATING-AUTHORITY |
RECORD-NUMBER |
MCR065 |
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|
|
|
|
|
| 1,597 |
RULE-2651 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
MANAGED-CARE-OPERATING-AUTHORITY |
MCR00005 |
|
|
|
|
'if fns.hasValue(@val.STATE-PLAN-ID-NUM), then fns.matches(@val.STATE-PLAN-ID-NUM, "^[^|*]*$")' |
STATE-PLAN-ID-NUM |
MCR066 |
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|
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|
|
| 1,598 |
RULE-2652 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
MANAGED-CARE-MAIN |
MCR00002 |
MANAGED-CARE-OPERATING-AUTHORITY |
MCR00005 |
|
|
record MANAGED-CARE-OPERATING-AUTHORITY has corresponding parent record MANAGED-CARE-MAIN |
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|
|
|
|
|
SUBMITTING-STATE,STATE-PLAN-ID-NUM |
MCR017,MCR019 |
SUBMITTING-STATE,STATE-PLAN-ID-NUM |
MCR064,MCR066 |
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|
|
|
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|
|
|
| 1,599 |
RULE-2653 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
MANAGED-CARE-OPERATING-AUTHORITY |
MCR00005 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OPERATING-AUTHORITY |
OPERATING-AUTHORITY |
MCR067 |
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|
| 1,600 |
RULE-2654 |
1.1 |
Value Error |
E1104 |
Value not valid for state-supplied format (format or valid values) |
Valid Value |
MANAGED-CARE-OPERATING-AUTHORITY |
MCR00005 |
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|
|
|
If the field is populated, the value must be contained in the set of valid values with id: WAIVER-ID |
WAIVER-ID |
MCR068 |
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|
|
| 1,601 |
RULE-2656 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-OPERATING-AUTHORITY |
MCR00005 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
MANAGED-CARE-OP-AUTHORITY-EFF-DATE |
MCR069 |
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|
|
| 1,602 |
RULE-2658 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
MANAGED-CARE-OPERATING-AUTHORITY |
MCR00005 |
|
|
|
|
'if fns.hasValue(@val.MANAGED-CARE-OP-AUTHORITY-EFF-DATE) && fns.hasValue(@val.MANAGED-CARE-OP-AUTHORITY-END-DATE), then fns.isLessThanOrEqual(@val.MANAGED-CARE-OP-AUTHORITY-EFF-DATE, @val.MANAGED-CARE-OP-AUTHORITY-END-DATE)' |
MANAGED-CARE-OP-AUTHORITY-EFF-DATE,MANAGED-CARE-OP-AUTHORITY-END-DATE |
MCR069,MCR070 |
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|
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|
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|
|
|
| 1,603 |
RULE-2659 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
MANAGED-CARE-OPERATING-AUTHORITY |
MCR00005 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: MANAGED-CARE-OP-AUTHORITY-EFF-DATE. End date field: MANAGED-CARE-OP-AUTHORITY-END-DATE |
MANAGED-CARE-OP-AUTHORITY-EFF-DATE,MANAGED-CARE-OP-AUTHORITY-END-DATE |
MCR069,MCR070 |
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|
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|
|
|
| 1,604 |
RULE-2661 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-OPERATING-AUTHORITY |
MCR00005 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
MANAGED-CARE-OP-AUTHORITY-END-DATE |
MCR070 |
|
|
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|
|
|
|
|
| 1,605 |
RULE-2665 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
MANAGED-CARE-OPERATING-AUTHORITY |
MCR00005 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
MCR071 |
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|
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|
|
|
|
|
| 1,606 |
RULE-2668 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
MANAGED-CARE-PLAN-POPULATION-ENROLLED |
MCR00006 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
MCR074 |
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|
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|
|
|
|
|
|
|
| 1,607 |
RULE-2669 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
MANAGED-CARE-PLAN-POPULATION-ENROLLED |
MCR00006 |
FILE-HEADER-RECORD-MANAGED-CARE |
MCR00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
MCR074 |
SUBMITTING-STATE |
MCR007 |
|
|
|
|
|
|
|
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|
|
|
|
|
|
| 1,608 |
RULE-2671 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-PLAN-POPULATION-ENROLLED |
MCR00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
MCR075 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,609 |
RULE-2672 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
MANAGED-CARE-PLAN-POPULATION-ENROLLED |
MCR00006 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type MANAGED-CARE-PLAN-POPULATION-ENROLLED |
RECORD-NUMBER |
MCR075 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,610 |
RULE-2674 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
MANAGED-CARE-PLAN-POPULATION-ENROLLED |
MCR00006 |
|
|
|
|
'if fns.hasValue(@val.STATE-PLAN-ID-NUM), then fns.matches(@val.STATE-PLAN-ID-NUM, "^[^|*]*$")' |
STATE-PLAN-ID-NUM |
MCR076 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,611 |
RULE-2675 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
MANAGED-CARE-MAIN |
MCR00002 |
MANAGED-CARE-PLAN-POPULATION-ENROLLED |
MCR00006 |
|
|
record MANAGED-CARE-PLAN-POPULATION-ENROLLED has corresponding parent record MANAGED-CARE-MAIN |
|
|
|
|
|
|
SUBMITTING-STATE,STATE-PLAN-ID-NUM |
MCR017,MCR019 |
SUBMITTING-STATE,STATE-PLAN-ID-NUM |
MCR074,MCR076 |
|
|
|
|
|
|
|
|
| 1,612 |
RULE-2676 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
MANAGED-CARE-PLAN-POPULATION-ENROLLED |
MCR00006 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: ELIGIBILITY-GROUP |
MANAGED-CARE-PLAN-POP |
MCR077 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,613 |
RULE-2677 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-PLAN-POPULATION-ENROLLED |
MCR00006 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
MANAGED-CARE-PLAN-POP-EFF-DATE |
MCR078 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,614 |
RULE-2679 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
MANAGED-CARE-PLAN-POPULATION-ENROLLED |
MCR00006 |
|
|
|
|
'if fns.hasValue(@val.MANAGED-CARE-PLAN-POP-EFF-DATE) && fns.hasValue(@val.MANAGED-CARE-PLAN-POP-END-DATE), then fns.isLessThanOrEqual(@val.MANAGED-CARE-PLAN-POP-EFF-DATE, @val.MANAGED-CARE-PLAN-POP-END-DATE)' |
MANAGED-CARE-PLAN-POP-EFF-DATE,MANAGED-CARE-PLAN-POP-END-DATE |
MCR078,MCR079 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,615 |
RULE-2680 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
MANAGED-CARE-PLAN-POPULATION-ENROLLED |
MCR00006 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: MANAGED-CARE-PLAN-POP-EFF-DATE. End date field: MANAGED-CARE-PLAN-POP-END-DATE |
MANAGED-CARE-PLAN-POP-EFF-DATE,MANAGED-CARE-PLAN-POP-END-DATE |
MCR078,MCR079 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,616 |
RULE-2682 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-PLAN-POPULATION-ENROLLED |
MCR00006 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
MANAGED-CARE-PLAN-POP-END-DATE |
MCR079 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,617 |
RULE-2686 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
MANAGED-CARE-PLAN-POPULATION-ENROLLED |
MCR00006 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
MCR080 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,618 |
RULE-2689 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
MANAGED-CARE-ACCREDITATION-ORGANIZATION |
MCR00007 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
MCR083 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,619 |
RULE-2690 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
MANAGED-CARE-ACCREDITATION-ORGANIZATION |
MCR00007 |
FILE-HEADER-RECORD-MANAGED-CARE |
MCR00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
MCR083 |
SUBMITTING-STATE |
MCR007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,620 |
RULE-2692 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-ACCREDITATION-ORGANIZATION |
MCR00007 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
MCR084 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,621 |
RULE-2693 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
MANAGED-CARE-ACCREDITATION-ORGANIZATION |
MCR00007 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type MANAGED-CARE-ACCREDITATION-ORGANIZATION |
RECORD-NUMBER |
MCR084 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,622 |
RULE-2695 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
MANAGED-CARE-ACCREDITATION-ORGANIZATION |
MCR00007 |
|
|
|
|
'if fns.hasValue(@val.STATE-PLAN-ID-NUM), then fns.matches(@val.STATE-PLAN-ID-NUM, "^[^|*]*$")' |
STATE-PLAN-ID-NUM |
MCR085 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,623 |
RULE-2696 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
MANAGED-CARE-MAIN |
MCR00002 |
MANAGED-CARE-ACCREDITATION-ORGANIZATION |
MCR00007 |
|
|
record MANAGED-CARE-ACCREDITATION-ORGANIZATION has corresponding parent record MANAGED-CARE-MAIN |
|
|
|
|
|
|
SUBMITTING-STATE,STATE-PLAN-ID-NUM |
MCR017,MCR019 |
SUBMITTING-STATE,STATE-PLAN-ID-NUM |
MCR083,MCR085 |
|
|
|
|
|
|
|
|
| 1,624 |
RULE-2697 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
MANAGED-CARE-ACCREDITATION-ORGANIZATION |
MCR00007 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: ACCREDITATION-ORGANIZATION |
ACCREDITATION-ORGANIZATION |
MCR086 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,625 |
RULE-2698 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-ACCREDITATION-ORGANIZATION |
MCR00007 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
DATE-ACCREDITATION-ACHIEVED |
MCR087 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,626 |
RULE-2700 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
MANAGED-CARE-ACCREDITATION-ORGANIZATION |
MCR00007 |
|
|
|
|
'if fns.hasValue(@val.DATE-ACCREDITATION-ACHIEVED) && fns.hasValue(@val.DATE-ACCREDITATION-END), then fns.isLessThanOrEqual(@val.DATE-ACCREDITATION-ACHIEVED, @val.DATE-ACCREDITATION-END)' |
DATE-ACCREDITATION-ACHIEVED,DATE-ACCREDITATION-END |
MCR087,MCR088 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,627 |
RULE-2701 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
MANAGED-CARE-ACCREDITATION-ORGANIZATION |
MCR00007 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: DATE-ACCREDITATION-ACHIEVED. End date field: DATE-ACCREDITATION-END |
DATE-ACCREDITATION-ACHIEVED,DATE-ACCREDITATION-END |
MCR087,MCR088 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,628 |
RULE-2703 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-ACCREDITATION-ORGANIZATION |
MCR00007 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
DATE-ACCREDITATION-END |
MCR088 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,629 |
RULE-2707 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
MANAGED-CARE-ACCREDITATION-ORGANIZATION |
MCR00007 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
MCR089 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,630 |
RULE-2710 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
NATIONAL-HEALTH-CARE-ENTITY-ID-INFO |
MCR00008 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
MCR092 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,631 |
RULE-2711 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
NATIONAL-HEALTH-CARE-ENTITY-ID-INFO |
MCR00008 |
FILE-HEADER-RECORD-MANAGED-CARE |
MCR00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
MCR092 |
SUBMITTING-STATE |
MCR007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,632 |
RULE-2713 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
NATIONAL-HEALTH-CARE-ENTITY-ID-INFO |
MCR00008 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
MCR093 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,633 |
RULE-2714 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
NATIONAL-HEALTH-CARE-ENTITY-ID-INFO |
MCR00008 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type NATIONAL-HEALTH-CARE-ENTITY-ID-INFO |
RECORD-NUMBER |
MCR093 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,634 |
RULE-2716 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
NATIONAL-HEALTH-CARE-ENTITY-ID-INFO |
MCR00008 |
|
|
|
|
'if fns.hasValue(@val.STATE-PLAN-ID-NUM), then fns.matches(@val.STATE-PLAN-ID-NUM, "^[^|*]*$")' |
STATE-PLAN-ID-NUM |
MCR094 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,635 |
RULE-2717 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
MANAGED-CARE-MAIN |
MCR00002 |
NATIONAL-HEALTH-CARE-ENTITY-ID-INFO |
MCR00008 |
|
|
record NATIONAL-HEALTH-CARE-ENTITY-ID-INFO has corresponding parent record MANAGED-CARE-MAIN |
|
|
|
|
|
|
SUBMITTING-STATE,STATE-PLAN-ID-NUM |
MCR017,MCR019 |
SUBMITTING-STATE,STATE-PLAN-ID-NUM |
MCR092,MCR094 |
|
|
|
|
|
|
|
|
| 1,636 |
RULE-2718 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
NATIONAL-HEALTH-CARE-ENTITY-ID-INFO |
MCR00008 |
|
|
|
|
'if fns.hasValue(@val.NATIONAL-HEALTH-CARE-ENTITY-ID), then fns.matches(@val.NATIONAL-HEALTH-CARE-ENTITY-ID, "^[^|*]*$")' |
NATIONAL-HEALTH-CARE-ENTITY-ID |
MCR095 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,637 |
RULE-2719 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
NATIONAL-HEALTH-CARE-ENTITY-ID-INFO |
MCR00008 |
FILE-HEADER-RECORD-MANAGED-CARE |
MCR00001 |
|
|
'if fns.isGreaterThanOrEqual(@fileHeader.START-OF-TIME-PERIOD, "2015-11-05"), then fns.hasValue(@val.NATIONAL-HEALTH-CARE-ENTITY-ID)' |
NATIONAL-HEALTH-CARE-ENTITY-ID |
MCR095 |
START-OF-TIME-PERIOD |
MCR009 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,638 |
RULE-2720 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
NATIONAL-HEALTH-CARE-ENTITY-ID-INFO |
MCR00008 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: NATIONAL-HEALTH-CARE-ENTITY-ID-TYPE |
NATIONAL-HEALTH-CARE-ENTITY-ID-TYPE |
MCR096 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,639 |
RULE-2722 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
NATIONAL-HEALTH-CARE-ENTITY-ID-INFO |
MCR00008 |
|
|
|
|
'if fns.hasValue(@val.NATIONAL-HEALTH-CARE-ENTITY-NAME), then fns.matches(@val.NATIONAL-HEALTH-CARE-ENTITY-NAME, "^[^|*]*$")' |
NATIONAL-HEALTH-CARE-ENTITY-NAME |
MCR097 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,640 |
RULE-2723 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
NATIONAL-HEALTH-CARE-ENTITY-ID-INFO |
MCR00008 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
NATIONAL-HEALTH-CARE-ENTITY-ID-INFO-EFF-DATE |
MCR098 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,641 |
RULE-2725 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
NATIONAL-HEALTH-CARE-ENTITY-ID-INFO |
MCR00008 |
|
|
|
|
'if fns.hasValue(@val.NATIONAL-HEALTH-CARE-ENTITY-ID-INFO-EFF-DATE) && fns.hasValue(@val.NATIONAL-HEALTH-CARE-ENTITY-ID-INFO-END-DATE), then fns.isLessThanOrEqual(@val.NATIONAL-HEALTH-CARE-ENTITY-ID-INFO-EFF-DATE, @val.NATIONAL-HEALTH-CARE-ENTITY-ID-INFO-END-DATE)' |
NATIONAL-HEALTH-CARE-ENTITY-ID-INFO-EFF-DATE,NATIONAL-HEALTH-CARE-ENTITY-ID-INFO-END-DATE |
MCR098,MCR099 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,642 |
RULE-2726 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
NATIONAL-HEALTH-CARE-ENTITY-ID-INFO |
MCR00008 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: NATIONAL-HEALTH-CARE-ENTITY-ID-INFO-EFF-DATE. End date field: NATIONAL-HEALTH-CARE-ENTITY-ID-INFO-END-DATE |
NATIONAL-HEALTH-CARE-ENTITY-ID-INFO-EFF-DATE,NATIONAL-HEALTH-CARE-ENTITY-ID-INFO-END-DATE |
MCR098,MCR099 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,643 |
RULE-2729 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
NATIONAL-HEALTH-CARE-ENTITY-ID-INFO |
MCR00008 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
NATIONAL-HEALTH-CARE-ENTITY-ID-INFO-END-DATE |
MCR099 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,644 |
RULE-2733 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
NATIONAL-HEALTH-CARE-ENTITY-ID-INFO |
MCR00008 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
MCR100 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,645 |
RULE-2736 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CHPID-SHPID-RELATIONSHIPS |
MCR00009 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
MCR103 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,646 |
RULE-2738 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CHPID-SHPID-RELATIONSHIPS |
MCR00009 |
FILE-HEADER-RECORD-MANAGED-CARE |
MCR00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
MCR103 |
SUBMITTING-STATE |
MCR007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,647 |
RULE-2740 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CHPID-SHPID-RELATIONSHIPS |
MCR00009 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
MCR104 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,648 |
RULE-2741 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
CHPID-SHPID-RELATIONSHIPS |
MCR00009 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type CHPID-SHPID-RELATIONSHIPS |
RECORD-NUMBER |
MCR104 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,649 |
RULE-2743 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CHPID-SHPID-RELATIONSHIPS |
MCR00009 |
|
|
|
|
'if fns.hasValue(@val.STATE-PLAN-ID-NUM), then fns.matches(@val.STATE-PLAN-ID-NUM, "^[^|*]*$")' |
STATE-PLAN-ID-NUM |
MCR105 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,650 |
RULE-2744 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
NATIONAL-HEALTH-CARE-ENTITY-ID-INFO |
MCR00008 |
CHPID-SHPID-RELATIONSHIPS |
MCR00009 |
|
|
record CHPID-SHPID-RELATIONSHIPS has corresponding parent record NATIONAL-HEALTH-CARE-ENTITY-ID-INFO |
|
|
|
|
|
|
SUBMITTING-STATE,STATE-PLAN-ID-NUM |
MCR092,MCR094 |
SUBMITTING-STATE,STATE-PLAN-ID-NUM |
MCR103,MCR105 |
|
|
|
|
|
|
|
|
| 1,651 |
RULE-2747 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CHPID-SHPID-RELATIONSHIPS |
MCR00009 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
CHPID-SHPID-RELATIONSHIP-EFF-DATE |
MCR108 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,652 |
RULE-2749 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CHPID-SHPID-RELATIONSHIPS |
MCR00009 |
|
|
|
|
'if fns.hasValue(@val.CHPID-SHPID-RELATIONSHIP-EFF-DATE) && fns.hasValue(@val.CHPID-SHPID-RELATIONSHIP-END-DATE), then fns.isLessThanOrEqual(@val.CHPID-SHPID-RELATIONSHIP-EFF-DATE, @val.CHPID-SHPID-RELATIONSHIP-END-DATE)' |
CHPID-SHPID-RELATIONSHIP-EFF-DATE,CHPID-SHPID-RELATIONSHIP-END-DATE |
MCR108,MCR109 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,653 |
RULE-2750 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
CHPID-SHPID-RELATIONSHIPS |
MCR00009 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: CHPID-SHPID-RELATIONSHIP-EFF-DATE. End date field: CHPID-SHPID-RELATIONSHIP-END-DATE |
CHPID-SHPID-RELATIONSHIP-EFF-DATE,CHPID-SHPID-RELATIONSHIP-END-DATE |
MCR108,MCR109 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,654 |
RULE-2752 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CHPID-SHPID-RELATIONSHIPS |
MCR00009 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
CHPID-SHPID-RELATIONSHIP-END-DATE |
MCR109 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,655 |
RULE-2756 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
CHPID-SHPID-RELATIONSHIPS |
MCR00009 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
MCR110 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,656 |
RULE-2758 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
'if fns.hasValue(@primaryRecord.DATE-OF-BIRTH) && fns.matches(@secondaryRecord.TOOTH-NUM, "[A-T]+.*"), then fns.isDifferenceInYearsLessThan(@primaryRecord.DATE-OF-BIRTH, @primaryRecord.ENDING-DATE-OF-SERVICE, 15)' |
DATE-OF-BIRTH,ENDING-DATE-OF-SERVICE |
COT108,COT034 |
TOOTH-NUM |
COT196 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT017,COT019,COT020,COT035 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT155,COT158,COT159,COT221 |
|
|
|
|
|
|
|
|
| 1,657 |
RULE-2766 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-PROVIDER |
PRV00001 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
DATE-FILE-CREATED |
PRV008 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,658 |
RULE-2770 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-PROVIDER |
PRV00001 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
START-OF-TIME-PERIOD |
PRV009 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,659 |
RULE-2774 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-PROVIDER |
PRV00001 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
END-OF-TIME-PERIOD |
PRV010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,660 |
RULE-2785 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
PRV017 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,661 |
RULE-2786 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
FILE-HEADER-RECORD-PROVIDER |
PRV00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
PRV017 |
SUBMITTING-STATE |
PRV007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,662 |
RULE-2788 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type PROV-ATTRIBUTES-MAIN |
RECORD-NUMBER |
PRV018 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,663 |
RULE-2790 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
PROV-ATTRIBUTES-EFF-DATE |
PRV020 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,664 |
RULE-2792 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
'if fns.hasValue(@val.PROV-ATTRIBUTES-EFF-DATE) && fns.hasValue(@val.PROV-ATTRIBUTES-END-DATE), then fns.isLessThanOrEqual(@val.PROV-ATTRIBUTES-EFF-DATE, @val.PROV-ATTRIBUTES-END-DATE)' |
PROV-ATTRIBUTES-EFF-DATE,PROV-ATTRIBUTES-END-DATE |
PRV020,PRV021 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,665 |
RULE-2793 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: PROV-ATTRIBUTES-EFF-DATE. End date field: PROV-ATTRIBUTES-END-DATE |
PROV-ATTRIBUTES-EFF-DATE,PROV-ATTRIBUTES-END-DATE |
PRV020,PRV021 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,666 |
RULE-2795 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
PROV-ATTRIBUTES-END-DATE |
PRV021 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,667 |
RULE-2798 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
'if fns.hasValue(@val.PROV-DOING-BUSINESS-AS-NAME), then fns.matches(@val.PROV-DOING-BUSINESS-AS-NAME, "^[^|*]*$")' |
PROV-DOING-BUSINESS-AS-NAME |
PRV022 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,668 |
RULE-2799 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
'if fns.hasValue(@val.PROV-LEGAL-NAME), then fns.matches(@val.PROV-LEGAL-NAME, "^[^|*]*$")' |
PROV-LEGAL-NAME |
PRV023 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,669 |
RULE-2800 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
'if fns.hasValue(@val.PROV-ORGANIZATION-NAME), then fns.matches(@val.PROV-ORGANIZATION-NAME, "^[^|*]*$")' |
PROV-ORGANIZATION-NAME |
PRV024 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,670 |
RULE-2802 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
'if fns.hasValue(@val.PROV-TAX-NAME), then fns.matches(@val.PROV-TAX-NAME, "^[^|*]*$")' |
PROV-TAX-NAME |
PRV025 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,671 |
RULE-2803 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: FACILITY-GROUP-INDIVIDUAL-CODE |
FACILITY-GROUP-INDIVIDUAL-CODE |
PRV026 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,672 |
RULE-2804 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: TEACHING-IND |
TEACHING-IND |
PRV027 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,673 |
RULE-2805 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
'if fns.hasValue(@val.PROV-FIRST-NAME), then fns.matches(@val.PROV-FIRST-NAME, "^[^|*]*$")' |
PROV-FIRST-NAME |
PRV028 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,674 |
RULE-2806 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
'if and only if fns.isEqual(@val.FACILITY-GROUP-INDIVIDUAL-CODE, "03"), then fns.hasValue(@val.PROV-FIRST-NAME)' |
FACILITY-GROUP-INDIVIDUAL-CODE,PROV-FIRST-NAME |
PRV026,PRV028 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,675 |
RULE-2808 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
'if fns.hasValue(@val.PROV-MIDDLE-INITIAL), then fns.matches(@val.PROV-MIDDLE-INITIAL, "^[^|*]*$")' |
PROV-MIDDLE-INITIAL |
PRV029 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,676 |
RULE-2809 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
'if !fns.isEqual(@val.FACILITY-GROUP-INDIVIDUAL-CODE, "03"), then !fns.hasValue(@val.PROV-MIDDLE-INITIAL)' |
FACILITY-GROUP-INDIVIDUAL-CODE,PROV-MIDDLE-INITIAL |
PRV026,PRV029 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,677 |
RULE-2810 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
'if and only if fns.isEqual(@val.FACILITY-GROUP-INDIVIDUAL-CODE, "03"), then fns.hasValue(@val.PROV-LAST-NAME)' |
FACILITY-GROUP-INDIVIDUAL-CODE,PROV-LAST-NAME |
PRV026,PRV030 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,678 |
RULE-2812 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: SEX |
SEX |
PRV031 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,679 |
RULE-2813 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
'if and only if fns.isEqual(@val.FACILITY-GROUP-INDIVIDUAL-CODE, "03"), then fns.hasValue(@val.SEX)' |
FACILITY-GROUP-INDIVIDUAL-CODE,SEX |
PRV026,PRV031 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,680 |
RULE-2815 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: OWNERSHIP-CODE |
OWNERSHIP-CODE |
PRV032 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,681 |
RULE-2816 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-PROFIT-STATUS |
PROV-PROFIT-STATUS |
PRV033 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,682 |
RULE-2817 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
'if and only if fns.isEqual(@val.FACILITY-GROUP-INDIVIDUAL-CODE, "03"), then fns.hasValue(@val.DATE-OF-BIRTH)' |
FACILITY-GROUP-INDIVIDUAL-CODE,DATE-OF-BIRTH |
PRV026,PRV034 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,683 |
RULE-2818 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
FILE-HEADER-RECORD-PROVIDER |
PRV00001 |
|
|
'if fns.hasValue(@val.DATE-OF-BIRTH) && fns.hasValue(@fileHeader.END-OF-TIME-PERIOD), then fns.isLessThanOrEqual(@val.DATE-OF-BIRTH, @fileHeader.END-OF-TIME-PERIOD)' |
DATE-OF-BIRTH |
PRV034 |
END-OF-TIME-PERIOD |
PRV010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,684 |
RULE-2820 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
FILE-HEADER-RECORD-PROVIDER |
PRV00001 |
|
|
'if fns.hasValue(@val.DATE-OF-BIRTH) && fns.hasValue(@fileHeader.END-OF-TIME-PERIOD) && fns.hasValue(@fileHeader.START-OF-TIME-PERIOD), then fns.isDifferenceInYearsLessThanOrEqual(@val.DATE-OF-BIRTH, @fileHeader.START-OF-TIME-PERIOD, 85) && !fns.isDifferenceInYearsLessThan(@val.DATE-OF-BIRTH, @fileHeader.START-OF-TIME-PERIOD, 18)' |
DATE-OF-BIRTH |
PRV034 |
END-OF-TIME-PERIOD,START-OF-TIME-PERIOD |
PRV010,PRV009 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,685 |
RULE-2821 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
'if fns.hasValue(@val.DATE-OF-DEATH) && fns.hasValue(@val.DATE-OF-BIRTH), then !fns.isDifferenceInYearsLessThan(@val.DATE-OF-BIRTH, @val.DATE-OF-DEATH, 18)' |
DATE-OF-DEATH,DATE-OF-BIRTH |
PRV035,PRV034 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,686 |
RULE-2822 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
'if fns.isEqualToAny(@val.FACILITY-GROUP-INDIVIDUAL-CODE, "01", "02"), then !fns.hasValue(@val.DATE-OF-DEATH)' |
FACILITY-GROUP-INDIVIDUAL-CODE,DATE-OF-DEATH |
PRV026,PRV035 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,687 |
RULE-2823 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
FILE-HEADER-RECORD-PROVIDER |
PRV00001 |
|
|
'if fns.hasValue(@val.DATE-OF-DEATH) && fns.hasValue(@fileHeader.END-OF-TIME-PERIOD), then fns.isLessThanOrEqual(@val.DATE-OF-DEATH, @fileHeader.END-OF-TIME-PERIOD)' |
DATE-OF-DEATH |
PRV035 |
END-OF-TIME-PERIOD |
PRV010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,688 |
RULE-2825 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: ACCEPTING-NEW-PATIENTS-IND |
ACCEPTING-NEW-PATIENTS-IND |
PRV036 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,689 |
RULE-2826 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
PRV037 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,690 |
RULE-2829 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
PRV040 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,691 |
RULE-2830 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
FILE-HEADER-RECORD-PROVIDER |
PRV00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
PRV040 |
SUBMITTING-STATE |
PRV007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,692 |
RULE-2832 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type PROV-LOCATION-AND-CONTACT-INFO |
RECORD-NUMBER |
PRV041 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,693 |
RULE-2834 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
record PROV-LOCATION-AND-CONTACT-INFO has corresponding parent record PROV-ATTRIBUTES-MAIN |
|
|
|
|
|
|
SUBMITTING-STATE,SUBMITTING-STATE-PROV-ID |
PRV017,PRV019 |
SUBMITTING-STATE,SUBMITTING-STATE-PROV-ID |
PRV040,PRV042 |
|
|
|
|
|
|
|
|
| 1,694 |
RULE-2835 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
'if fns.hasValue(@val.PROV-LOCATION-ID), then fns.matches(@val.PROV-LOCATION-ID, "^[^|*]*$")' |
PROV-LOCATION-ID |
PRV043 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,695 |
RULE-2837 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
PROV-LOCATION-AND-CONTACT-INFO-EFF-DATE |
PRV044 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,696 |
RULE-2840 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
'if fns.hasValue(@val.PROV-LOCATION-AND-CONTACT-INFO-EFF-DATE) && fns.hasValue(@val.PROV-LOCATION-AND-CONTACT-INFO-END-DATE), then fns.isLessThanOrEqual(@val.PROV-LOCATION-AND-CONTACT-INFO-EFF-DATE, @val.PROV-LOCATION-AND-CONTACT-INFO-END-DATE)' |
PROV-LOCATION-AND-CONTACT-INFO-EFF-DATE,PROV-LOCATION-AND-CONTACT-INFO-END-DATE |
PRV044,PRV045 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,697 |
RULE-2841 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: PROV-LOCATION-AND-CONTACT-INFO-EFF-DATE. End date field: PROV-LOCATION-AND-CONTACT-INFO-END-DATE |
PROV-LOCATION-AND-CONTACT-INFO-EFF-DATE,PROV-LOCATION-AND-CONTACT-INFO-END-DATE |
PRV044,PRV045 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,698 |
RULE-2844 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
PROV-LOCATION-AND-CONTACT-INFO-END-DATE |
PRV045 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,699 |
RULE-2848 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-ADDR-TYPE |
PROV-ADDR-TYPE |
PRV046 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,700 |
RULE-2849 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
'if fns.hasValue(@val.ADDR-LN2), then fns.matches(@val.ADDR-LN2, "^[^|*]*$")' |
ADDR-LN2 |
PRV048 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,701 |
RULE-2851 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
'if fns.hasValue(@val.ADDR-LN3), then fns.matches(@val.ADDR-LN3, "^[^|*]*$")' |
ADDR-LN3 |
PRV049 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,702 |
RULE-2853 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
'if !fns.hasValue(@val.ADDR-LN2), then !fns.hasValue(@val.ADDR-LN3)' |
ADDR-LN2,ADDR-LN3 |
PRV048,PRV049 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,703 |
RULE-2855 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
'if fns.hasValue(@val.ADDR-CITY), then fns.matches(@val.ADDR-CITY, "^[^|*]*$")' |
ADDR-CITY |
PRV050 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,704 |
RULE-2856 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
ADDR-STATE |
PRV051 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,705 |
RULE-2857 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
'if fns.hasValue(@val.ADDR-ZIP-CODE), then fns.matches(@val.ADDR-ZIP-CODE, "^[0-9]{5}|[0-9]{9}$")' |
ADDR-ZIP-CODE |
PRV052 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,706 |
RULE-2858 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
ADDR-TELEPHONE |
PRV053 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,707 |
RULE-2859 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
'if fns.hasValue(@val.ADDR-EMAIL), then fns.matches(@val.ADDR-EMAIL, "^.*@.*$")' |
ADDR-EMAIL |
PRV054 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,708 |
RULE-2860 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
ADDR-FAX-NUM |
PRV055 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,709 |
RULE-2861 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: ADDR-BORDER-STATE-IND |
ADDR-BORDER-STATE-IND |
PRV056 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,710 |
RULE-2863 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: COUNTY |
ADDR-COUNTY |
PRV057 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,711 |
RULE-2864 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
ADDR-COUNTY |
PRV057 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,712 |
RULE-2865 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
PRV058 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,713 |
RULE-2868 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PROV-LICENSING-INFO |
PRV00004 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
PRV061 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,714 |
RULE-2869 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
PROV-LICENSING-INFO |
PRV00004 |
FILE-HEADER-RECORD-PROVIDER |
PRV00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
PRV061 |
SUBMITTING-STATE |
PRV007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,715 |
RULE-2871 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
PROV-LICENSING-INFO |
PRV00004 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type PROV-LICENSING-INFO |
RECORD-NUMBER |
PRV062 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,716 |
RULE-2873 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
PROV-LICENSING-INFO |
PRV00004 |
|
|
record PROV-LICENSING-INFO has corresponding parent record PROV-LOCATION-AND-CONTACT-INFO |
|
|
|
|
|
|
PROV-LOCATION-ID,SUBMITTING-STATE-PROV-ID,SUBMITTING-STATE |
PRV043,PRV042,PRV040 |
PROV-LOCATION-ID,SUBMITTING-STATE-PROV-ID,SUBMITTING-STATE |
PRV064,PRV063,PRV061 |
|
|
|
|
|
|
|
|
| 1,717 |
RULE-2874 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-LICENSING-INFO |
PRV00004 |
|
|
|
|
'if fns.hasValue(@val.PROV-LOCATION-ID), then fns.matches(@val.PROV-LOCATION-ID, "^[^|*]*$")' |
PROV-LOCATION-ID |
PRV064 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,718 |
RULE-2875 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LICENSING-INFO |
PRV00004 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
PROV-LICENSE-EFF-DATE |
PRV065 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,719 |
RULE-2877 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-LICENSING-INFO |
PRV00004 |
|
|
|
|
'if fns.hasValue(@val.PROV-LICENSE-EFF-DATE) && fns.hasValue(@val.PROV-LICENSE-END-DATE), then fns.isLessThanOrEqual(@val.PROV-LICENSE-EFF-DATE, @val.PROV-LICENSE-END-DATE)' |
PROV-LICENSE-EFF-DATE,PROV-LICENSE-END-DATE |
PRV065,PRV066 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,720 |
RULE-2878 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
PROV-LICENSING-INFO |
PRV00004 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: PROV-LICENSE-EFF-DATE. End date field: PROV-LICENSE-END-DATE |
PROV-LICENSE-EFF-DATE,PROV-LICENSE-END-DATE |
PRV065,PRV066 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,721 |
RULE-2880 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LICENSING-INFO |
PRV00004 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
PROV-LICENSE-END-DATE |
PRV066 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,722 |
RULE-2884 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PROV-LICENSING-INFO |
PRV00004 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: LICENSE-TYPE |
LICENSE-TYPE |
PRV067 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,723 |
RULE-2885 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-LICENSING-INFO |
PRV00004 |
|
|
|
|
'if fns.hasValue(@val.LICENSE-ISSUING-ENTITY-ID), then fns.matches(@val.LICENSE-ISSUING-ENTITY-ID, "^[^|*]*$")' |
LICENSE-ISSUING-ENTITY-ID |
PRV068 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,724 |
RULE-2886 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-LICENSING-INFO |
PRV00004 |
|
|
|
|
'if fns.hasValue(@val.LICENSE-OR-ACCREDITATION-NUMBER), then fns.hasValue(@val.LICENSE-ISSUING-ENTITY-ID)' |
LICENSE-OR-ACCREDITATION-NUMBER,LICENSE-ISSUING-ENTITY-ID |
PRV069,PRV068 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,725 |
RULE-2887 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-LICENSING-INFO |
PRV00004 |
|
|
|
|
'if fns.isEqual(@val.LICENSE-TYPE, "2"), then fns.isEqual(@val.LICENSE-ISSUING-ENTITY-ID, "DEA")' |
LICENSE-TYPE,LICENSE-ISSUING-ENTITY-ID |
PRV067,PRV068 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,726 |
RULE-2888 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-LICENSING-INFO |
PRV00004 |
|
|
|
|
'if fns.hasValue(@val.LICENSE-TYPE), then fns.hasValue(@val.LICENSE-OR-ACCREDITATION-NUMBER)' |
LICENSE-TYPE,LICENSE-OR-ACCREDITATION-NUMBER |
PRV067,PRV069 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,727 |
RULE-2889 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-LICENSING-INFO |
PRV00004 |
|
|
|
|
'if fns.hasValue(@val.LICENSE-OR-ACCREDITATION-NUMBER), then fns.matches(@val.LICENSE-OR-ACCREDITATION-NUMBER, "^[^|*]*$")' |
LICENSE-OR-ACCREDITATION-NUMBER |
PRV069 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,728 |
RULE-2890 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-LICENSING-INFO |
PRV00004 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
PRV070 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,729 |
RULE-2893 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PROV-IDENTIFIERS |
PRV00005 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
PRV073 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,730 |
RULE-2894 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
PROV-IDENTIFIERS |
PRV00005 |
FILE-HEADER-RECORD-PROVIDER |
PRV00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
PRV073 |
SUBMITTING-STATE |
PRV007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,731 |
RULE-2896 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
PROV-IDENTIFIERS |
PRV00005 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type PROV-IDENTIFIERS |
RECORD-NUMBER |
PRV074 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,732 |
RULE-2898 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
PROV-IDENTIFIERS |
PRV00005 |
|
|
record PROV-IDENTIFIERS has corresponding parent record PROV-LOCATION-AND-CONTACT-INFO |
|
|
|
|
|
|
SUBMITTING-STATE,SUBMITTING-STATE-PROV-ID,PROV-LOCATION-ID |
PRV040,PRV042,PRV043 |
SUBMITTING-STATE,SUBMITTING-STATE-PROV-ID,PROV-LOCATION-ID |
PRV073,PRV075,PRV076 |
|
|
|
|
|
|
|
|
| 1,733 |
RULE-2899 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-IDENTIFIERS |
PRV00005 |
|
|
|
|
'if fns.hasValue(@val.PROV-LOCATION-ID), then fns.matches(@val.PROV-LOCATION-ID, "^[^|*]*$")' |
PROV-LOCATION-ID |
PRV076 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,734 |
RULE-2900 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PROV-IDENTIFIERS |
PRV00005 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-IDENTIFIER-TYPE |
PROV-IDENTIFIER-TYPE |
PRV077 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,735 |
RULE-2901 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-IDENTIFIERS |
PRV00005 |
|
|
|
|
'if fns.hasValue(@val.PROV-IDENTIFIER), then fns.hasValue(@val.PROV-IDENTIFIER-TYPE)' |
PROV-IDENTIFIER,PROV-IDENTIFIER-TYPE |
PRV081,PRV077 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,736 |
RULE-2902 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-IDENTIFIERS |
PRV00005 |
|
|
|
|
'if fns.hasValue(@val.PROV-IDENTIFIER-ISSUING-ENTITY-ID), then fns.matches(@val.PROV-IDENTIFIER-ISSUING-ENTITY-ID, "^[^|*]*$")' |
PROV-IDENTIFIER-ISSUING-ENTITY-ID |
PRV078 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,737 |
RULE-2903 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-IDENTIFIERS |
PRV00005 |
|
|
|
|
'if fns.isEqual(@val.PROV-IDENTIFIER-TYPE, "1"), then fns.isEqual(@val.PROV-IDENTIFIER-ISSUING-ENTITY-ID, @val.SUBMITTING-STATE)' |
PROV-IDENTIFIER-TYPE,PROV-IDENTIFIER-ISSUING-ENTITY-ID,SUBMITTING-STATE |
PRV077,PRV078,PRV073 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,738 |
RULE-2904 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-IDENTIFIERS |
PRV00005 |
|
|
|
|
'if fns.isEqual(@val.PROV-IDENTIFIER-TYPE, "2"), then fns.isEqual(@val.PROV-IDENTIFIER-ISSUING-ENTITY-ID, "NPI")' |
PROV-IDENTIFIER-TYPE,PROV-IDENTIFIER-ISSUING-ENTITY-ID |
PRV077,PRV078 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,739 |
RULE-2905 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-IDENTIFIERS |
PRV00005 |
|
|
|
|
'if fns.isEqual(@val.PROV-IDENTIFIER-TYPE, "3"), then fns.isEqual(@val.PROV-IDENTIFIER-ISSUING-ENTITY-ID, "CMS")' |
PROV-IDENTIFIER-TYPE,PROV-IDENTIFIER-ISSUING-ENTITY-ID |
PRV077,PRV078 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,740 |
RULE-2906 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-IDENTIFIERS |
PRV00005 |
|
|
|
|
'if fns.isEqual(@val.PROV-IDENTIFIER-TYPE, "4"), then fns.isEqual(@val.PROV-IDENTIFIER-ISSUING-ENTITY-ID, "NCPDP")' |
PROV-IDENTIFIER-TYPE,PROV-IDENTIFIER-ISSUING-ENTITY-ID |
PRV077,PRV078 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,741 |
RULE-2907 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-IDENTIFIERS |
PRV00005 |
|
|
|
|
'if fns.isEqual(@val.PROV-IDENTIFIER-TYPE, "5"), then fns.isEqual(@val.PROV-IDENTIFIER-ISSUING-ENTITY-ID, "IRS")' |
PROV-IDENTIFIER-TYPE,PROV-IDENTIFIER-ISSUING-ENTITY-ID |
PRV077,PRV078 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,742 |
RULE-2908 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-IDENTIFIERS |
PRV00005 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
PROV-IDENTIFIER-EFF-DATE |
PRV079 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,743 |
RULE-2910 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-IDENTIFIERS |
PRV00005 |
|
|
|
|
'if fns.hasValue(@val.PROV-IDENTIFIER-EFF-DATE) && fns.hasValue(@val.PROV-IDENTIFIER-END-DATE), then fns.isLessThanOrEqual(@val.PROV-IDENTIFIER-EFF-DATE, @val.PROV-IDENTIFIER-END-DATE)' |
PROV-IDENTIFIER-EFF-DATE,PROV-IDENTIFIER-END-DATE |
PRV079,PRV080 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,744 |
RULE-2911 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
PROV-IDENTIFIERS |
PRV00005 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: PROV-IDENTIFIER-EFF-DATE. End date field: PROV-IDENTIFIER-END-DATE |
PROV-IDENTIFIER-EFF-DATE,PROV-IDENTIFIER-END-DATE |
PRV079,PRV080 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,745 |
RULE-2913 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-IDENTIFIERS |
PRV00005 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
PROV-IDENTIFIER-END-DATE |
PRV080 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,746 |
RULE-2917 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-IDENTIFIERS |
PRV00005 |
|
|
|
|
'if fns.hasValue(@val.PROV-IDENTIFIER), then fns.matches(@val.PROV-IDENTIFIER, "^[^|*]*$")' |
PROV-IDENTIFIER |
PRV081 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,747 |
RULE-2918 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-IDENTIFIERS |
PRV00005 |
|
|
|
|
'if fns.hasValue(@val.PROV-IDENTIFIER-TYPE), then fns.hasValue(@val.PROV-IDENTIFIER)' |
PROV-IDENTIFIER-TYPE,PROV-IDENTIFIER |
PRV077,PRV081 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,748 |
RULE-2921 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PROV-TAXONOMY-CLASSIFICATION |
PRV00006 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
PRV085 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,749 |
RULE-2922 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
PROV-TAXONOMY-CLASSIFICATION |
PRV00006 |
FILE-HEADER-RECORD-PROVIDER |
PRV00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
PRV085 |
SUBMITTING-STATE |
PRV007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,750 |
RULE-2924 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
PROV-TAXONOMY-CLASSIFICATION |
PRV00006 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type PROV-TAXONOMY-CLASSIFICATION |
RECORD-NUMBER |
PRV086 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,751 |
RULE-2926 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
PROV-TAXONOMY-CLASSIFICATION |
PRV00006 |
|
|
record PROV-TAXONOMY-CLASSIFICATION has corresponding parent record PROV-ATTRIBUTES-MAIN |
|
|
|
|
|
|
SUBMITTING-STATE,SUBMITTING-STATE-PROV-ID |
PRV017,PRV019 |
SUBMITTING-STATE,SUBMITTING-STATE-PROV-ID |
PRV085,PRV087 |
|
|
|
|
|
|
|
|
| 1,752 |
RULE-2927 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PROV-TAXONOMY-CLASSIFICATION |
PRV00006 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-CLASSIFICATION-TYPE |
PROV-CLASSIFICATION-TYPE |
PRV088 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,753 |
RULE-2928 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
One Record Type (Single Record) |
PROV-TAXONOMY-CLASSIFICATION |
PRV00006 |
|
|
|
|
'if fns.hasValue(@val.PROV-CLASSIFICATION-TYPE) && fns.hasValue(@val.PROV-CLASSIFICATION-CODE), then fns.isValidProviderClassificationCode(@val.PROV-TAXONOMY-CLASSIFICATION-EFF-DATE, @val.PROV-CLASSIFICATION-TYPE, @val.PROV-CLASSIFICATION-CODE)' |
PROV-CLASSIFICATION-TYPE,PROV-CLASSIFICATION-CODE,PROV-TAXONOMY-CLASSIFICATION-EFF-DATE |
PRV088,PRV089,PRV090 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,754 |
RULE-2929 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-TAXONOMY-CLASSIFICATION |
PRV00006 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
PROV-TAXONOMY-CLASSIFICATION-EFF-DATE |
PRV090 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,755 |
RULE-2931 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-TAXONOMY-CLASSIFICATION |
PRV00006 |
|
|
|
|
'if fns.hasValue(@val.PROV-TAXONOMY-CLASSIFICATION-EFF-DATE) && fns.hasValue(@val.PROV-TAXONOMY-CLASSIFICATION-END-DATE), then fns.isLessThanOrEqual(@val.PROV-TAXONOMY-CLASSIFICATION-EFF-DATE, @val.PROV-TAXONOMY-CLASSIFICATION-END-DATE)' |
PROV-TAXONOMY-CLASSIFICATION-EFF-DATE,PROV-TAXONOMY-CLASSIFICATION-END-DATE |
PRV090,PRV091 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,756 |
RULE-2932 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
PROV-TAXONOMY-CLASSIFICATION |
PRV00006 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: PROV-TAXONOMY-CLASSIFICATION-EFF-DATE. End date field: PROV-TAXONOMY-CLASSIFICATION-END-DATE |
PROV-TAXONOMY-CLASSIFICATION-EFF-DATE,PROV-TAXONOMY-CLASSIFICATION-END-DATE |
PRV090,PRV091 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,757 |
RULE-2934 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-TAXONOMY-CLASSIFICATION |
PRV00006 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
PROV-TAXONOMY-CLASSIFICATION-END-DATE |
PRV091 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,758 |
RULE-2938 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-TAXONOMY-CLASSIFICATION |
PRV00006 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
PRV092 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,759 |
RULE-2941 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PROV-MEDICAID-ENROLLMENT |
PRV00007 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
PRV095 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,760 |
RULE-2942 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
PROV-MEDICAID-ENROLLMENT |
PRV00007 |
FILE-HEADER-RECORD-PROVIDER |
PRV00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
PRV095 |
SUBMITTING-STATE |
PRV007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,761 |
RULE-2944 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
PROV-MEDICAID-ENROLLMENT |
PRV00007 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type PROV-MEDICAID-ENROLLMENT |
RECORD-NUMBER |
PRV096 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,762 |
RULE-2946 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
PROV-MEDICAID-ENROLLMENT |
PRV00007 |
|
|
record PROV-MEDICAID-ENROLLMENT has corresponding parent record PROV-ATTRIBUTES-MAIN |
|
|
|
|
|
|
SUBMITTING-STATE,SUBMITTING-STATE-PROV-ID |
PRV017,PRV019 |
SUBMITTING-STATE,SUBMITTING-STATE-PROV-ID |
PRV095,PRV097 |
|
|
|
|
|
|
|
|
| 1,763 |
RULE-2947 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-MEDICAID-ENROLLMENT |
PRV00007 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
PROV-MEDICAID-EFF-DATE |
PRV098 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,764 |
RULE-2949 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-MEDICAID-ENROLLMENT |
PRV00007 |
|
|
|
|
'if fns.hasValue(@val.PROV-MEDICAID-EFF-DATE) && fns.hasValue(@val.PROV-MEDICAID-END-DATE), then fns.isLessThanOrEqual(@val.PROV-MEDICAID-EFF-DATE, @val.PROV-MEDICAID-END-DATE)' |
PROV-MEDICAID-EFF-DATE,PROV-MEDICAID-END-DATE |
PRV098,PRV099 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,765 |
RULE-2950 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
PROV-MEDICAID-ENROLLMENT |
PRV00007 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: PROV-MEDICAID-EFF-DATE. End date field: PROV-MEDICAID-END-DATE |
PROV-MEDICAID-EFF-DATE,PROV-MEDICAID-END-DATE |
PRV098,PRV099 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,766 |
RULE-2952 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-MEDICAID-ENROLLMENT |
PRV00007 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
PROV-MEDICAID-END-DATE |
PRV099 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,767 |
RULE-2956 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PROV-MEDICAID-ENROLLMENT |
PRV00007 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-MEDICAID-ENROLLMENT-STATUS-CODE |
PROV-MEDICAID-ENROLLMENT-STATUS-CODE |
PRV100 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,768 |
RULE-2957 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PROV-MEDICAID-ENROLLMENT |
PRV00007 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE-PLAN-ENROLLMENT |
STATE-PLAN-ENROLLMENT |
PRV101 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,769 |
RULE-2958 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PROV-MEDICAID-ENROLLMENT |
PRV00007 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: PROV-ENROLLMENT-METHOD |
PROV-ENROLLMENT-METHOD |
PRV102 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,770 |
RULE-2959 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-MEDICAID-ENROLLMENT |
PRV00007 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
APPL-DATE |
PRV103 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,771 |
RULE-2961 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-MEDICAID-ENROLLMENT |
PRV00007 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
PRV104 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,772 |
RULE-2964 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PROV-AFFILIATED-GROUPS |
PRV00008 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
PRV107 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,773 |
RULE-2965 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
PROV-AFFILIATED-GROUPS |
PRV00008 |
FILE-HEADER-RECORD-PROVIDER |
PRV00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
PRV107 |
SUBMITTING-STATE |
PRV007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,774 |
RULE-2967 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
PROV-AFFILIATED-GROUPS |
PRV00008 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type PROV-AFFILIATED-GROUPS |
RECORD-NUMBER |
PRV108 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,775 |
RULE-2969 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
PROV-AFFILIATED-GROUPS |
PRV00008 |
|
|
record PROV-AFFILIATED-GROUPS has corresponding parent record PROV-ATTRIBUTES-MAIN |
|
|
|
|
|
|
SUBMITTING-STATE,SUBMITTING-STATE-PROV-ID |
PRV017,PRV019 |
SUBMITTING-STATE,SUBMITTING-STATE-PROV-ID |
PRV107,PRV109 |
|
|
|
|
|
|
|
|
| 1,776 |
RULE-2971 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-AFFILIATED-GROUPS |
PRV00008 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
PROV-AFFILIATED-GROUP-EFF-DATE |
PRV111 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,777 |
RULE-2973 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-AFFILIATED-GROUPS |
PRV00008 |
|
|
|
|
'if fns.hasValue(@val.PROV-AFFILIATED-GROUP-EFF-DATE) && fns.hasValue(@val.PROV-AFFILIATED-GROUP-END-DATE), then fns.isLessThanOrEqual(@val.PROV-AFFILIATED-GROUP-EFF-DATE, @val.PROV-AFFILIATED-GROUP-END-DATE)' |
PROV-AFFILIATED-GROUP-EFF-DATE,PROV-AFFILIATED-GROUP-END-DATE |
PRV111,PRV112 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,778 |
RULE-2974 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
PROV-AFFILIATED-GROUPS |
PRV00008 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: PROV-AFFILIATED-GROUP-EFF-DATE. End date field: PROV-AFFILIATED-GROUP-END-DATE |
PROV-AFFILIATED-GROUP-EFF-DATE,PROV-AFFILIATED-GROUP-END-DATE |
PRV111,PRV112 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,779 |
RULE-2976 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-AFFILIATED-GROUPS |
PRV00008 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
PROV-AFFILIATED-GROUP-END-DATE |
PRV112 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,780 |
RULE-2980 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-AFFILIATED-GROUPS |
PRV00008 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
PRV113 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,781 |
RULE-2983 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PROV-AFFILIATED-PROGRAMS |
PRV00009 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
PRV116 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,782 |
RULE-2984 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
PROV-AFFILIATED-PROGRAMS |
PRV00009 |
FILE-HEADER-RECORD-PROVIDER |
PRV00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
PRV116 |
SUBMITTING-STATE |
PRV007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,783 |
RULE-2986 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
PROV-AFFILIATED-PROGRAMS |
PRV00009 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type PROV-AFFILIATED-PROGRAMS |
RECORD-NUMBER |
PRV117 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,784 |
RULE-2988 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
PROV-AFFILIATED-PROGRAMS |
PRV00009 |
|
|
record PROV-AFFILIATED-PROGRAMS has corresponding parent record PROV-ATTRIBUTES-MAIN |
|
|
|
|
|
|
SUBMITTING-STATE,SUBMITTING-STATE-PROV-ID |
PRV017,PRV019 |
SUBMITTING-STATE,SUBMITTING-STATE-PROV-ID |
PRV116,PRV118 |
|
|
|
|
|
|
|
|
| 1,785 |
RULE-2989 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PROV-AFFILIATED-PROGRAMS |
PRV00009 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: AFFILIATED-PROGRAM-TYPE |
AFFILIATED-PROGRAM-TYPE |
PRV119 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,786 |
RULE-2990 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
MANAGED-CARE-MAIN |
MCR00002 |
PROV-AFFILIATED-PROGRAMS |
PRV00009 |
|
|
For every record of type PROV-AFFILIATED-PROGRAMS, if fns.isEqual(@secondaryRecord.AFFILIATED-PROGRAM-TYPE, "2"), there must be a valid record of type MANAGED-CARE-MAIN that matches on the join keys |
|
|
AFFILIATED-PROGRAM-TYPE |
PRV119 |
|
|
SUBMITTING-STATE,STATE-PLAN-ID-NUM |
MCR017,MCR019 |
SUBMITTING-STATE,AFFILIATED-PROGRAM-ID |
PRV116,PRV120 |
|
|
|
|
|
|
|
|
| 1,787 |
RULE-2991 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-AFFILIATED-PROGRAMS |
PRV00009 |
|
|
|
|
'if fns.hasValue(@val.AFFILIATED-PROGRAM-TYPE), then fns.hasValue(@val.AFFILIATED-PROGRAM-ID)' |
AFFILIATED-PROGRAM-TYPE,AFFILIATED-PROGRAM-ID |
PRV119,PRV120 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,788 |
RULE-2992 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-AFFILIATED-PROGRAMS |
PRV00009 |
|
|
|
|
'if fns.hasValue(@val.AFFILIATED-PROGRAM-ID), then fns.matches(@val.AFFILIATED-PROGRAM-ID, "^[^|*]*$")' |
AFFILIATED-PROGRAM-ID |
PRV120 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,789 |
RULE-2993 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-AFFILIATED-PROGRAMS |
PRV00009 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
PROV-AFFILIATED-PROGRAM-EFF-DATE |
PRV121 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,790 |
RULE-2995 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-AFFILIATED-PROGRAMS |
PRV00009 |
|
|
|
|
'if fns.hasValue(@val.PROV-AFFILIATED-PROGRAM-EFF-DATE) && fns.hasValue(@val.PROV-AFFILIATED-PROGRAM-END-DATE), then fns.isLessThanOrEqual(@val.PROV-AFFILIATED-PROGRAM-EFF-DATE, @val.PROV-AFFILIATED-PROGRAM-END-DATE)' |
PROV-AFFILIATED-PROGRAM-EFF-DATE,PROV-AFFILIATED-PROGRAM-END-DATE |
PRV121,PRV122 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,791 |
RULE-2996 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
PROV-AFFILIATED-PROGRAMS |
PRV00009 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: PROV-AFFILIATED-PROGRAM-EFF-DATE. End date field: PROV-AFFILIATED-PROGRAM-END-DATE |
PROV-AFFILIATED-PROGRAM-EFF-DATE,PROV-AFFILIATED-PROGRAM-END-DATE |
PRV121,PRV122 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,792 |
RULE-2998 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-AFFILIATED-PROGRAMS |
PRV00009 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
PROV-AFFILIATED-PROGRAM-END-DATE |
PRV122 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,793 |
RULE-3002 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-AFFILIATED-PROGRAMS |
PRV00009 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
PRV123 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,794 |
RULE-3005 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PROV-BED-TYPE-INFO |
PRV00010 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
PRV126 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,795 |
RULE-3006 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
PROV-BED-TYPE-INFO |
PRV00010 |
FILE-HEADER-RECORD-PROVIDER |
PRV00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
PRV126 |
SUBMITTING-STATE |
PRV007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,796 |
RULE-3008 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
PROV-BED-TYPE-INFO |
PRV00010 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type PROV-BED-TYPE-INFO |
RECORD-NUMBER |
PRV127 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,797 |
RULE-3010 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
PROV-BED-TYPE-INFO |
PRV00010 |
|
|
record PROV-BED-TYPE-INFO has corresponding parent record PROV-LOCATION-AND-CONTACT-INFO |
|
|
|
|
|
|
SUBMITTING-STATE,SUBMITTING-STATE-PROV-ID,PROV-LOCATION-ID |
PRV040,PRV042,PRV043 |
SUBMITTING-STATE,SUBMITTING-STATE-PROV-ID,PROV-LOCATION-ID |
PRV126,PRV128,PRV129 |
|
|
|
|
|
|
|
|
| 1,798 |
RULE-3011 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-BED-TYPE-INFO |
PRV00010 |
|
|
|
|
'if fns.hasValue(@val.PROV-LOCATION-ID), then fns.matches(@val.PROV-LOCATION-ID, "^[^|*]*$")' |
PROV-LOCATION-ID |
PRV129 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,799 |
RULE-3013 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-BED-TYPE-INFO |
PRV00010 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
BED-TYPE-EFF-DATE |
PRV130 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,800 |
RULE-3015 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-BED-TYPE-INFO |
PRV00010 |
|
|
|
|
'if fns.hasValue(@val.BED-TYPE-EFF-DATE) && fns.hasValue(@val.BED-TYPE-END-DATE), then fns.isLessThanOrEqual(@val.BED-TYPE-EFF-DATE, @val.BED-TYPE-END-DATE)' |
BED-TYPE-EFF-DATE,BED-TYPE-END-DATE |
PRV130,PRV131 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,801 |
RULE-3016 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
PROV-BED-TYPE-INFO |
PRV00010 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: BED-TYPE-EFF-DATE. End date field: BED-TYPE-END-DATE |
BED-TYPE-EFF-DATE,BED-TYPE-END-DATE |
PRV130,PRV131 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,802 |
RULE-3018 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-BED-TYPE-INFO |
PRV00010 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
BED-TYPE-END-DATE |
PRV131 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,803 |
RULE-3022 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
PROV-BED-TYPE-INFO |
PRV00010 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: BED-TYPE-CODE |
BED-TYPE-CODE |
PRV134 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,804 |
RULE-3023 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-BED-TYPE-INFO |
PRV00010 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(5) |
BED-COUNT |
PRV135 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,805 |
RULE-3024 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-BED-TYPE-INFO |
PRV00010 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
PRV136 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,806 |
RULE-3033 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-TPL |
TPL00001 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
DATE-FILE-CREATED |
TPL008 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,807 |
RULE-3037 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-TPL |
TPL00001 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
START-OF-TIME-PERIOD |
TPL009 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,808 |
RULE-3042 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-TPL |
TPL00001 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
END-OF-TIME-PERIOD |
TPL010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,809 |
RULE-3048 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
FILE-HEADER-RECORD-TPL |
TPL00001 |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
'if fns.hasValue(@primaryRecord.SSN-INDICATOR) && fns.hasValue(@secondaryRecord.SSN-INDICATOR), then fns.isEqual(@primaryRecord.SSN-INDICATOR, @secondaryRecord.SSN-INDICATOR)' |
SSN-INDICATOR |
TPL012 |
SSN-INDICATOR |
ELG012 |
|
|
SUBMITTING-STATE,START-OF-TIME-PERIOD,END-OF-TIME-PERIOD |
TPL007,TPL009,TPL010 |
SUBMITTING-STATE,START-OF-TIME-PERIOD,END-OF-TIME-PERIOD |
ELG007,ELG009,ELG010 |
|
|
|
|
|
|
|
|
| 1,810 |
RULE-3049 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-TPL |
TPL00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
TOT-REC-CNT |
TPL013 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,811 |
RULE-3054 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
TPL017 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,812 |
RULE-3055 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
FILE-HEADER-RECORD-TPL |
TPL00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
TPL017 |
SUBMITTING-STATE |
TPL007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,813 |
RULE-3057 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
RECORD-NUMBER |
TPL018 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,814 |
RULE-3060 |
3 |
Relational error |
E3001 |
Missing corresponding record (multi file) (ex. missing eligibility record for claim header) |
Child Parent Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
|
|
record TPL-MEDICAID-ELIGIBLE-PERSON-MAIN has corresponding parent record PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
|
|
|
|
|
|
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
ELG019,ELG017 |
MSIS-IDENTIFICATION-NUM,SUBMITTING-STATE |
TPL019,TPL017 |
|
|
|
|
|
|
|
|
| 1,815 |
RULE-3062 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: TPL-HEALTH-INSURANCE-COVERAGE-IND |
TPL-HEALTH-INSURANCE-COVERAGE-IND |
TPL020 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,816 |
RULE-3063 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: TPL-OTHER-COVERAGE-IND |
TPL-OTHER-COVERAGE-IND |
TPL021 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,817 |
RULE-3064 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
|
|
|
|
'if fns.hasValue(@val.ELIGIBLE-FIRST-NAME), then fns.matches(@val.ELIGIBLE-FIRST-NAME, "^[^|*]*$")' |
ELIGIBLE-FIRST-NAME |
TPL022 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,818 |
RULE-3065 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
|
|
|
|
'if fns.hasValue(@val.ELIGIBLE-MIDDLE-INIT), then fns.matches(@val.ELIGIBLE-MIDDLE-INIT, "^[^|*]*$")' |
ELIGIBLE-MIDDLE-INIT |
TPL023 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,819 |
RULE-3066 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
|
|
|
|
'if fns.hasValue(@val.ELIGIBLE-LAST-NAME), then fns.matches(@val.ELIGIBLE-LAST-NAME, "^[^|*]*$")' |
ELIGIBLE-LAST-NAME |
TPL024 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,820 |
RULE-3067 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
ELIG-PRSN-MAIN-EFF-DATE |
TPL025 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,821 |
RULE-3069 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
|
|
|
|
'if fns.hasValue(@val.ELIG-PRSN-MAIN-EFF-DATE) && fns.hasValue(@val.ELIG-PRSN-MAIN-END-DATE), then fns.isLessThanOrEqual(@val.ELIG-PRSN-MAIN-EFF-DATE, @val.ELIG-PRSN-MAIN-END-DATE)' |
ELIG-PRSN-MAIN-EFF-DATE,ELIG-PRSN-MAIN-END-DATE |
TPL025,TPL026 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,822 |
RULE-3070 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: ELIG-PRSN-MAIN-EFF-DATE. End date field: ELIG-PRSN-MAIN-END-DATE |
ELIG-PRSN-MAIN-EFF-DATE,ELIG-PRSN-MAIN-END-DATE |
TPL025,TPL026 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,823 |
RULE-3072 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
ELIG-PRSN-MAIN-END-DATE |
TPL026 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,824 |
RULE-3075 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
TPL027 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,825 |
RULE-3078 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
TPL030 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,826 |
RULE-3079 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
FILE-HEADER-RECORD-TPL |
TPL00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
TPL030 |
SUBMITTING-STATE |
TPL007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,827 |
RULE-3081 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
RECORD-NUMBER |
TPL031 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,828 |
RULE-3082 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
TPL032 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,829 |
RULE-3085 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
|
|
record TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO has corresponding parent record TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
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SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
TPL017,TPL019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
TPL030,TPL032 |
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| 1,830 |
RULE-3086 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
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'if fns.hasValue(@val.INSURANCE-CARRIER-ID-NUM), then fns.matches(@val.INSURANCE-CARRIER-ID-NUM, "^[^|*]*$")' |
INSURANCE-CARRIER-ID-NUM |
TPL033 |
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| 1,831 |
RULE-3088 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
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'if fns.hasValue(@val.INSURANCE-PLAN-ID), then fns.matches(@val.INSURANCE-PLAN-ID, "^[^|*]*$")' |
INSURANCE-PLAN-ID |
TPL034 |
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| 1,832 |
RULE-3089 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
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'if fns.hasValue(@val.GROUP-NUM), then fns.matches(@val.GROUP-NUM, "^[^|*]*$")' |
GROUP-NUM |
TPL035 |
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| 1,833 |
RULE-3090 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
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'if fns.hasValue(@val.MEMBER-ID), then fns.matches(@val.MEMBER-ID, "^[^|*]*$")' |
MEMBER-ID |
TPL036 |
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| 1,834 |
RULE-3091 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
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If the field is populated, the value must be contained in the set of valid values with id: INSURANCE-PLAN-TYPE |
INSURANCE-PLAN-TYPE |
TPL037 |
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| 1,835 |
RULE-3092 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
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Value must be a valid dollar amount that matches the specified T-MSIS picture format: 9(11)V99 |
ANNUAL-DEDUCTIBLE-AMT |
TPL038 |
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| 1,836 |
RULE-3093 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
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'if fns.isEqual(@primaryRecord.TPL-HEALTH-INSURANCE-COVERAGE-IND, "1"), then fns.hasValue(@secondaryRecord.POLICY-OWNER-FIRST-NAME)' |
TPL-HEALTH-INSURANCE-COVERAGE-IND |
TPL020 |
POLICY-OWNER-FIRST-NAME |
TPL044 |
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SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
TPL017,TPL019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
TPL030,TPL032 |
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| 1,837 |
RULE-3094 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
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'if fns.hasValue(@val.POLICY-OWNER-FIRST-NAME), then fns.matches(@val.POLICY-OWNER-FIRST-NAME, "^[^|*]*$")' |
POLICY-OWNER-FIRST-NAME |
TPL044 |
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| 1,838 |
RULE-3095 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
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'if fns.hasValue(@val.POLICY-OWNER-LAST-NAME), then fns.matches(@val.POLICY-OWNER-LAST-NAME, "^[^|*]*$")' |
POLICY-OWNER-LAST-NAME |
TPL045 |
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| 1,839 |
RULE-3096 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
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'if fns.isEqual(@primaryRecord.TPL-HEALTH-INSURANCE-COVERAGE-IND, "1"), then fns.hasValue(@secondaryRecord.POLICY-OWNER-LAST-NAME)' |
TPL-HEALTH-INSURANCE-COVERAGE-IND |
TPL020 |
POLICY-OWNER-LAST-NAME |
TPL045 |
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|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
TPL017,TPL019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
TPL030,TPL032 |
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| 1,840 |
RULE-3097 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
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'if fns.hasValue(@val.POLICY-OWNER-SSN), then fns.matches(@val.POLICY-OWNER-SSN, "^[0-9]{9}$")' |
POLICY-OWNER-SSN |
TPL046 |
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| 1,841 |
RULE-3098 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
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'if fns.isEqual(@primaryRecord.TPL-HEALTH-INSURANCE-COVERAGE-IND, "1"), then fns.hasValue(@secondaryRecord.POLICY-OWNER-SSN)' |
TPL-HEALTH-INSURANCE-COVERAGE-IND |
TPL020 |
POLICY-OWNER-SSN |
TPL046 |
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|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
TPL017,TPL019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
TPL030,TPL032 |
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|
| 1,842 |
RULE-3099 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
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If the field is populated, the value must be contained in the set of valid values with id: POLICY-OWNER-CODE |
POLICY-OWNER-CODE |
TPL047 |
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| 1,843 |
RULE-3100 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
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Value must be a valid date of the form CCYYMMDD |
INSURANCE-COVERAGE-EFF-DATE |
TPL048 |
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| 1,844 |
RULE-3102 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
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'if fns.hasValue(@val.INSURANCE-COVERAGE-EFF-DATE) && fns.hasValue(@val.INSURANCE-COVERAGE-END-DATE), then fns.isLessThanOrEqual(@val.INSURANCE-COVERAGE-EFF-DATE, @val.INSURANCE-COVERAGE-END-DATE)' |
INSURANCE-COVERAGE-EFF-DATE,INSURANCE-COVERAGE-END-DATE |
TPL048,TPL049 |
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| 1,845 |
RULE-3103 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
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Records with the same primary keys must have non-overlapping date ranges. Effective date field: INSURANCE-COVERAGE-EFF-DATE. End date field: INSURANCE-COVERAGE-END-DATE |
INSURANCE-COVERAGE-EFF-DATE,INSURANCE-COVERAGE-END-DATE |
TPL048,TPL049 |
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| 1,846 |
RULE-3106 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Two Record Type (1 to 1) |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
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'if fns.hasValue(@primaryRecord.DATE-OF-DEATH) && fns.hasValue(@secondaryRecord.INSURANCE-COVERAGE-END-DATE), then fns.isLessThanOrEqual(@secondaryRecord.INSURANCE-COVERAGE-END-DATE, @primaryRecord.DATE-OF-DEATH)' |
DATE-OF-DEATH |
ELG025 |
INSURANCE-COVERAGE-END-DATE |
TPL049 |
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|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
ELG017,ELG019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
TPL030,TPL032 |
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|
|
|
|
|
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|
| 1,847 |
RULE-3107 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
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|
|
|
Value must be a valid date of the form CCYYMMDD |
INSURANCE-COVERAGE-END-DATE |
TPL049 |
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|
|
|
| 1,848 |
RULE-3112 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
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'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
TPL050 |
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|
|
| 1,849 |
RULE-3115 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES |
TPL00004 |
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If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
TPL053 |
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|
| 1,850 |
RULE-3116 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES |
TPL00004 |
FILE-HEADER-RECORD-TPL |
TPL00001 |
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|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
TPL053 |
SUBMITTING-STATE |
TPL007 |
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| 1,851 |
RULE-3118 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES |
TPL00004 |
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Field RECORD-NUMBER should be unique across all records of type TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES |
RECORD-NUMBER |
TPL054 |
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| 1,852 |
RULE-3119 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES |
TPL00004 |
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'if fns.hasValue(@val.INSURANCE-CARRIER-ID-NUM), then fns.matches(@val.INSURANCE-CARRIER-ID-NUM, "^[^|*]*$")' |
INSURANCE-CARRIER-ID-NUM |
TPL055 |
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| 1,853 |
RULE-3120 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES |
TPL00004 |
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record TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES has corresponding parent record TPL-ENTITY-CONTACT-INFORMATION |
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SUBMITTING-STATE,INSURANCE-CARRIER-ID-NUM |
TPL073,TPL075 |
SUBMITTING-STATE,INSURANCE-CARRIER-ID-NUM |
TPL053,TPL055 |
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|
|
|
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|
| 1,854 |
RULE-3121 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES |
TPL00004 |
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|
|
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'if fns.hasValue(@val.INSURANCE-PLAN-ID), then fns.matches(@val.INSURANCE-PLAN-ID, "^[^|*]*$")' |
INSURANCE-PLAN-ID |
TPL056 |
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|
|
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|
|
|
| 1,855 |
RULE-3122 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES |
TPL00004 |
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If the field is populated, the value must be contained in the set of valid values with id: INSURANCE-PLAN-TYPE |
INSURANCE-PLAN-TYPE |
TPL057 |
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|
|
|
| 1,856 |
RULE-3123 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES |
TPL00004 |
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|
|
If the field is populated, the value must be contained in the set of valid values with id: COVERAGE-TYPE |
COVERAGE-TYPE |
TPL058 |
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|
|
| 1,857 |
RULE-3124 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES |
TPL00004 |
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|
|
|
Value must be a valid date of the form CCYYMMDD |
INSURANCE-CATEGORIES-EFF-DATE |
TPL059 |
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
| 1,858 |
RULE-3126 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES |
TPL00004 |
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|
'if fns.hasValue(@val.INSURANCE-CATEGORIES-EFF-DATE) && fns.hasValue(@val.INSURANCE-CATEGORIES-END-DATE), then fns.isLessThanOrEqual(@val.INSURANCE-CATEGORIES-EFF-DATE, @val.INSURANCE-CATEGORIES-END-DATE)' |
INSURANCE-CATEGORIES-EFF-DATE,INSURANCE-CATEGORIES-END-DATE |
TPL059,TPL060 |
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,859 |
RULE-3127 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES |
TPL00004 |
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|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: INSURANCE-CATEGORIES-EFF-DATE. End date field: INSURANCE-CATEGORIES-END-DATE |
INSURANCE-CATEGORIES-EFF-DATE,INSURANCE-CATEGORIES-END-DATE |
TPL059,TPL060 |
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,860 |
RULE-3130 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES |
TPL00004 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
INSURANCE-CATEGORIES-END-DATE |
TPL060 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,861 |
RULE-3133 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES |
TPL00004 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
TPL061 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,862 |
RULE-3136 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION |
TPL00005 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
TPL064 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,863 |
RULE-3137 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION |
TPL00005 |
FILE-HEADER-RECORD-TPL |
TPL00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
TPL064 |
SUBMITTING-STATE |
TPL007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,864 |
RULE-3139 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION |
TPL00005 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION |
RECORD-NUMBER |
TPL065 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,865 |
RULE-3143 |
2.1 |
Relational error |
E2101 |
Missing parent record (single file) |
Child Parent Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION |
TPL00005 |
|
|
record TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION has corresponding parent record TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
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|
|
|
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
TPL017,TPL019 |
SUBMITTING-STATE,MSIS-IDENTIFICATION-NUM |
TPL064,TPL066 |
|
|
|
|
|
|
|
|
| 1,866 |
RULE-3144 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION |
TPL00005 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: TYPE-OF-OTHER-THIRD-PARTY-LIABILITY |
TYPE-OF-OTHER-THIRD-PARTY-LIABILITY |
TPL067 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,867 |
RULE-3145 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION |
TPL00005 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OTHER-TPL-EFF-DATE |
TPL068 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,868 |
RULE-3147 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION |
TPL00005 |
|
|
|
|
'if fns.hasValue(@val.OTHER-TPL-EFF-DATE) && fns.hasValue(@val.OTHER-TPL-END-DATE), then fns.isLessThanOrEqual(@val.OTHER-TPL-EFF-DATE, @val.OTHER-TPL-END-DATE)' |
OTHER-TPL-EFF-DATE,OTHER-TPL-END-DATE |
TPL068,TPL069 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,869 |
RULE-3148 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION |
TPL00005 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: OTHER-TPL-EFF-DATE. End date field: OTHER-TPL-END-DATE |
OTHER-TPL-EFF-DATE,OTHER-TPL-END-DATE |
TPL068,TPL069 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,870 |
RULE-3150 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION |
TPL00005 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
OTHER-TPL-END-DATE |
TPL069 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,871 |
RULE-3154 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION |
TPL00005 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
TPL070 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,872 |
RULE-3157 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
SUBMITTING-STATE |
TPL073 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,873 |
RULE-3158 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
FILE-HEADER-RECORD-TPL |
TPL00001 |
|
|
'if fns.hasValue(@val.SUBMITTING-STATE) && fns.hasValue(@fileHeader.SUBMITTING-STATE), then fns.isStateEqual(@val.SUBMITTING-STATE, @fileHeader.SUBMITTING-STATE)' |
SUBMITTING-STATE |
TPL073 |
SUBMITTING-STATE |
TPL007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,874 |
RULE-3160 |
0 |
File specification error |
E0003 |
Duplicate record identifier (RECORD-NUM or primary key values) |
One Record Type (Multi Record) |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
Field RECORD-NUMBER should be unique across all records of type TPL-ENTITY-CONTACT-INFORMATION |
RECORD-NUMBER |
TPL074 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,875 |
RULE-3161 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
'if fns.hasValue(@val.INSURANCE-CARRIER-ID-NUM), then fns.matches(@val.INSURANCE-CARRIER-ID-NUM, "^[^|*]*$")' |
INSURANCE-CARRIER-ID-NUM |
TPL075 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,876 |
RULE-3162 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: TPL-ENTITY-ADDR-TYPE |
TPL-ENTITY-ADDR-TYPE |
TPL076 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,877 |
RULE-3163 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
'if fns.hasValue(@val.INSURANCE-CARRIER-ADDR-LN1), then fns.matches(@val.INSURANCE-CARRIER-ADDR-LN1, "^[^|*]*$")' |
INSURANCE-CARRIER-ADDR-LN1 |
TPL077 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,878 |
RULE-3164 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
'if fns.hasValue(@val.INSURANCE-CARRIER-ADDR-LN2), then fns.matches(@val.INSURANCE-CARRIER-ADDR-LN2, "^[^|*]*$")' |
INSURANCE-CARRIER-ADDR-LN2 |
TPL078 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,879 |
RULE-3166 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
'if fns.hasValue(@val.INSURANCE-CARRIER-ADDR-LN3), then fns.matches(@val.INSURANCE-CARRIER-ADDR-LN3, "^[^|*]*$")' |
INSURANCE-CARRIER-ADDR-LN3 |
TPL079 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,880 |
RULE-3168 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
'if !fns.hasValue(@val.INSURANCE-CARRIER-ADDR-LN2), then !fns.hasValue(@val.INSURANCE-CARRIER-ADDR-LN3)' |
INSURANCE-CARRIER-ADDR-LN2,INSURANCE-CARRIER-ADDR-LN3 |
TPL078,TPL079 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,881 |
RULE-3169 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
'if fns.hasValue(@val.INSURANCE-CARRIER-CITY), then fns.matches(@val.INSURANCE-CARRIER-CITY, "^[^|*]*$")' |
INSURANCE-CARRIER-CITY |
TPL080 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,882 |
RULE-3170 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: STATE |
INSURANCE-CARRIER-STATE |
TPL081 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,883 |
RULE-3171 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
'if fns.hasValue(@val.INSURANCE-CARRIER-ZIP-CODE), then fns.matches(@val.INSURANCE-CARRIER-ZIP-CODE, "^[0-9]{5}|[0-9]{9}$")' |
INSURANCE-CARRIER-ZIP-CODE |
TPL082 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,884 |
RULE-3172 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
INSURANCE-CARRIER-PHONE-NUM |
TPL083 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,885 |
RULE-3173 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
TPL-ENTITY-CONTACT-INFO-EFF-DATE |
TPL084 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,886 |
RULE-3175 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
'if fns.hasValue(@val.TPL-ENTITY-CONTACT-INFO-EFF-DATE) && fns.hasValue(@val.TPL-ENTITY-CONTACT-INFO-END-DATE), then fns.isLessThanOrEqual(@val.TPL-ENTITY-CONTACT-INFO-EFF-DATE, @val.TPL-ENTITY-CONTACT-INFO-END-DATE)' |
TPL-ENTITY-CONTACT-INFO-EFF-DATE,TPL-ENTITY-CONTACT-INFO-END-DATE |
TPL084,TPL085 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,887 |
RULE-3176 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, multiple records) |
One Record Type (Multi Record) |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
Records with the same primary keys must have non-overlapping date ranges. Effective date field: TPL-ENTITY-CONTACT-INFO-EFF-DATE. End date field: TPL-ENTITY-CONTACT-INFO-END-DATE |
TPL-ENTITY-CONTACT-INFO-EFF-DATE,TPL-ENTITY-CONTACT-INFO-END-DATE |
TPL084,TPL085 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,888 |
RULE-3178 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
TPL-ENTITY-CONTACT-INFO-END-DATE |
TPL085 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,889 |
RULE-3180 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
TPL086 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,890 |
RULE-3182 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: COVERAGE-TYPE |
COVERAGE-TYPE |
TPL089 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,891 |
RULE-3183 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
'if fns.hasValue(@val.INSURANCE-CARRIER-NAIC-CODE), then fns.matches(@val.INSURANCE-CARRIER-NAIC-CODE, "^[^|*]*$")' |
INSURANCE-CARRIER-NAIC-CODE |
TPL090 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,892 |
RULE-3184 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
'if fns.hasValue(@val.INSURANCE-CARRIER-NAME), then fns.matches(@val.INSURANCE-CARRIER-NAME, "^[^|*]*$")' |
INSURANCE-CARRIER-NAME |
TPL091 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,893 |
RULE-3185 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: NATIONAL-HEALTH-CARE-ENTITY-ID-TYPE |
NATIONAL-HEALTH-CARE-ENTITY-ID-TYPE |
TPL092 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,894 |
RULE-3186 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
'if fns.hasValue(@val.NATIONAL-HEALTH-CARE-ENTITY-ID), then fns.matches(@val.NATIONAL-HEALTH-CARE-ENTITY-ID, "^[^|*]*$")' |
NATIONAL-HEALTH-CARE-ENTITY-ID |
TPL093 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,895 |
RULE-3187 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
FILE-HEADER-RECORD-TPL |
TPL00001 |
|
|
'if fns.isGreaterThanOrEqual(@fileHeader.START-OF-TIME-PERIOD, "2015-11-05"), then fns.hasValue(@val.NATIONAL-HEALTH-CARE-ENTITY-ID)' |
NATIONAL-HEALTH-CARE-ENTITY-ID |
TPL093 |
START-OF-TIME-PERIOD |
TPL009 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,896 |
RULE-3188 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
'if fns.hasValue(@val.NATIONAL-HEALTH-CARE-ENTITY-NAME), then fns.matches(@val.NATIONAL-HEALTH-CARE-ENTITY-NAME, "^[^|*]*$")' |
NATIONAL-HEALTH-CARE-ENTITY-NAME |
TPL094 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,897 |
RULE-6067 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
'if fns.isEqual(@primaryRecord.ADJUSTMENT-IND, "0"), then !fns.hasValue(@secondaryRecord.LINE-NUM-ADJ)' |
ADJUSTMENT-IND |
CIP026 |
LINE-NUM-ADJ |
CIP238 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP017,CIP019,CIP020,CIP098 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
CIP232,CIP235,CIP236,CIP286 |
|
|
|
|
|
|
|
|
| 1,898 |
RULE-6068 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
'if fns.hasValue(@val.DISCHARGE-HOUR), then fns.hasValue(@val.DISCHARGE-DATE)' |
DISCHARGE-HOUR,DISCHARGE-DATE |
CLT047,CLT046 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,899 |
RULE-6069 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Three Record Type Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
CLAIM-LINE-RECORD-LT |
CLT00003 |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
'fns.isEqual(@primaryRecord.PROV-LOCATION-ID, @tertiaryRecord.PROV-LOCATION-ID)' |
PROV-LOCATION-ID |
CLT237 |
|
|
PROV-LOCATION-ID |
PRV043 |
SUBMITTING-STATE,ICN-ADJ,ICN-ORIG,ADJUDICATION-DATE |
CLT017,CLT020,CLT019,CLT050 |
SUBMITTING-STATE,ICN-ADJ,ICN-ORIG,ADJUDICATION-DATE |
CLT185,CLT189,CLT188,CLT233 |
SUBMITTING-STATE,SERVICING-PROV-NUM |
|
SUBMITTING-STATE,SUBMITTING-STATE-PROV-ID |
PRV040,PRV042 |
|
|
|
|
| 1,900 |
RULE-6071 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
'if !fns.hasValue(@val.DIAGNOSIS-CODE-1), then !fns.hasValue(@val.DIAGNOSIS-CODE-2)' |
DIAGNOSIS-CODE-1,DIAGNOSIS-CODE-2 |
COT027,COT030 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,901 |
RULE-6072 |
2.1 |
Relational error |
E2102 |
Values inconsistently specified (multi record, single file) |
Two Record Type (1 to 1) |
CLAIM-HEADER-RECORD-OT |
COT00002 |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
'if fns.isEqual(@primaryRecord.ADJUSTMENT-IND, "0"), then !fns.hasValue(@secondaryRecord.LINE-NUM-ADJ)' |
ADJUSTMENT-IND |
COT025 |
LINE-NUM-ADJ |
COT161 |
|
|
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT017,COT019,COT020,COT035 |
SUBMITTING-STATE,ICN-ORIG,ICN-ADJ,ADJUDICATION-DATE |
COT155,COT158,COT159,COT221 |
|
|
|
|
|
|
|
|
| 1,902 |
RULE-6074 |
2 |
Relational error |
E2001 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
'!fns.isEqual(@val.ORIGINATION-ADDR-LN1, @val.ORIGINATION-ADDR-LN2)' |
ORIGINATION-ADDR-LN1,ORIGINATION-ADDR-LN2 |
COT199,COT200 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,903 |
RULE-6075 |
3 |
Relational error |
E3002 |
Values inconsistently specified (multi record, multi file) |
Three Record Type Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
CLAIM-LINE-RECORD-OT |
COT00003 |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
'fns.isEqual(@primaryRecord.PROV-LOCATION-ID, @tertiaryRecord.PROV-LOCATION-ID)' |
PROV-LOCATION-ID |
COT226 |
|
|
PROV-LOCATION-ID |
PRV043 |
SUBMITTING-STATE,ICN-ADJ,ICN-ORIG,ADJUDICATION-DATE |
COT017,COT020,COT019,COT035 |
SUBMITTING-STATE,ICN-ADJ,ICN-ORIG,ADJUDICATION-DATE |
COT155,COT159,COT158,COT221 |
SUBMITTING-STATE,SERVICING-PROV-NUM |
|
SUBMITTING-STATE,SUBMITTING-STATE-PROV-ID |
PRV040,PRV042 |
|
|
|
|
| 1,904 |
RULE-6112 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
OPERATING-PROV-NPI-NUM |
CIP265 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,905 |
RULE-6113 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
CIP016 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,906 |
RULE-6114 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CHPID-SHPID-RELATIONSHIPS |
MCR00009 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
CHPID |
MCR106 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,907 |
RULE-6115 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-POA-FLAG-2 |
CIP037 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,908 |
RULE-6116 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-POA-FLAG-1 |
CIP034 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,909 |
RULE-6117 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-POA-FLAG-4 |
CIP043 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,910 |
RULE-6118 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-POA-FLAG-3 |
CIP040 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,911 |
RULE-6119 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
OPERATING-PROV-TAXONOMY |
CIP223 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,912 |
RULE-6120 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
ELIGIBLE-LAST-NAME |
COT105 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,913 |
RULE-6121 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
PLAN-ID-NUMBER |
CRX056 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,914 |
RULE-6122 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
PROV-MIDDLE-INITIAL |
PRV029 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,915 |
RULE-6123 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-POA-FLAG-9 |
CIP058 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,916 |
RULE-6124 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-POA-FLAG-6 |
CIP049 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,917 |
RULE-6125 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-POA-FLAG-5 |
CIP046 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,918 |
RULE-6126 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-POA-FLAG-8 |
CIP055 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,919 |
RULE-6127 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-POA-FLAG-7 |
CIP052 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,920 |
RULE-6128 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(5) |
PROV-LOCATION-ID |
PRV043 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,921 |
RULE-6129 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-PROVIDER |
PRV00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
PRV014 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,922 |
RULE-6130 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
NATIONAL-HEALTH-CARE-ENTITY-ID-TYPE |
TPL092 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,923 |
RULE-6131 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-AFFILIATED-GROUPS |
PRV00008 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
PRV108 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,924 |
RULE-6132 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SERVICING-PROV-SPECIALTY |
COT193 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,925 |
RULE-6133 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
XXI-MBESCBES-CATEGORY-OF-SERVICE |
COT212 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,926 |
RULE-6134 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
ELIGIBLE-FIRST-NAME |
COT106 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,927 |
RULE-6135 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
NATIONAL-HEALTH-CARE-ENTITY-ID-INFO |
MCR00008 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
NATIONAL-HEALTH-CARE-ENTITY-ID |
MCR095 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,928 |
RULE-6136 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
WAIVER-PARTICIPATION |
ELG00012 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
ELG171 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,929 |
RULE-6137 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
PROCEDURE-CODE-4 |
CIP082 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,930 |
RULE-6138 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
MEDICARE-REIM-TYPE |
CIP133 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,931 |
RULE-6139 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
COT155 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,932 |
RULE-6140 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
PROCEDURE-CODE-3 |
CIP078 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,933 |
RULE-6141 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
PROCEDURE-CODE-2 |
CIP074 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,934 |
RULE-6142 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
PROCEDURE-CODE-1 |
CIP070 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,935 |
RULE-6143 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
PROV-FIRST-NAME |
PRV028 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,936 |
RULE-6144 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
PROCEDURE-CODE-6 |
CIP090 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,937 |
RULE-6145 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
PROCEDURE-CODE-5 |
CIP086 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,938 |
RULE-6146 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
LOCK-IN-INFORMATION |
ELG00009 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
LOCKIN-PROV-TYPE |
ELG141 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,939 |
RULE-6147 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
ADMITTING-DIAGNOSIS-CODE-FLAG |
CLT028 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,940 |
RULE-6148 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-LT |
CLT00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(4) |
SEQUENCE-NUMBER |
CLT227 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,941 |
RULE-6149 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
COPAY-WAIVED-IND |
CLT160 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,942 |
RULE-6150 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
UNDER-DIRECTION-OF-PROV-TAXONOMY |
CIP225 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,943 |
RULE-6151 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-PLAN-POPULATION-ENROLLED |
MCR00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(2) |
MANAGED-CARE-PLAN-POP |
MCR077 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,944 |
RULE-6152 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(4) |
XIX-MBESCBES-CATEGORY-OF-SERVICE |
CLT224 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,945 |
RULE-6153 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-SPA-PROVIDERS |
ELG00007 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
ELG114 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,946 |
RULE-6154 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-CHRONIC-CONDITIONS |
ELG00008 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
ELG134 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,947 |
RULE-6155 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
ELG019 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,948 |
RULE-6156 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
SUBMITTING-STATE-PROV-ID |
PRV019 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,949 |
RULE-6157 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
HEALTH-HOME-PROV-IND |
COT109 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,950 |
RULE-6158 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
TPL019 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,951 |
RULE-6159 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
BRAND-GENERIC-IND |
CRX140 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,952 |
RULE-6160 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
SSI-STATUS |
ELG092 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,953 |
RULE-6161 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CHPID-SHPID-RELATIONSHIPS |
MCR00009 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
STATE-PLAN-ID-NUM |
MCR105 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,954 |
RULE-6162 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-BED-TYPE-INFO |
PRV00010 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
SUBMITTING-STATE-PROV-ID |
PRV128 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,955 |
RULE-6163 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
CLAIM-DENIED-INDICATOR |
COT136 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,956 |
RULE-6164 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
ORIGINATION-STATE |
COT202 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,957 |
RULE-6165 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
FILE-STATUS-INDICATOR |
ELG011 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,958 |
RULE-6166 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
CLAIM-LINE-STATUS |
COT165 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,959 |
RULE-6167 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-TAXONOMY-CLASSIFICATION |
PRV00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
PRV086 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,960 |
RULE-6168 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ETHNICITY-INFORMATION |
ELG00015 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
ELG207 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,961 |
RULE-6169 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
INSURANCE-CARRIER-NAME |
TPL091 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,962 |
RULE-6170 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
ELG063 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,963 |
RULE-6171 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
NATIONAL-HEALTH-CARE-ENTITY-ID |
CRX057 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,964 |
RULE-6172 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
MEDICARE-HIC-NUM |
CLT140 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,965 |
RULE-6173 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
IMMUNIZATION-TYPE |
CLT201 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,966 |
RULE-6174 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
STATE-PLAN-ID-NUM |
MCR019 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,967 |
RULE-6175 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
PRESCRIPTION-NUM |
CRX142 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,968 |
RULE-6176 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
BILLING-PROV-NUM |
CRX070 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,969 |
RULE-6177 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(9) |
ORIGINATION-ZIP-CODE |
COT203 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,970 |
RULE-6178 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-SERVICE-AREA |
MCR00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
MCR055 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,971 |
RULE-6179 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
LINE-ADJUSTMENT-REASON-CODE |
COT163 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,972 |
RULE-6180 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
REFERRING-PROV-TAXONOMY |
CLT137 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,973 |
RULE-6181 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(60) |
PROV-ORGANIZATION-NAME |
PRV024 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,974 |
RULE-6182 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
TANF-CASH-CODE |
ELG098 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,975 |
RULE-6183 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(6)V999 |
OT-RX-CLAIM-QUANTITY-ALLOWED |
COT184 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,976 |
RULE-6184 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
ELIGIBLE-FIRST-NAME |
TPL022 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,977 |
RULE-6185 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(9) |
INSURANCE-CARRIER-ZIP-CODE |
TPL082 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,978 |
RULE-6186 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
ELG061 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,979 |
RULE-6187 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(5) |
HCBS-TAXONOMY |
COT188 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,980 |
RULE-6188 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
PROV-ADDR-TYPE |
PRV046 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,981 |
RULE-6189 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
FORCED-CLAIM-IND |
CLT090 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,982 |
RULE-6190 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
ELG190 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,983 |
RULE-6191 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
ADJUSTMENT-IND |
CLT025 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,984 |
RULE-6192 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(18) |
PRE-AUTHORIZATION-NUM |
CIP288 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,985 |
RULE-6193 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SOURCE-LOCATION |
CIP104 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,986 |
RULE-6194 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SERVICING-PROV-TYPE |
COT192 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,987 |
RULE-6195 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(9) |
DATA-MAPPING-DOCUMENT-VERSION |
ELG005 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,988 |
RULE-6196 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
LINE-NUM-ADJ |
COT161 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,989 |
RULE-6197 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(50) |
HEALTH-HOME-ENTITY-NAME |
CLT161 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,990 |
RULE-6198 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-CODE-FLAG-2 |
COT031 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,991 |
RULE-6199 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-CODE-FLAG-1 |
COT028 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,992 |
RULE-6200 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
NATIONAL-HEALTH-CARE-ENTITY-ID |
TPL093 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,993 |
RULE-6201 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
ELG198 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,994 |
RULE-6202 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
1115A-DEMONSTRATION-INFORMATION |
ELG00018 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
ELG231 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,995 |
RULE-6203 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ENROLLMENT-TIME-SPAN-SEGMENT |
ELG00021 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
ELG251 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,996 |
RULE-6204 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
SERVICING-PROV-NUM |
CLT212 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,997 |
RULE-6205 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(28) |
ELIGIBLE-CITY |
ELG069 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,998 |
RULE-6206 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-LT |
CLT00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
FILE-ENCODING-SPECIFICATION |
CLT004 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1,999 |
RULE-6207 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OWNERSHIP-CODE |
PRV032 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,000 |
RULE-6208 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-SERVICE-AREA |
MCR00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
STATE-PLAN-ID-NUM |
MCR057 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,001 |
RULE-6209 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SERVICE-TRACKING-TYPE |
COT059 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,002 |
RULE-6210 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
DISCHARGE-HOUR |
CIP097 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,003 |
RULE-6211 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
OTHER-TPL-COLLECTION |
CIP122 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,004 |
RULE-6212 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
CORE-BASED-STATISTICAL-AREA-CODE |
MCR027 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,005 |
RULE-6213 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
DUAL-ELIGIBLE-CODE |
ELG085 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,006 |
RULE-6214 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-MANAGED-CARE |
MCR00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
MCR014 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,007 |
RULE-6215 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-BED-TYPE-INFO |
PRV00010 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
PRV136 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,008 |
RULE-6216 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
CRX111 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,009 |
RULE-6217 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-SPA-PARTICIPATION-INFORMATION |
ELG00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
ELG112 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,010 |
RULE-6218 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
REFERRING-PROV-SPECIALTY |
COT121 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,011 |
RULE-6219 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
LINE-ADJUSTMENT-IND |
CIP239 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,012 |
RULE-6220 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
BILLING-UNIT |
CLT210 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,013 |
RULE-6221 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
PROGRAM-TYPE |
CRX055 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,014 |
RULE-6222 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-IP |
CIP00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(9) |
DATA-MAPPING-DOCUMENT-VERSION |
CIP005 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,015 |
RULE-6223 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
TPL050 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,016 |
RULE-6224 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-CODE-FLAG-11 |
CIP063 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,017 |
RULE-6225 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-CODE-FLAG-12 |
CIP066 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,018 |
RULE-6226 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-CODE-FLAG-10 |
CIP060 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,019 |
RULE-6227 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-TPL |
TPL00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
TPL001 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,020 |
RULE-6228 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
NATIONAL-HEALTH-CARE-ENTITY-ID-INFO |
MCR00008 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
MCR091 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,021 |
RULE-6229 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
LTSS-PARTICIPATION |
ELG00013 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
LTSS-LEVEL-CARE |
ELG182 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,022 |
RULE-6230 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(50) |
ICN-ORIG |
CRX112 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,023 |
RULE-6231 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
PAYMENT-LEVEL-IND |
CLT082 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,024 |
RULE-6232 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-SPA-PROVIDERS |
ELG00007 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
ELG116 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,025 |
RULE-6233 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
OTHER-TPL-COLLECTION |
CRX049 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,026 |
RULE-6234 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
LINE-NUM-ORIG |
CIP237 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,027 |
RULE-6235 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
UNDER-DIRECTION-OF-PROV-NPI |
CLT169 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,028 |
RULE-6236 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
COPAY-WAIVED-IND |
COT137 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,029 |
RULE-6237 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-LT |
CLT00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
TOT-REC-CNT |
CLT013 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,030 |
RULE-6238 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
CLT187 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,031 |
RULE-6239 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
SUBMITTER-ID |
CRX118 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,032 |
RULE-6240 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
NATIONAL-HEALTH-CARE-ENTITY-ID-INFO |
MCR00008 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
NATIONAL-HEALTH-CARE-ENTITY-ID-TYPE |
MCR096 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,033 |
RULE-6241 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
PROCEDURE-CODE-FLAG-6 |
CIP092 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,034 |
RULE-6242 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
PATIENT-STATUS |
CLT141 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,035 |
RULE-6243 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-LT |
CLT00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
FILE-NAME |
CLT006 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,036 |
RULE-6244 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
PROCEDURE-CODE-FLAG-2 |
CIP076 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,037 |
RULE-6245 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
PROCEDURE-CODE-FLAG-3 |
CIP080 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,038 |
RULE-6246 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
PROCEDURE-CODE-FLAG-4 |
CIP084 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,039 |
RULE-6247 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
PROCEDURE-CODE-FLAG-5 |
CIP088 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,040 |
RULE-6248 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
PROCEDURE-CODE-FLAG-1 |
CIP072 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,041 |
RULE-6249 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MFP-INFORMATION |
ELG00010 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
MFP-QUALIFIED-INSTITUTION |
ELG151 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,042 |
RULE-6250 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MFP-INFORMATION |
ELG00010 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
ELG147 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,043 |
RULE-6251 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
MEDICARE-HIC-NUM |
CRX079 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,044 |
RULE-6252 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
MCR016 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,045 |
RULE-6253 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-MANAGED-CARE |
MCR00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
SUBMISSION-TRANSACTION-TYPE |
MCR003 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,046 |
RULE-6254 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
BILLING-PROV-TYPE |
CIP182 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,047 |
RULE-6255 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
1115A-DEMONSTRATION-INFORMATION |
ELG00018 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
ELG232 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,048 |
RULE-6256 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
ADDR-STATE |
PRV051 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,049 |
RULE-6257 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
NATIONAL-DRUG-CODE |
CLT228 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,050 |
RULE-6258 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-MEDICAID-ENROLLMENT |
PRV00007 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
PRV094 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,051 |
RULE-6259 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
MCR034 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,052 |
RULE-6260 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-SPA-PARTICIPATION-INFORMATION |
ELG00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
ELG104 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,053 |
RULE-6261 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
ELIGIBLE-MIDDLE-INIT |
ELG022 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,054 |
RULE-6262 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
TYPE-OF-HOSPITAL |
CIP024 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,055 |
RULE-6263 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-SERVICE-AREA |
MCR00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
MCR061 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,056 |
RULE-6264 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
CLAIM-LINE-STATUS |
CRX119 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,057 |
RULE-6265 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
TPL031 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,058 |
RULE-6266 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-ACCREDITATION-ORGANIZATION |
MCR00007 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
MCR089 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,059 |
RULE-6267 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-SPA-PROVIDERS |
ELG00007 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
ELG117 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,060 |
RULE-6268 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(60) |
INSURANCE-CARRIER-ADDR-LN3 |
TPL079 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,061 |
RULE-6269 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(4) |
CLAIM-LINE-COUNT |
CRX060 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,062 |
RULE-6270 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
MEDICARE-BENEFICIARY-IDENTIFIER |
CRX105 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,063 |
RULE-6271 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
ELIGIBLE-FIRST-NAME |
CLT124 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,064 |
RULE-6272 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
BILLING-PROV-NUM |
COT112 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,065 |
RULE-6273 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
PRESCRIBING-PROV-NUM |
CRX074 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,066 |
RULE-6274 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
HEALTH-HOME-PROVIDER-NPI |
CIP221 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,067 |
RULE-6275 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
LOCK-IN-INFORMATION |
ELG00009 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
ELG139 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,068 |
RULE-6276 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
ELIGIBILITY-GROUP |
ELG087 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,069 |
RULE-6277 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
OTHER-TPL-COLLECTION |
CRX137 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,070 |
RULE-6278 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-LT |
CLT00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
FILE-STATUS-INDICATOR |
CLT011 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,071 |
RULE-6279 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(4) |
TYPE-OF-BILL |
CIP101 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,072 |
RULE-6280 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
FORCED-CLAIM-IND |
CIP138 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,073 |
RULE-6281 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
HEALTH-CARE-ACQUIRED-CONDITION-IND |
CIP139 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,074 |
RULE-6282 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MEMBER-ID |
TPL036 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,075 |
RULE-6283 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
DISPENSING-PRESCRIPTION-DRUG-PROV-NUM |
CRX156 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,076 |
RULE-6284 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
PROCEDURE-CODE-MOD-2 |
CIP075 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,077 |
RULE-6285 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
ADMITTING-PROV-NUM |
CLT175 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,078 |
RULE-6286 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
PROCEDURE-CODE-MOD-3 |
CIP079 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,079 |
RULE-6287 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
PROCEDURE-CODE-MOD-1 |
CIP071 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,080 |
RULE-6288 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-CHRONIC-CONDITIONS |
ELG00008 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
ELG126 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,081 |
RULE-6289 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-TPL |
TPL00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
SSN-INDICATOR |
TPL012 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,082 |
RULE-6290 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
LTSS-PARTICIPATION |
ELG00013 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
LTSS-PROV-NUM |
ELG183 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,083 |
RULE-6291 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MFP-INFORMATION |
ELG00010 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
ELG146 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,084 |
RULE-6292 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
TPL-HEALTH-INSURANCE-COVERAGE-IND |
TPL020 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,085 |
RULE-6293 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ENROLLMENT-TIME-SPAN-SEGMENT |
ELG00021 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
ELG249 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,086 |
RULE-6294 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
FIXED-PAYMENT-IND |
CRX052 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,087 |
RULE-6295 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
ELIGIBLE-MIDDLE-INIT |
TPL023 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,088 |
RULE-6296 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
WAIVER-ID |
CIP178 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,089 |
RULE-6297 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-RX |
CRX00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
SSN-INDICATOR |
CRX012 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,090 |
RULE-6298 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES |
TPL00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
TPL061 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,091 |
RULE-6299 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-MANAGED-CARE |
MCR00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
DATA-DICTIONARY-VERSION |
MCR002 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,092 |
RULE-6300 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
PLAN-ID-NUMBER |
CLT080 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,093 |
RULE-6301 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-RX |
CRX00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
CRX001 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,094 |
RULE-6302 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
PROCEDURE-CODE-MOD-6 |
CIP091 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,095 |
RULE-6303 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
PROCEDURE-CODE-MOD-5 |
CIP087 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,096 |
RULE-6304 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
PROCEDURE-CODE-MOD-4 |
CIP083 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,097 |
RULE-6305 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
ELG079 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,098 |
RULE-6306 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
ELG018 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,099 |
RULE-6307 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LICENSING-INFO |
PRV00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
LICENSE-OR-ACCREDITATION-NUMBER |
PRV069 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,100 |
RULE-6308 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-AFFILIATED-PROGRAMS |
PRV00009 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
PRV117 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,101 |
RULE-6309 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
ELIGIBLE-MIDDLE-INIT |
COT107 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,102 |
RULE-6310 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-IDENTIFIERS |
PRV00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
PRV072 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,103 |
RULE-6311 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
HEALTH-HOME-PROVIDER-NPI |
CRX104 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,104 |
RULE-6312 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
DISABILITY-INFORMATION |
ELG00017 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
ELG223 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,105 |
RULE-6313 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
ELG007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,106 |
RULE-6314 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
CROSSOVER-INDICATOR |
COT023 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,107 |
RULE-6315 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
SEX |
ELG023 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,108 |
RULE-6316 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
BENEFIT-TYPE |
COT209 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,109 |
RULE-6317 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
REMITTANCE-NUM |
CIP202 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,110 |
RULE-6318 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
COT154 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,111 |
RULE-6319 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
LINE-NUM-ADJ |
CIP238 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,112 |
RULE-6320 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
CIP229 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,113 |
RULE-6321 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(5) |
CLAIM-PYMT-REM-CODE-3 |
CLT061 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,114 |
RULE-6322 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(5) |
CLAIM-PYMT-REM-CODE-4 |
CLT062 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,115 |
RULE-6323 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(60) |
ELIGIBLE-ADDR-LN2 |
ELG067 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,116 |
RULE-6324 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(5) |
CLAIM-PYMT-REM-CODE-1 |
CLT059 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,117 |
RULE-6325 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(60) |
ELIGIBLE-ADDR-LN3 |
ELG068 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,118 |
RULE-6326 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(5) |
CLAIM-PYMT-REM-CODE-2 |
CLT060 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,119 |
RULE-6327 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
POLICY-OWNER-CODE |
TPL047 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,120 |
RULE-6328 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
TOOTH-NUM |
COT196 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,121 |
RULE-6329 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
ELG016 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,122 |
RULE-6330 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
BORDER-STATE-IND |
CIP204 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,123 |
RULE-6331 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
ELG188 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,124 |
RULE-6332 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-MANAGED-CARE |
MCR00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
MCR007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,125 |
RULE-6333 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
SEX |
PRV031 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,126 |
RULE-6334 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
NDC-UNIT-OF-MEASURE |
COT224 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,127 |
RULE-6335 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
REFERRING-PROV-TYPE |
CLT138 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,128 |
RULE-6336 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(14) |
HCPCS-RATE |
COT220 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,129 |
RULE-6337 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ENROLLMENT-TIME-SPAN-SEGMENT |
ELG00021 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
ENROLLMENT-TYPE |
ELG252 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,130 |
RULE-6338 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
MARITAL-STATUS |
ELG034 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,131 |
RULE-6339 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
MANAGED-CARE-ADDR-TYPE |
MCR041 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,132 |
RULE-6340 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
LTSS-PARTICIPATION |
ELG00013 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
ELG180 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,133 |
RULE-6341 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
BILLING-PROV-TAXONOMY |
CIP181 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,134 |
RULE-6342 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-IDENTIFIERS |
PRV00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(18) |
PROV-IDENTIFIER-ISSUING-ENTITY-ID |
PRV078 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,135 |
RULE-6343 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
ELG191 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,136 |
RULE-6344 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
INCOME-CODE |
ELG038 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,137 |
RULE-6345 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
LOCK-IN-INFORMATION |
ELG00009 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
LOCKIN-PROV-NUM |
ELG140 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,138 |
RULE-6346 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
SUBMITTER-ID |
COT164 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,139 |
RULE-6347 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SERVICING-PROV-TYPE |
CLT215 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,140 |
RULE-6348 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-BED-TYPE-INFO |
PRV00010 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
PRV126 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,141 |
RULE-6349 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(18) |
PRE-AUTHORIZATION-NUM |
CLT235 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,142 |
RULE-6350 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
CLAIM-STATUS-CATEGORY |
CIP103 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,143 |
RULE-6351 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
MEDICARE-REIM-TYPE |
CLT083 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,144 |
RULE-6352 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
TYPE-OF-CLAIM |
COT037 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,145 |
RULE-6353 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
1115A-DEMONSTRATION-IND |
CLT024 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,146 |
RULE-6354 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(4) |
REVENUE-CODE |
CLT198 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,147 |
RULE-6355 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
REFERRING-PROV-NUM |
CIP189 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,148 |
RULE-6356 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
STATE-PLAN-OPTION-PARTICIPATION |
ELG00011 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
ELG166 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,149 |
RULE-6357 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
SSN-INDICATOR |
ELG012 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,150 |
RULE-6358 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(15) |
CHECK-NUM |
CRX033 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,151 |
RULE-6359 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(60) |
INSURANCE-CARRIER-ADDR-LN2 |
TPL078 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,152 |
RULE-6360 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(60) |
INSURANCE-CARRIER-ADDR-LN1 |
TPL077 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,153 |
RULE-6361 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
TPL-OTHER-COVERAGE-IND |
TPL021 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,154 |
RULE-6362 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
HEALTH-HOME-PROV-IND |
CIP176 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,155 |
RULE-6363 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
IMMUNIZATION-TYPE |
CRX147 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,156 |
RULE-6364 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
SERVICING-PROV-NUM |
CIP260 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,157 |
RULE-6365 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
FIXED-PAYMENT-IND |
CLT075 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,158 |
RULE-6366 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(60) |
ADDR-EMAIL |
PRV054 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,159 |
RULE-6367 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HCBS-CHRONIC-CONDITIONS-NON-HEALTH-HOME |
ELG00020 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
ELG238 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,160 |
RULE-6368 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-IP |
CIP00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
SSN-INDICATOR |
CIP012 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,161 |
RULE-6369 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES |
TPL00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
INSURANCE-PLAN-TYPE |
TPL057 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,162 |
RULE-6370 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-PLAN-POPULATION-ENROLLED |
MCR00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
MCR080 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,163 |
RULE-6371 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(28) |
ORIGINATION-CITY |
COT201 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,164 |
RULE-6372 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
TYPE-OF-SERVICE |
CRX134 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,165 |
RULE-6373 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
PROCEDURE-CODE-MOD-3 |
COT218 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,166 |
RULE-6374 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
SPLIT-CLAIM-IND |
CIP203 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,167 |
RULE-6375 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
PROCEDURE-CODE-MOD-4 |
COT219 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,168 |
RULE-6376 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-OPERATING-AUTHORITY |
MCR00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
MCR064 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,169 |
RULE-6377 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
DESTINATION-STATE |
COT207 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,170 |
RULE-6378 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
HCBS-SERVICE-CODE |
CRX135 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,171 |
RULE-6379 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
BORDER-STATE-IND |
CRX082 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,172 |
RULE-6380 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(50) |
ICN-ADJ |
COT020 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,173 |
RULE-6381 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
CLT185 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,174 |
RULE-6382 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
PAYMENT-LEVEL-IND |
COT068 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,175 |
RULE-6383 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
TPL072 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,176 |
RULE-6384 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(60) |
ELIGIBLE-ADDR-LN1 |
ELG066 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,177 |
RULE-6385 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
CONCEPTION-TO-BIRTH-IND |
ELG094 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,178 |
RULE-6386 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
PROCEDURE-CODE-MOD-1 |
COT172 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,179 |
RULE-6387 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
PROCEDURE-CODE-MOD-2 |
COT227 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,180 |
RULE-6388 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(5) |
PROV-LOCATION-ID |
CRX161 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,181 |
RULE-6389 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
MEDICARE-COMB-DED-IND |
CLT078 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,182 |
RULE-6390 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
ELG101 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,183 |
RULE-6391 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-SPA-PARTICIPATION-INFORMATION |
ELG00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(100) |
HEALTH-HOME-SPA-NAME |
ELG107 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,184 |
RULE-6392 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SOURCE-LOCATION |
COT041 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,185 |
RULE-6393 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(9) |
MANAGED-CARE-ZIP-CODE |
MCR047 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,186 |
RULE-6394 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-OT |
COT00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
COT014 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,187 |
RULE-6395 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
BILLING-PROV-TYPE |
COT115 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,188 |
RULE-6396 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
CLAIM-STATUS |
COT039 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,189 |
RULE-6397 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-IDENTIFIERS |
PRV00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
PRV073 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,190 |
RULE-6398 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
COVERAGE-TYPE |
TPL089 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,191 |
RULE-6399 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-TAXONOMY-CLASSIFICATION |
PRV00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
PRV092 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,192 |
RULE-6400 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
ELIGIBLE-ADDR-TYPE |
ELG065 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,193 |
RULE-6401 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
REFERRING-PROV-TYPE |
COT120 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,194 |
RULE-6402 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-PROVIDER |
PRV00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
SUBMISSION-TRANSACTION-TYPE |
PRV003 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,195 |
RULE-6403 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-PROVIDER |
PRV00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
DATA-DICTIONARY-VERSION |
PRV002 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,196 |
RULE-6404 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
RACE-INFORMATION |
ELG00016 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
ELG211 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,197 |
RULE-6405 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(50) |
ICN-ADJ |
CLT189 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,198 |
RULE-6406 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-CHRONIC-CONDITIONS |
ELG00008 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
ELG128 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,199 |
RULE-6407 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(7) |
DIAGNOSIS-CODE-2 |
CIP035 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,200 |
RULE-6408 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
UNIT-OF-MEASURE |
CRX133 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,201 |
RULE-6409 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(7) |
DIAGNOSIS-CODE-1 |
CIP032 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,202 |
RULE-6410 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
CLAIM-DENIED-INDICATOR |
CLT159 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,203 |
RULE-6411 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
PRV017 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,204 |
RULE-6412 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(7) |
DIAGNOSIS-CODE-6 |
CIP047 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,205 |
RULE-6413 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
UNDER-SUPERVISION-OF-PROV-TAXONOMY |
CLT172 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,206 |
RULE-6414 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(7) |
DIAGNOSIS-CODE-5 |
CIP044 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,207 |
RULE-6415 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
HEALTH-CARE-ACQUIRED-CONDITION-IND |
CLT091 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,208 |
RULE-6416 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(7) |
DIAGNOSIS-CODE-4 |
CIP041 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,209 |
RULE-6417 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(7) |
DIAGNOSIS-CODE-3 |
CIP038 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,210 |
RULE-6418 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
RACE-INFORMATION |
ELG00016 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
ELG218 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,211 |
RULE-6419 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
ADJUSTMENT-REASON-CODE |
CLT026 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,212 |
RULE-6420 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
ELIGIBLE-FIRST-NAME |
CIP173 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,213 |
RULE-6421 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
COT214 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,214 |
RULE-6422 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
ADMITTING-PROV-NUM |
CIP185 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,215 |
RULE-6423 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
CIP017 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,216 |
RULE-6424 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
PRV040 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,217 |
RULE-6425 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
OTHER-TPL-COLLECTION |
COT194 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,218 |
RULE-6426 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT |
COT210 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,219 |
RULE-6427 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
LTSS-PARTICIPATION |
ELG00013 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
ELG181 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,220 |
RULE-6428 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-IP |
CIP00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
SUBMISSION-TRANSACTION-TYPE |
CIP003 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,221 |
RULE-6429 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
OTHER-INSURANCE-IND |
COT057 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,222 |
RULE-6430 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-TPL |
TPL00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
DATA-DICTIONARY-VERSION |
TPL002 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,223 |
RULE-6431 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
TOOTH-DESIGNATION-SYSTEM |
COT195 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,224 |
RULE-6432 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
DRG-DESCRIPTION |
CIP029 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,225 |
RULE-6433 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-OT |
COT00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
SSN-INDICATOR |
COT012 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,226 |
RULE-6434 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
ELG014 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,227 |
RULE-6435 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
NDC-UNIT-OF-MEASURE |
CLT229 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,228 |
RULE-6436 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
LINE-ADJUSTMENT-REASON-CODE |
CIP240 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,229 |
RULE-6437 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(50) |
NATIONAL-HEALTH-CARE-ENTITY-NAME |
TPL094 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,230 |
RULE-6438 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: S9(5)V9 |
BMI |
CLT143 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,231 |
RULE-6439 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SERVICE-TRACKING-TYPE |
CIP123 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,232 |
RULE-6440 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
LINE-NUM-ORIG |
COT160 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,233 |
RULE-6441 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
LTSS-PARTICIPATION |
ELG00013 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
ELG186 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,234 |
RULE-6442 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(100) |
TYPE-OF-LIVING-ARRANGEMENT |
ELG074 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,235 |
RULE-6443 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
REMITTANCE-NUM |
CLT144 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,236 |
RULE-6444 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
FORCED-CLAIM-IND |
CRX061 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,237 |
RULE-6445 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-RX |
CRX00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(4) |
SEQUENCE-NUMBER |
CRX155 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,238 |
RULE-6446 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(7) |
ADMITTING-DIAGNOSIS-CODE |
CLT027 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,239 |
RULE-6447 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-SERVICE-AREA |
MCR00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
MANAGED-CARE-SERVICE-AREA-NAME |
MCR058 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,240 |
RULE-6448 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-PLAN-POPULATION-ENROLLED |
MCR00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
MCR074 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,241 |
RULE-6449 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-SPA-PROVIDERS |
ELG00007 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
ELG115 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,242 |
RULE-6450 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
LINE-NUM-ADJ |
CLT191 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,243 |
RULE-6451 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
NATIONAL-DRUG-CODE |
COT217 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,244 |
RULE-6452 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
ELIGIBLE-LAST-NAME |
CIP172 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,245 |
RULE-6453 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
INSURANCE-CARRIER-STATE |
TPL081 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,246 |
RULE-6454 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
CRX016 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,247 |
RULE-6455 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-MANAGED-CARE |
MCR00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(4) |
SEQUENCE-NUMBER |
MCR112 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,248 |
RULE-6456 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
DISABILITY-INFORMATION |
ELG00017 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
ELG227 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,249 |
RULE-6457 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
WAIVER-TYPE |
CLT128 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,250 |
RULE-6458 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-SPA-PARTICIPATION-INFORMATION |
ELG00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
ELG103 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,251 |
RULE-6459 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
CLT173 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,252 |
RULE-6460 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
1115A-DEMONSTRATION-IND |
CRX024 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,253 |
RULE-6461 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
REBATE-ELIGIBLE-INDICATOR |
CRX146 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,254 |
RULE-6462 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-OT |
COT00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
FILE-STATUS-INDICATOR |
COT011 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,255 |
RULE-6463 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: S9(5) |
DAYS-SUPPLY |
CRX138 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,256 |
RULE-6464 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
BILLING-PROV-TAXONOMY |
CLT132 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,257 |
RULE-6465 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
POLICY-OWNER-FIRST-NAME |
TPL044 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,258 |
RULE-6466 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(28) |
ADDR-CITY |
PRV050 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,259 |
RULE-6467 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
CITIZENSHIP-VERIFICATION-FLAG |
ELG041 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,260 |
RULE-6468 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
NATIONAL-HEALTH-CARE-ENTITY-ID-INFO |
MCR00008 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
MCR100 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,261 |
RULE-6469 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-TPL |
TPL00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
SUBMISSION-TRANSACTION-TYPE |
TPL003 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,262 |
RULE-6470 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-LT |
CLT00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
CLT007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,263 |
RULE-6471 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(7) |
DIAGNOSIS-CODE-8 |
CIP053 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,264 |
RULE-6472 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(7) |
DIAGNOSIS-CODE-7 |
CIP050 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,265 |
RULE-6473 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
MCR017 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,266 |
RULE-6474 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(7) |
DIAGNOSIS-CODE-9 |
CIP056 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,267 |
RULE-6475 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(15) |
CHECK-NUM |
COT042 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,268 |
RULE-6476 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ENROLLMENT-TIME-SPAN-SEGMENT |
ELG00021 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
ELG248 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,269 |
RULE-6477 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
SUBMITTER-ID |
CRX021 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,270 |
RULE-6478 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
ENROLLED-MANAGED-CARE-PLAN-TYPE |
ELG193 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,271 |
RULE-6479 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
PRESCRIBING-PROV-TYPE |
CRX077 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,272 |
RULE-6480 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
CLAIM-STATUS-CATEGORY |
CLT055 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,273 |
RULE-6481 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
REFERRING-PROV-NUM |
COT117 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,274 |
RULE-6482 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
SELF-DIRECTION-TYPE |
CRX158 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,275 |
RULE-6483 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
PROV-PROFIT-STATUS |
PRV033 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,276 |
RULE-6484 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
DATA-DICTIONARY-VERSION |
ELG002 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,277 |
RULE-6485 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
ADJUSTMENT-REASON-CODE |
COT026 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,278 |
RULE-6486 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
FUNDING-SOURCE-NONFEDERAL-SHARE |
CIP127 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,279 |
RULE-6487 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-LT |
CLT00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
SUBMISSION-TRANSACTION-TYPE |
CLT003 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,280 |
RULE-6488 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
STATE-PLAN-OPTION-PARTICIPATION |
ELG00011 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
STATE-PLAN-OPTION-TYPE |
ELG163 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,281 |
RULE-6489 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
PROCEDURE-CODE |
COT169 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,282 |
RULE-6490 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
RESTRICTED-BENEFITS-CODE |
ELG097 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,283 |
RULE-6491 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
NATIONAL-HEALTH-CARE-ENTITY-ID |
CLT081 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,284 |
RULE-6492 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
HOUSEHOLD-SIZE |
ELG047 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,285 |
RULE-6493 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
COT156 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,286 |
RULE-6494 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(55) |
MANAGED-CARE-NAME |
MCR022 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,287 |
RULE-6495 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
HCBS-SERVICE-CODE |
COT187 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,288 |
RULE-6496 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
TYPE-OF-SERVICE |
COT186 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,289 |
RULE-6497 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
WAIVER-PARTICIPATION |
ELG00012 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
WAIVER-TYPE |
ELG173 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,290 |
RULE-6498 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
ADJUSTMENT-IND |
COT025 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,291 |
RULE-6499 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-IDENTIFIERS |
PRV00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
PROV-IDENTIFIER-TYPE |
PRV077 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,292 |
RULE-6500 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(50) |
ICN-ADJ |
CRX020 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,293 |
RULE-6501 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
ELG189 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,294 |
RULE-6502 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
PAYMENT-LEVEL-IND |
CRX058 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,295 |
RULE-6503 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
LOCK-IN-INFORMATION |
ELG00009 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
ELG138 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,296 |
RULE-6504 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ETHNICITY-INFORMATION |
ELG00015 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
ELG202 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,297 |
RULE-6505 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-CODE-FLAG-8 |
CIP054 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,298 |
RULE-6506 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-CODE-FLAG-9 |
CIP057 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,299 |
RULE-6507 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-CODE-FLAG-2 |
CIP036 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,300 |
RULE-6508 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-CODE-FLAG-3 |
CIP039 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,301 |
RULE-6509 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
PROGRAM-TYPE |
CIP129 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,302 |
RULE-6510 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
NATIONAL-DRUG-CODE |
CIP284 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,303 |
RULE-6511 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-CODE-FLAG-1 |
CIP033 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,304 |
RULE-6512 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-CODE-FLAG-6 |
CIP048 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,305 |
RULE-6513 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HCBS-CHRONIC-CONDITIONS-NON-HEALTH-HOME |
ELG00020 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
ELG240 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,306 |
RULE-6514 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-CODE-FLAG-7 |
CIP051 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,307 |
RULE-6515 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-CODE-FLAG-4 |
CIP042 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,308 |
RULE-6516 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-CODE-FLAG-5 |
CIP045 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,309 |
RULE-6517 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
SSI-IND |
ELG090 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,310 |
RULE-6518 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
MEDICARE-BENEFICIARY-IDENTIFIER |
CLT168 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,311 |
RULE-6519 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
OTHER-INSURANCE-IND |
CRX048 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,312 |
RULE-6520 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
PLAN-ID-NUMBER |
COT066 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,313 |
RULE-6521 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
CRX017 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,314 |
RULE-6522 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-POA-FLAG-1 |
CLT031 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,315 |
RULE-6523 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-POA-FLAG-2 |
CLT034 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,316 |
RULE-6524 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-POA-FLAG-3 |
CLT037 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,317 |
RULE-6525 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
PRV037 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,318 |
RULE-6526 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-POA-FLAG-4 |
CLT040 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,319 |
RULE-6527 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-OT |
COT00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
COT007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,320 |
RULE-6528 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-POA-FLAG-5 |
CLT043 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,321 |
RULE-6529 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
PATIENT-CONTROL-NUM |
CIP171 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,322 |
RULE-6530 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
ELG017 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,323 |
RULE-6531 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
REMITTANCE-NUM |
CRX081 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,324 |
RULE-6532 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
ELIGIBLE-FIRST-NAME |
CRX064 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,325 |
RULE-6533 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LICENSING-INFO |
PRV00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
LICENSE-TYPE |
PRV067 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,326 |
RULE-6534 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-AFFILIATED-PROGRAMS |
PRV00009 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
PRV116 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,327 |
RULE-6535 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-CHRONIC-CONDITIONS |
ELG00008 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(50) |
HEALTH-HOME-CHRONIC-CONDITION-OTHER-EXPLANATION |
ELG131 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,328 |
RULE-6536 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
TPL018 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,329 |
RULE-6537 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(5) |
PROV-LOCATION-ID |
CIP289 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,330 |
RULE-6538 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
WAIVER-TYPE |
COT110 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,331 |
RULE-6539 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
WAIVER-ID |
COT111 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,332 |
RULE-6540 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(5) |
PROV-LOCATION-ID |
COT226 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,333 |
RULE-6541 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-AFFILIATED-PROGRAMS |
PRV00009 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(50) |
AFFILIATED-PROGRAM-ID |
PRV120 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,334 |
RULE-6542 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
DISPENSING-PRESCRIPTION-DRUG-PROV-TAXONOMY |
CRX103 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,335 |
RULE-6543 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-LT |
CLT00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
DATA-DICTIONARY-VERSION |
CLT002 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,336 |
RULE-6544 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
BENEFIT-TYPE |
CIP268 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,337 |
RULE-6545 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SOURCE-LOCATION |
CRX032 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,338 |
RULE-6546 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
IMMIGRATION-STATUS |
ELG042 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,339 |
RULE-6547 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
CLAIM-STATUS |
CRX030 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,340 |
RULE-6548 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(7) |
DIAGNOSIS-CODE-1 |
COT027 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,341 |
RULE-6549 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-10 |
COT083 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,342 |
RULE-6550 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(7) |
DIAGNOSIS-CODE-2 |
COT030 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,343 |
RULE-6551 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(60) |
MANAGED-CARE-ADDR-LN1 |
MCR042 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,344 |
RULE-6552 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(60) |
MANAGED-CARE-ADDR-LN2 |
MCR043 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,345 |
RULE-6553 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
UNDER-DIRECTION-OF-PROV-TAXONOMY |
CLT170 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,346 |
RULE-6554 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(60) |
MANAGED-CARE-ADDR-LN3 |
MCR044 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,347 |
RULE-6555 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
MANAGED-CARE-PROGRAM |
MCR023 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,348 |
RULE-6556 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(9) |
POLICY-OWNER-SSN |
TPL046 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,349 |
RULE-6557 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-MEDICAID-ENROLLMENT |
PRV00007 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
PROV-MEDICAID-ENROLLMENT-STATUS-CODE |
PRV100 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,350 |
RULE-6558 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
BILLING-PROV-SPECIALTY |
COT116 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,351 |
RULE-6559 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
MEDICARE-HIC-NUM |
CIP196 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,352 |
RULE-6560 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
ELIGIBLE-MIDDLE-INIT |
CIP174 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,353 |
RULE-6561 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
REFERRING-PROV-TAXONOMY |
CIP191 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,354 |
RULE-6562 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-09 |
COT082 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,355 |
RULE-6563 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
SPLIT-CLAIM-IND |
CLT150 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,356 |
RULE-6564 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
MANAGED-CARE-PLAN-ID |
ELG192 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,357 |
RULE-6565 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT |
CIP269 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,358 |
RULE-6566 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
IMMUNIZATION-TYPE |
CIP248 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,359 |
RULE-6567 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-TPL |
TPL00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
FILE-NAME |
TPL006 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,360 |
RULE-6568 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
SUBMITTING-STATE-PROV-ID |
PRV042 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,361 |
RULE-6569 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-03 |
COT076 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,362 |
RULE-6570 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-04 |
COT077 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,363 |
RULE-6571 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-PROVIDER |
PRV00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
FILE-ENCODING-SPECIFICATION |
PRV004 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,364 |
RULE-6572 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-01 |
COT074 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,365 |
RULE-6573 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-02 |
COT075 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,366 |
RULE-6574 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-07 |
COT080 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,367 |
RULE-6575 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-08 |
COT081 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,368 |
RULE-6576 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-05 |
COT078 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,369 |
RULE-6577 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-06 |
COT079 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,370 |
RULE-6578 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-SPA-PROVIDERS |
ELG00007 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
HEALTH-HOME-PROV-NUM |
ELG120 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,371 |
RULE-6579 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
SELF-DIRECTION-TYPE |
CIP287 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,372 |
RULE-6580 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
CRX022 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,373 |
RULE-6581 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
ELIGIBLE-LAST-NAME |
CLT123 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,374 |
RULE-6582 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(50) |
HEALTH-HOME-ENTITY-NAME |
CIP214 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,375 |
RULE-6583 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION |
TPL00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
TPL064 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,376 |
RULE-6584 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
NATIONAL-HEALTH-CARE-ENTITY-ID |
ELG194 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,377 |
RULE-6585 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
WAIVER-PARTICIPATION |
ELG00012 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
ELG169 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,378 |
RULE-6586 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ENROLLMENT-TIME-SPAN-SEGMENT |
ELG00021 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
ENROLLMENT-END-DATE |
ELG254 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,379 |
RULE-6587 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
MCR018 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,380 |
RULE-6588 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(50) |
ICN-ADJ |
COT159 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,381 |
RULE-6589 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
XXI-MBESCBES-CATEGORY-OF-SERVICE |
CIP271 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,382 |
RULE-6590 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-IDENTIFIERS |
PRV00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
SUBMITTING-STATE-PROV-ID |
PRV075 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,383 |
RULE-6591 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ENROLLMENT-TIME-SPAN-SEGMENT |
ELG00021 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
ELG250 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,384 |
RULE-6592 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
MANAGED-CARE-STATE |
MCR046 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,385 |
RULE-6593 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
LINE-NUM-ADJ |
CRX115 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,386 |
RULE-6594 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(16) |
GROUP-NUM |
TPL035 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,387 |
RULE-6595 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
FUNDING-CODE |
CRX053 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,388 |
RULE-6596 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
ADMITTING-PROV-TAXONOMY |
CIP187 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,389 |
RULE-6597 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
CLAIM-STATUS-CATEGORY |
CRX031 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,390 |
RULE-6598 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION |
TPL00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
TPL063 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,391 |
RULE-6599 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
MAINTENANCE-ASSISTANCE-STATUS |
ELG096 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,392 |
RULE-6600 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
MEDICARE-BENEFICIARY-IDENTIFIER |
ELG051 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,393 |
RULE-6601 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
PROGRAM-TYPE |
COT065 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,394 |
RULE-6602 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
SUBMITTER-ID |
CLT021 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,395 |
RULE-6603 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
LTSS-PARTICIPATION |
ELG00013 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
ELG178 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,396 |
RULE-6604 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(9) |
SSN |
ELG036 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,397 |
RULE-6605 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
SUBMITTER-ID |
CIP241 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,398 |
RULE-6606 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
TYPE-OF-SERVICE |
CIP257 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,399 |
RULE-6607 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
NATIONAL-HEALTH-CARE-ENTITY-ID |
CIP131 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,400 |
RULE-6608 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(4) |
SEQUENCE-NUMBER |
ELG247 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,401 |
RULE-6609 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(60) |
ORIGINATION-ADDR-LN1 |
COT199 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,402 |
RULE-6610 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES |
TPL00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
TPL054 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,403 |
RULE-6611 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(18) |
PRE-AUTHORIZATION-NUM |
CRX159 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,404 |
RULE-6612 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
MCR035 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,405 |
RULE-6613 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
MCR052 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,406 |
RULE-6614 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
TPL016 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,407 |
RULE-6615 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(60) |
ORIGINATION-ADDR-LN2 |
COT200 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,408 |
RULE-6616 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
PRV041 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,409 |
RULE-6617 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(50) |
ICN-ORIG |
CLT188 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,410 |
RULE-6618 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-LT |
CLT00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
CLT014 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,411 |
RULE-6619 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
ELG082 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,412 |
RULE-6620 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
FUNDING-CODE |
CIP126 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,413 |
RULE-6621 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
MEDICAID-BASIS-OF-ELIGIBILITY |
ELG084 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,414 |
RULE-6622 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
COMPOUND-DRUG-IND |
CRX086 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,415 |
RULE-6623 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
TOOTH-SURFACE-CODE |
COT198 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,416 |
RULE-6624 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-AFFILIATED-PROGRAMS |
PRV00009 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
PRV115 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,417 |
RULE-6625 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
WAIVER-PARTICIPATION |
ELG00012 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
ELG168 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,418 |
RULE-6626 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
POLICY-OWNER-LAST-NAME |
TPL045 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,419 |
RULE-6627 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
ADMITTING-PROV-SPECIALTY |
CLT176 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,420 |
RULE-6628 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
CLT226 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,421 |
RULE-6629 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
CIP022 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,422 |
RULE-6630 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(4) |
REVENUE-CODE |
COT168 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,423 |
RULE-6631 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
NATIONAL-HEALTH-CARE-ENTITY-ID-INFO |
MCR00008 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
MCR092 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,424 |
RULE-6632 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
UNDER-SUPERVISION-OF-PROV-TAXONOMY |
COT151 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,425 |
RULE-6633 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
COPAY-AMT |
COT176 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,426 |
RULE-6634 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-MEDICAID-ENROLLMENT |
PRV00007 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
STATE-PLAN-ENROLLMENT |
PRV101 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,427 |
RULE-6635 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
NATIONAL-HEALTH-CARE-ENTITY-ID-INFO |
MCR00008 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
STATE-PLAN-ID-NUM |
MCR094 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,428 |
RULE-6636 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-OT |
COT00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(4) |
SEQUENCE-NUMBER |
COT216 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,429 |
RULE-6637 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-PLAN-POPULATION-ENROLLED |
MCR00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
MCR073 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,430 |
RULE-6638 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
CIP234 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,431 |
RULE-6639 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-IP |
CIP00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
FILE-NAME |
CIP006 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,432 |
RULE-6640 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
INSURANCE-CARRIER-ID-NUM |
TPL075 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,433 |
RULE-6641 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
ELG081 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,434 |
RULE-6642 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
BENEFIT-TYPE |
CLT218 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,435 |
RULE-6643 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
RACE-INFORMATION |
ELG00016 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
ELG212 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,436 |
RULE-6644 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-SPA-PROVIDERS |
ELG00007 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(100) |
HEALTH-HOME-SPA-NAME |
ELG118 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,437 |
RULE-6645 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(50) |
ICN-ORIG |
CIP235 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,438 |
RULE-6646 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
CRX106 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,439 |
RULE-6647 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
REFERRING-PROV-NUM |
CLT135 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,440 |
RULE-6648 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
MEDICARE-REIM-TYPE |
CRX059 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,441 |
RULE-6649 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-MEDICAID-ENROLLMENT |
PRV00007 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
PRV104 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,442 |
RULE-6650 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-LT |
CLT00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
SSN-INDICATOR |
CLT012 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,443 |
RULE-6651 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
CLT186 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,444 |
RULE-6652 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
ALLOWED-CHARGE-SRC |
CIP107 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,445 |
RULE-6653 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
TPL074 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,446 |
RULE-6654 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
OTHER-TPL-COLLECTION |
CIP266 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,447 |
RULE-6655 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES |
TPL00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
COVERAGE-TYPE |
TPL058 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,448 |
RULE-6656 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
PRV058 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,449 |
RULE-6657 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
FILE-NAME |
ELG006 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,450 |
RULE-6658 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LICENSING-INFO |
PRV00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
PRV061 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,451 |
RULE-6659 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(28) |
DESTINATION-CITY |
COT206 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,452 |
RULE-6660 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
CLAIM-DENIED-INDICATOR |
CIP212 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,453 |
RULE-6661 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: S9(6)V999 |
NDC-QUANTITY |
CLT230 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,454 |
RULE-6662 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
PRV039 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,455 |
RULE-6663 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(4) |
CLAIM-LINE-COUNT |
CLT087 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,456 |
RULE-6664 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
LOCK-IN-INFORMATION |
ELG00009 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
ELG136 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,457 |
RULE-6665 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
XXI-MBESCBES-CATEGORY-OF-SERVICE |
CLT225 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,458 |
RULE-6666 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-TAXONOMY-CLASSIFICATION |
PRV00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
PROV-CLASSIFICATION-TYPE |
PRV088 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,459 |
RULE-6667 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
CHIP-CODE |
ELG054 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,460 |
RULE-6668 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CHPID-SHPID-RELATIONSHIPS |
MCR00009 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
MCR110 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,461 |
RULE-6669 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
DISABILITY-INFORMATION |
ELG00017 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
ELG222 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,462 |
RULE-6670 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(50) |
ICN-ORIG |
COT019 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,463 |
RULE-6671 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
FUNDING-SOURCE-NONFEDERAL-SHARE |
CRX054 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,464 |
RULE-6672 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MFP-INFORMATION |
ELG00010 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
ELG148 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,465 |
RULE-6673 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-RX |
CRX00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
CRX007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,466 |
RULE-6674 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
ELG077 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,467 |
RULE-6675 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
1115A-DEMONSTRATION-INFORMATION |
ELG00018 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
ELG236 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,468 |
RULE-6676 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-02 |
CIP141 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,469 |
RULE-6677 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-01 |
CIP140 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,470 |
RULE-6678 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
TPL017 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,471 |
RULE-6679 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
OTHER-INSURANCE-IND |
CLT071 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,472 |
RULE-6680 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-04 |
CIP143 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,473 |
RULE-6681 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-03 |
CIP142 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,474 |
RULE-6682 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LICENSING-INFO |
PRV00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
SUBMITTING-STATE-PROV-ID |
PRV063 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,475 |
RULE-6683 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-06 |
CIP145 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,476 |
RULE-6684 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
CROSSOVER-INDICATOR |
CLT023 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,477 |
RULE-6685 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-05 |
CIP144 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,478 |
RULE-6686 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-08 |
CIP147 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,479 |
RULE-6687 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-07 |
CIP146 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,480 |
RULE-6688 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-09 |
CIP148 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,481 |
RULE-6689 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
TYPE-OF-SERVICE |
CLT211 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,482 |
RULE-6690 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
SSDI-IND |
ELG089 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,483 |
RULE-6691 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
REMITTANCE-NUM |
COT126 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,484 |
RULE-6692 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(4) |
DIAGNOSIS-RELATED-GROUP |
CIP068 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,485 |
RULE-6693 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
BILLING-PROV-NUM |
CIP179 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,486 |
RULE-6694 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
1115A-DEMONSTRATION-IND |
COT024 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,487 |
RULE-6695 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
TPL086 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,488 |
RULE-6696 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-10 |
CIP149 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,489 |
RULE-6697 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
HEALTH-CARE-ACQUIRED-CONDITION-IND |
COT073 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,490 |
RULE-6698 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES |
TPL00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
INSURANCE-PLAN-ID |
TPL056 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,491 |
RULE-6699 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
CLT018 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,492 |
RULE-6700 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
ADMITTING-DIAGNOSIS-CODE-FLAG |
CIP031 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,493 |
RULE-6701 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-IP |
CIP00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
CIP014 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,494 |
RULE-6702 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
TPL-ENTITY-ADDR-TYPE |
TPL076 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,495 |
RULE-6703 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(4) |
XIX-MBESCBES-CATEGORY-OF-SERVICE |
CIP270 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,496 |
RULE-6704 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
FIXED-PAYMENT-IND |
COT061 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,497 |
RULE-6705 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
PATIENT-CONTROL-NUM |
CRX062 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,498 |
RULE-6706 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
BILLING-PROV-SPECIALTY |
CLT134 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,499 |
RULE-6707 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
SERVICING-PROV-TAXONOMY |
CIP262 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,500 |
RULE-6708 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
WAIVER-TYPE |
CRX068 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,501 |
RULE-6709 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES |
TPL00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
TPL052 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,502 |
RULE-6710 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LICENSING-INFO |
PRV00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(5) |
PROV-LOCATION-ID |
PRV064 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,503 |
RULE-6711 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-IP |
CIP00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
DATA-DICTIONARY-VERSION |
CIP002 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,504 |
RULE-6712 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-OT |
COT00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
FILE-NAME |
COT006 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,505 |
RULE-6713 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
WAIVER-ID |
CRX069 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,506 |
RULE-6714 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-RX |
CRX00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
FILE-ENCODING-SPECIFICATION |
CRX004 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,507 |
RULE-6715 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
BORDER-STATE-IND |
CLT151 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,508 |
RULE-6716 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
COMPOUND-DOSAGE-FORM |
CRX145 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,509 |
RULE-6717 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION |
TPL00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
TPL065 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,510 |
RULE-6718 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-PROVIDER |
PRV00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
PRV001 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,511 |
RULE-6719 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
BILLING-PROV-TAXONOMY |
CRX072 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,512 |
RULE-6720 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
LINE-ADJUSTMENT-REASON-CODE |
CRX117 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,513 |
RULE-6721 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(15) |
CHECK-NUM |
CLT057 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,514 |
RULE-6722 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES |
TPL00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
INSURANCE-CARRIER-ID-NUM |
TPL055 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,515 |
RULE-6723 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
CLT022 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,516 |
RULE-6724 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
WAIVER-PARTICIPATION |
ELG00012 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
ELG170 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,517 |
RULE-6725 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
PRIMARY-LANGUAGE-CODE |
ELG046 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,518 |
RULE-6726 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(9) |
PROV-FACILITY-TYPE |
CIP267 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,519 |
RULE-6727 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-PROVIDER |
PRV00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
TOT-REC-CNT |
PRV013 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,520 |
RULE-6728 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-IDENTIFIERS |
PRV00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
PRV082 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,521 |
RULE-6729 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
DISABILITY-INFORMATION |
ELG00017 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
ELG220 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,522 |
RULE-6730 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
CLAIM-LINE-STATUS |
CIP242 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,523 |
RULE-6731 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(9) |
ADDR-ZIP-CODE |
PRV052 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,524 |
RULE-6732 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
CIP273 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,525 |
RULE-6733 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(28) |
INSURANCE-CARRIER-CITY |
TPL080 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,526 |
RULE-6734 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT |
CRX149 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,527 |
RULE-6735 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-AFFILIATED-PROGRAMS |
PRV00009 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
AFFILIATED-PROGRAM-TYPE |
PRV119 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,528 |
RULE-6736 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
INSURANCE-PLAN-ID |
TPL034 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,529 |
RULE-6737 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
TPL029 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,530 |
RULE-6738 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
ELG032 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,531 |
RULE-6739 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-SPA-PARTICIPATION-INFORMATION |
ELG00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
ELG106 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,532 |
RULE-6740 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
SELF-DIRECTION-TYPE |
CLT234 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,533 |
RULE-6741 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
CRX153 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,534 |
RULE-6742 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
DATE-OF-DEATH |
PRV035 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,535 |
RULE-6743 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
ADJUSTMENT-REASON-CODE |
CIP027 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,536 |
RULE-6744 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
CLT184 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,537 |
RULE-6745 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
PRESCRIBING-PROV-SPECIALTY |
CRX078 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,538 |
RULE-6746 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
HEALTH-HOME-PROV-IND |
CLT127 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,539 |
RULE-6747 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION |
TPL00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
TPL070 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,540 |
RULE-6748 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
STATE-PLAN-OPTION-PARTICIPATION |
ELG00011 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
ELG162 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,541 |
RULE-6749 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CHPID-SHPID-RELATIONSHIPS |
MCR00009 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
MCR103 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,542 |
RULE-6750 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-ACCREDITATION-ORGANIZATION |
MCR00007 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
MCR083 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,543 |
RULE-6751 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
COT017 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,544 |
RULE-6752 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MFP-INFORMATION |
ELG00010 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
ELG149 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,545 |
RULE-6753 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-TPL |
TPL00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
FILE-ENCODING-SPECIFICATION |
TPL004 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,546 |
RULE-6754 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(100) |
PROV-LEGAL-NAME |
PRV023 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,547 |
RULE-6755 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
TYPE-OF-CLAIM |
CRX029 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,548 |
RULE-6756 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-OPERATING-AUTHORITY |
MCR00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
WAIVER-ID |
MCR068 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,549 |
RULE-6757 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LICENSING-INFO |
PRV00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(60) |
LICENSE-ISSUING-ENTITY-ID |
PRV068 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,550 |
RULE-6758 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
FUNDING-CODE |
COT062 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,551 |
RULE-6759 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
FORCED-CLAIM-IND |
COT072 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,552 |
RULE-6760 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION |
TPL00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
TYPE-OF-OTHER-THIRD-PARTY-LIABILITY |
TPL067 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,553 |
RULE-6761 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
REIMBURSEMENT-ARRANGEMENT |
MCR025 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,554 |
RULE-6762 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-RX |
CRX00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
CRX014 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,555 |
RULE-6763 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
SUBMISSION-TRANSACTION-TYPE |
ELG003 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,556 |
RULE-6764 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
ADMISSION-HOUR |
CLT045 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,557 |
RULE-6765 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
MEDICARE-HIC-NUM |
ELG050 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,558 |
RULE-6766 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
CLAIM-STATUS-CATEGORY |
COT040 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,559 |
RULE-6767 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
ELG059 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,560 |
RULE-6768 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
ELIGIBLE-LAST-NAME |
CRX063 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,561 |
RULE-6769 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HCBS-CHRONIC-CONDITIONS-NON-HEALTH-HOME |
ELG00020 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
ELG245 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,562 |
RULE-6770 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
ELIGIBLE-FIRST-NAME |
ELG020 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,563 |
RULE-6771 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
CLT017 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,564 |
RULE-6772 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
BENEFICIARY-DEDUCTIBLE-AMOUNT |
CRX092 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,565 |
RULE-6773 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-PROVIDER |
PRV00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
FILE-STATUS-INDICATOR |
PRV011 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,566 |
RULE-6774 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
DRG-REL-WEIGHT |
CIP195 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,567 |
RULE-6775 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
LOCK-IN-INFORMATION |
ELG00009 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
ELG137 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,568 |
RULE-6776 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
ELIGIBILITY-CHANGE-REASON |
ELG095 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,569 |
RULE-6777 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(5) |
CLAIM-PYMT-REM-CODE-3 |
CRX037 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,570 |
RULE-6778 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-01 |
CLT092 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,571 |
RULE-6779 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(5) |
CLAIM-PYMT-REM-CODE-4 |
CRX038 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,572 |
RULE-6780 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(5) |
CLAIM-PYMT-REM-CODE-1 |
CRX035 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,573 |
RULE-6781 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(5) |
CLAIM-PYMT-REM-CODE-2 |
CRX036 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,574 |
RULE-6782 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-IP |
CIP00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
CIP007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,575 |
RULE-6783 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
ELG031 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,576 |
RULE-6784 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
SELF-DIRECTION-TYPE |
COT222 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,577 |
RULE-6785 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
TPL030 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,578 |
RULE-6786 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-08 |
CLT099 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,579 |
RULE-6787 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(50) |
ICN-ADJ |
CIP236 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,580 |
RULE-6788 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-09 |
CLT100 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,581 |
RULE-6789 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
ADMITTING-PROV-TYPE |
CLT178 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,582 |
RULE-6790 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
REFERRING-PROV-TAXONOMY |
COT119 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,583 |
RULE-6791 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-06 |
CLT097 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,584 |
RULE-6792 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-07 |
CLT098 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,585 |
RULE-6793 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-SPA-PROVIDERS |
ELG00007 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(100) |
HEALTH-HOME-ENTITY-NAME |
ELG119 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,586 |
RULE-6794 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-04 |
CLT095 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,587 |
RULE-6795 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HCBS-CHRONIC-CONDITIONS-NON-HEALTH-HOME |
ELG00020 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
ELG241 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,588 |
RULE-6796 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-05 |
CLT096 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,589 |
RULE-6797 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-02 |
CLT093 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,590 |
RULE-6798 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-03 |
CLT094 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,591 |
RULE-6799 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
SERVICING-PROV-NPI-NUM |
CIP261 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,592 |
RULE-6800 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(18) |
PRE-AUTHORIZATION-NUM |
COT223 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,593 |
RULE-6801 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-IDENTIFIERS |
PRV00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(5) |
PROV-LOCATION-ID |
PRV076 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,594 |
RULE-6802 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES |
TPL00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
TPL053 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,595 |
RULE-6803 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-TPL |
TPL00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
TPL014 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,596 |
RULE-6804 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
BILLING-UNIT |
CIP256 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,597 |
RULE-6805 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
FUNDING-CODE |
CLT076 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,598 |
RULE-6806 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OCCURRENCE-CODE-10 |
CLT101 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,599 |
RULE-6807 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-SPA-PARTICIPATION-INFORMATION |
ELG00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(100) |
HEALTH-HOME-ENTITY-NAME |
ELG108 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,600 |
RULE-6808 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SERVICE-TRACKING-TYPE |
CLT073 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,601 |
RULE-6809 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
FILE-ENCODING-SPECIFICATION |
ELG004 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,602 |
RULE-6810 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
LINE-NUM-ORIG |
CRX114 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,603 |
RULE-6811 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-TPL |
TPL00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(9) |
DATA-MAPPING-DOCUMENT-VERSION |
TPL005 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,604 |
RULE-6812 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HCBS-CHRONIC-CONDITIONS-NON-HEALTH-HOME |
ELG00020 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
ELG239 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,605 |
RULE-6813 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
1115A-DEMONSTRATION-INFORMATION |
ELG00018 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
ELG229 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,606 |
RULE-6814 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
MEDICARE-COMB-DED-IND |
CIP128 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,607 |
RULE-6815 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
IMMIGRATION-VERIFICATION-FLAG |
ELG043 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,608 |
RULE-6816 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SOURCE-LOCATION |
CLT056 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,609 |
RULE-6817 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(50) |
ICN-ADJ |
CLT020 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,610 |
RULE-6818 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
UNDER-DIRECTION-OF-PROV-NPI |
COT148 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,611 |
RULE-6819 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
CAPITATED-PAYMENT-AMT-REQUESTED |
COT145 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,612 |
RULE-6820 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
MEDICARE-REIM-TYPE |
COT069 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,613 |
RULE-6821 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
TPL027 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,614 |
RULE-6822 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
CLAIM-DENIED-INDICATOR |
CRX094 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,615 |
RULE-6823 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
TYPE-OF-CLAIM |
CIP100 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,616 |
RULE-6824 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(50) |
ICN-ADJ |
CRX113 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,617 |
RULE-6825 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
RACE-INFORMATION |
ELG00016 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
CERTIFIED-AMERICAN-INDIAN-ALASKAN-NATIVE-INDICATOR |
ELG215 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,618 |
RULE-6826 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
UNDER-SUPERVISION-OF-PROV-TAXONOMY |
CIP227 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,619 |
RULE-6827 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SERVICING-PROV-SPECIALTY |
CIP264 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,620 |
RULE-6828 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
WAIVER-PARTICIPATION |
ELG00012 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
ELG176 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,621 |
RULE-6829 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-LT |
CLT00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
CLT001 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,622 |
RULE-6830 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
CIP233 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,623 |
RULE-6831 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(5) |
PROV-LOCATION-ID |
CLT237 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,624 |
RULE-6832 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
UNDER-DIRECTION-OF-PROV-TAXONOMY |
COT149 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,625 |
RULE-6833 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
COT022 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,626 |
RULE-6834 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-AFFILIATED-GROUPS |
PRV00008 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
SUBMITTING-STATE-PROV-ID |
PRV109 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,627 |
RULE-6835 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-MANAGED-CARE |
MCR00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
FILE-NAME |
MCR006 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,628 |
RULE-6836 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(7) |
DIAGNOSIS-CODE-1 |
CLT029 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,629 |
RULE-6837 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
RACE-INFORMATION |
ELG00016 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
RACE |
ELG213 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,630 |
RULE-6838 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CHPID-SHPID-RELATIONSHIPS |
MCR00009 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
SHPID |
MCR107 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,631 |
RULE-6839 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
MANAGED-CARE-PROFIT-STATUS |
MCR026 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,632 |
RULE-6840 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
BILLING-PROV-NPI-NUM |
CRX071 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,633 |
RULE-6841 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-OPERATING-AUTHORITY |
MCR00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
STATE-PLAN-ID-NUM |
MCR066 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,634 |
RULE-6842 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
SSN-VERIFICATION-FLAG |
ELG037 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,635 |
RULE-6843 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(7) |
DIAGNOSIS-CODE-2 |
CLT032 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,636 |
RULE-6844 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(7) |
DIAGNOSIS-CODE-3 |
CLT035 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,637 |
RULE-6845 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(7) |
DIAGNOSIS-CODE-4 |
CLT038 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,638 |
RULE-6846 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(7) |
DIAGNOSIS-CODE-5 |
CLT041 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,639 |
RULE-6847 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION |
TPL00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
TPL066 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,640 |
RULE-6848 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(7) |
DIAGNOSIS-CODE-11 |
CIP062 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,641 |
RULE-6849 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(7) |
DIAGNOSIS-CODE-10 |
CIP059 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,642 |
RULE-6850 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(7) |
DIAGNOSIS-CODE-12 |
CIP065 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,643 |
RULE-6851 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
PATIENT-CONTROL-NUM |
COT104 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,644 |
RULE-6852 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
ADJUSTMENT-REASON-CODE |
CRX026 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,645 |
RULE-6853 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
COT157 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,646 |
RULE-6854 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
NATIONAL-HEALTH-CARE-ENTITY-ID |
COT067 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,647 |
RULE-6855 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
MCR032 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,648 |
RULE-6856 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-TAXONOMY-CLASSIFICATION |
PRV00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
SUBMITTING-STATE-PROV-ID |
PRV087 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,649 |
RULE-6857 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(5) |
HCBS-TAXONOMY |
CRX136 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,650 |
RULE-6858 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
PRV018 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,651 |
RULE-6859 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
PREGNANCY-IND |
ELG049 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,652 |
RULE-6860 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ENROLLMENT-TIME-SPAN-SEGMENT |
ELG00021 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
ELG255 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,653 |
RULE-6861 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-LT |
CLT00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(9) |
DATA-MAPPING-DOCUMENT-VERSION |
CLT005 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,654 |
RULE-6862 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
LINE-ADJUSTMENT-IND |
CLT192 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,655 |
RULE-6863 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-TAXONOMY-CLASSIFICATION |
PRV00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
PROV-CLASSIFICATION-CODE |
PRV089 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,656 |
RULE-6864 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(4) |
TYPE-OF-BILL |
COT038 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,657 |
RULE-6865 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
BILLING-PROV-TYPE |
CLT133 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,658 |
RULE-6866 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(4) |
CLAIM-LINE-COUNT |
CIP137 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,659 |
RULE-6867 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
ELIGIBLE-MIDDLE-INIT |
CLT125 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,660 |
RULE-6868 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
BILLING-PROV-SPECIALTY |
CIP183 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,661 |
RULE-6869 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
VETERAN-IND |
ELG039 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,662 |
RULE-6870 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
FUNDING-SOURCE-NONFEDERAL-SHARE |
COT063 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,663 |
RULE-6871 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-BED-TYPE-INFO |
PRV00010 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(5) |
PROV-LOCATION-ID |
PRV129 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,664 |
RULE-6872 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
STATE-PLAN-OPTION-PARTICIPATION |
ELG00011 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
ELG161 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,665 |
RULE-6873 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
WAIVER-TYPE |
CIP177 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,666 |
RULE-6874 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
PROGRAM-TYPE |
CLT079 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,667 |
RULE-6875 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-BED-TYPE-INFO |
PRV00010 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
PRV125 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,668 |
RULE-6876 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-IP |
CIP00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(4) |
SEQUENCE-NUMBER |
CIP275 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,669 |
RULE-6877 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-MEDICAID-ENROLLMENT |
PRV00007 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
PRV095 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,670 |
RULE-6878 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-BED-TYPE-INFO |
PRV00010 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
BED-TYPE-CODE |
PRV134 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,671 |
RULE-6879 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-SPA-PARTICIPATION-INFORMATION |
ELG00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
ELG105 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,672 |
RULE-6880 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
LINE-ADJUSTMENT-REASON-CODE |
CLT193 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,673 |
RULE-6881 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
COT016 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,674 |
RULE-6882 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-POA-FLAG-2 |
COT032 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,675 |
RULE-6883 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-POA-FLAG-1 |
COT029 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,676 |
RULE-6884 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(4) |
DIAGNOSIS-RELATED-GROUP-IND |
CIP069 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,677 |
RULE-6885 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-OT |
COT00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
FILE-ENCODING-SPECIFICATION |
COT004 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,678 |
RULE-6886 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(60) |
MANAGED-CARE-EMAIL |
MCR050 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,679 |
RULE-6887 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-OT |
COT00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
DATA-DICTIONARY-VERSION |
COT002 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,680 |
RULE-6888 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(50) |
ICN-ORIG |
CLT019 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,681 |
RULE-6889 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-AFFILIATED-GROUPS |
PRV00008 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
PRV106 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,682 |
RULE-6890 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
BILLING-PROV-NPI-NUM |
CIP180 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,683 |
RULE-6891 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
ELG064 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,684 |
RULE-6892 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
WAIVER-PARTICIPATION |
ELG00012 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
WAIVER-ID |
ELG172 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,685 |
RULE-6893 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
REFERRING-PROV-SPECIALTY |
CIP193 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,686 |
RULE-6894 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LICENSING-INFO |
PRV00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
PRV070 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,687 |
RULE-6895 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
CITIZENSHIP-IND |
ELG040 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,688 |
RULE-6896 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MFP-INFORMATION |
ELG00010 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
MFP-LIVES-WITH-FAMILY |
ELG150 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,689 |
RULE-6897 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
PATIENT-STATUS |
CIP199 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,690 |
RULE-6898 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(9) |
DESTINATION-ZIP-CODE |
COT208 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,691 |
RULE-6899 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
PRIMARY-ELIGIBILITY-GROUP-IND |
ELG086 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,692 |
RULE-6900 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-AFFILIATED-GROUPS |
PRV00008 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
SUBMITTING-STATE-PROV-ID-OF-AFFILIATED-ENTITY |
PRV110 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,693 |
RULE-6901 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(4) |
REVENUE-CODE |
CIP245 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,694 |
RULE-6902 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
SSI-STATE-SUPPLEMENT-STATUS-CODE |
ELG091 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,695 |
RULE-6903 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
INSURANCE-CARRIER-ID-NUM |
TPL033 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,696 |
RULE-6904 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
MEDICARE-COMB-DED-IND |
CRX160 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,697 |
RULE-6905 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MFP-INFORMATION |
ELG00010 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
MFP-QUALIFIED-RESIDENCE |
ELG152 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,698 |
RULE-6906 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
PROV-LAST-NAME |
PRV030 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,699 |
RULE-6907 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ETHNICITY-INFORMATION |
ELG00015 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
ELG200 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,700 |
RULE-6908 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(5) |
CLAIM-PYMT-REM-CODE-4 |
COT047 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,701 |
RULE-6909 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(5) |
CLAIM-PYMT-REM-CODE-3 |
COT046 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,702 |
RULE-6910 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
ADMITTING-PROV-TYPE |
CIP188 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,703 |
RULE-6911 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
WAIVER-ID |
CLT129 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,704 |
RULE-6912 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(5) |
CLAIM-PYMT-REM-CODE-2 |
COT045 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,705 |
RULE-6913 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(100) |
PROV-DOING-BUSINESS-AS-NAME |
PRV022 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,706 |
RULE-6914 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(5) |
CLAIM-PYMT-REM-CODE-1 |
COT044 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,707 |
RULE-6915 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-MEDICAID-ENROLLMENT |
PRV00007 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
SUBMITTING-STATE-PROV-ID |
PRV097 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,708 |
RULE-6916 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
REFERRING-PROV-NPI-NUM |
CIP190 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,709 |
RULE-6917 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
CIP232 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,710 |
RULE-6918 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
PAYMENT-LEVEL-IND |
CIP132 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,711 |
RULE-6919 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-OT |
COT00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(9) |
DATA-MAPPING-DOCUMENT-VERSION |
COT005 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,712 |
RULE-6920 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
PATIENT-CONTROL-NUM |
CLT122 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,713 |
RULE-6921 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-MANAGED-CARE |
MCR00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
MCR001 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,714 |
RULE-6922 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
MEDICARE-HIC-NUM |
COT122 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,715 |
RULE-6923 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
FACILITY-GROUP-INDIVIDUAL-CODE |
PRV026 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,716 |
RULE-6924 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
PRESCRIBING-PROV-TAXONOMY |
CRX076 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,717 |
RULE-6925 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
LINE-ADJUSTMENT-IND |
CRX116 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,718 |
RULE-6926 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-TAXONOMY-CLASSIFICATION |
PRV00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
PRV085 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,719 |
RULE-6927 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-OPERATING-AUTHORITY |
MCR00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
MCR071 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,720 |
RULE-6928 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
CROSSOVER-INDICATOR |
CRX023 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,721 |
RULE-6929 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(15) |
CHECK-NUM |
CIP105 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,722 |
RULE-6930 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-MEDICAID-ENROLLMENT |
PRV00007 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
PRV096 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,723 |
RULE-6931 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-IDENTIFIERS |
PRV00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
PROV-IDENTIFIER |
PRV081 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,724 |
RULE-6932 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
HEALTH-HOME-PROV-IND |
CRX067 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,725 |
RULE-6933 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
MANAGED-CARE-COUNTY |
MCR048 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,726 |
RULE-6934 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-SERVICE-AREA |
MCR00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
MCR054 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,727 |
RULE-6935 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(4) |
XIX-MBESCBES-CATEGORY-OF-SERVICE |
CRX150 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,728 |
RULE-6936 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-POA-FLAG-11 |
CIP064 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,729 |
RULE-6937 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-POA-FLAG-10 |
CIP061 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,730 |
RULE-6938 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(28) |
MANAGED-CARE-CITY |
MCR045 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,731 |
RULE-6939 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
TYPE-OF-CLAIM |
CLT052 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,732 |
RULE-6940 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
DISPENSING-PRESCRIPTION-DRUG-PROV-NPI |
CRX102 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,733 |
RULE-6941 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-POA-FLAG-12 |
CIP067 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,734 |
RULE-6942 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
ELG062 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,735 |
RULE-6943 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
CRX018 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,736 |
RULE-6944 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
ACCEPTING-NEW-PATIENTS-IND |
PRV036 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,737 |
RULE-6945 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
LOCK-IN-INFORMATION |
ELG00009 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
ELG144 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,738 |
RULE-6946 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-IP |
CIP00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
CIP001 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,739 |
RULE-6947 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SERVICING-PROV-TYPE |
CIP263 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,740 |
RULE-6948 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
CLAIM-STATUS |
CLT054 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,741 |
RULE-6949 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
1115A-DEMONSTRATION-INFORMATION |
ELG00018 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
ELG230 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,742 |
RULE-6950 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
SUBMITTER-ID |
CIP021 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,743 |
RULE-6951 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(50) |
ICN-ADJ |
CIP020 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,744 |
RULE-6952 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SERVICING-PROV-SPECIALTY |
CLT216 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,745 |
RULE-6953 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
SUBMITTER-ID |
CLT194 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,746 |
RULE-6954 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
PRV016 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,747 |
RULE-6955 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
ELG030 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,748 |
RULE-6956 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
1115A-DEMONSTRATION-IND |
CIP025 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,749 |
RULE-6957 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(60) |
DESTINATION-ADDR-LN1 |
COT204 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,750 |
RULE-6958 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(60) |
DESTINATION-ADDR-LN2 |
COT205 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,751 |
RULE-6959 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
INSURANCE-PLAN-TYPE |
TPL037 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,752 |
RULE-6960 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-ACCREDITATION-ORGANIZATION |
MCR00007 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
MCR082 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,753 |
RULE-6961 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
LEVEL-OF-CARE-STATUS |
ELG088 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,754 |
RULE-6962 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-PROVIDER |
PRV00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(9) |
DATA-MAPPING-DOCUMENT-VERSION |
PRV005 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,755 |
RULE-6963 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-ACCREDITATION-ORGANIZATION |
MCR00007 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
ACCREDITATION-ORGANIZATION |
MCR086 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,756 |
RULE-6964 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
ADMITTING-PROV-SPECIALTY |
CIP186 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,757 |
RULE-6965 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
Value must be a valid date of the form CCYYMMDD |
DATE-OF-BIRTH |
PRV034 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,758 |
RULE-6966 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-PARTICIPATION |
ELG00014 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
NATIONAL-HEALTH-CARE-ENTITY-ID-TYPE |
ELG195 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,759 |
RULE-6967 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
PLAN-ID-NUMBER |
CIP130 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,760 |
RULE-6968 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
INSURANCE-CARRIER-NAIC-CODE |
TPL090 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,761 |
RULE-6969 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-MANAGED-CARE |
MCR00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(9) |
DATA-MAPPING-DOCUMENT-VERSION |
MCR005 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,762 |
RULE-6970 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
FIXED-PAYMENT-IND |
CIP125 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,763 |
RULE-6971 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(60) |
ADDR-LN1 |
PRV047 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,764 |
RULE-6972 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(60) |
ADDR-LN3 |
PRV049 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,765 |
RULE-6973 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(60) |
ADDR-LN2 |
PRV048 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,766 |
RULE-6974 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
THIRD-PARTY-COPAYMENT-AMOUNT-PAID |
CRX100 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,767 |
RULE-6975 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-MANAGED-CARE |
MCR00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
FILE-ENCODING-SPECIFICATION |
MCR004 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,768 |
RULE-6976 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SERVICE-TRACKING-TYPE |
CRX050 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,769 |
RULE-6977 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ETHNICITY-INFORMATION |
ELG00015 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
ETHNICITY-CODE |
ELG204 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,770 |
RULE-6978 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
ADJUSTMENT-IND |
CIP026 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,771 |
RULE-6979 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
BENEFIT-TYPE |
CRX148 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,772 |
RULE-6980 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-TPL |
TPL00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
FILE-STATUS-INDICATOR |
TPL011 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,773 |
RULE-6981 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(50) |
HEALTH-HOME-ENTITY-NAME |
CRX096 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,774 |
RULE-6982 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
RACE-INFORMATION |
ELG00016 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
ELG210 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,775 |
RULE-6983 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT |
CLT219 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,776 |
RULE-6984 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-OT |
COT00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
SUBMISSION-TRANSACTION-TYPE |
COT003 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,777 |
RULE-6985 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-PROVIDER |
PRV00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(4) |
SEQUENCE-NUMBER |
PRV138 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,778 |
RULE-6986 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
ELIGIBLE-MIDDLE-INIT |
CRX065 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,779 |
RULE-6987 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-CODE-FLAG-4 |
CLT039 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,780 |
RULE-6988 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-OPERATING-AUTHORITY |
MCR00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
MCR063 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,781 |
RULE-6989 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-CODE-FLAG-3 |
CLT036 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,782 |
RULE-6990 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ETHNICITY-INFORMATION |
ELG00015 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
ELG201 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,783 |
RULE-6991 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-CODE-FLAG-5 |
CLT042 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,784 |
RULE-6992 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
ELIGIBLE-LAST-NAME |
ELG021 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,785 |
RULE-6993 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
STATE-PLAN-OPTION-PARTICIPATION |
ELG00011 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
ELG160 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,786 |
RULE-6994 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
ELG080 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,787 |
RULE-6995 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-CODE-FLAG-2 |
CLT033 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,788 |
RULE-6996 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
DIAGNOSIS-CODE-FLAG-1 |
CLT030 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,789 |
RULE-6997 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: S9(6)V999 |
BIRTH-WEIGHT-GRAMS |
CIP170 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,790 |
RULE-6998 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MFP-INFORMATION |
ELG00010 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
MFP-REINSTITUTIONALIZED-REASON |
ELG154 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,791 |
RULE-6999 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-PROVIDER |
PRV00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
FILE-NAME |
PRV006 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,792 |
RULE-7000 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-MANAGED-CARE |
MCR00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
FILE-STATUS-INDICATOR |
MCR011 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,793 |
RULE-7001 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(50) |
ICN-ORIG |
CIP019 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,794 |
RULE-7002 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(14) |
HCPCS-RATE |
CLT231 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,795 |
RULE-7003 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-RX |
CRX00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
DATA-DICTIONARY-VERSION |
CRX002 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,796 |
RULE-7004 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
MSIS-CASE-NUM |
ELG083 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,797 |
RULE-7005 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(4) |
TYPE-OF-BILL |
CLT053 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,798 |
RULE-7006 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
MEDICARE-BENEFICIARY-IDENTIFIER |
CIP222 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,799 |
RULE-7007 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-IDENTIFIERS |
PRV00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
PRV074 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,800 |
RULE-7008 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
CLAIM-STATUS |
CIP102 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,801 |
RULE-7009 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
DISABILITY-INFORMATION |
ELG00017 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
ELG221 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,802 |
RULE-7010 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-TPL |
TPL00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
TPL007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,803 |
RULE-7011 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-SPA-PROVIDERS |
ELG00007 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
ELG124 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,804 |
RULE-7012 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
NEW-REFILL-IND |
CRX139 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,805 |
RULE-7013 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
REFERRING-PROV-SPECIALTY |
CLT139 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,806 |
RULE-7014 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
MANAGED-CARE-PLAN-TYPE |
MCR024 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,807 |
RULE-7015 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(6) |
STATE-SPEC-ELIG-GROUP |
ELG093 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,808 |
RULE-7016 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
BORDER-STATE-IND |
COT128 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,809 |
RULE-7017 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
COT152 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,810 |
RULE-7018 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
OTHER-TPL-COLLECTION |
COT058 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,811 |
RULE-7019 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
LINE-ADJUSTMENT-IND |
COT162 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,812 |
RULE-7020 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
IMMUNIZATION-TYPE |
COT173 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,813 |
RULE-7021 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
NATIONAL-HEALTH-CARE-ENTITY-ID-INFO |
MCR00008 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(50) |
NATIONAL-HEALTH-CARE-ENTITY-NAME |
MCR097 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,814 |
RULE-7022 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-RX |
CRX00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(9) |
DATA-MAPPING-DOCUMENT-VERSION |
CRX005 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,815 |
RULE-7023 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LICENSING-INFO |
PRV00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
PRV062 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,816 |
RULE-7024 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
OTHER-TPL-COLLECTION |
CLT217 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,817 |
RULE-7025 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
OTHER-INSURANCE-IND |
CIP121 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,818 |
RULE-7026 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OUTLIER-CODE |
CIP197 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,819 |
RULE-7027 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(4) |
XIX-MBESCBES-CATEGORY-OF-SERVICE |
COT211 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,820 |
RULE-7028 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
LINE-NUM-ORIG |
CLT190 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,821 |
RULE-7029 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-PLAN-POPULATION-ENROLLED |
MCR00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
STATE-PLAN-ID-NUM |
MCR076 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,822 |
RULE-7030 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-TPL |
TPL00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(4) |
SEQUENCE-NUMBER |
TPL088 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,823 |
RULE-7031 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
CRX110 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,824 |
RULE-7032 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
ADMITTING-PROV-NPI-NUM |
CIP184 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,825 |
RULE-7033 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
FUNDING-SOURCE-NONFEDERAL-SHARE |
CLT077 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,826 |
RULE-7034 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
PLACE-OF-SERVICE |
COT123 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,827 |
RULE-7035 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CHPID-SHPID-RELATIONSHIPS |
MCR00009 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
MCR102 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,828 |
RULE-7036 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
TEACHING-IND |
PRV027 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,829 |
RULE-7037 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
MEDICARE-COMB-DED-IND |
COT064 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,830 |
RULE-7038 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
XXI-MBESCBES-CATEGORY-OF-SERVICE |
CRX151 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,831 |
RULE-7039 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
CROSSOVER-INDICATOR |
CIP023 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,832 |
RULE-7040 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(5) |
CLAIM-PYMT-REM-CODE-4 |
CIP111 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,833 |
RULE-7041 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
ADDR-BORDER-STATE-IND |
PRV056 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,834 |
RULE-7042 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-AFFILIATED-GROUPS |
PRV00008 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
PRV113 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,835 |
RULE-7043 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
RACE-INFORMATION |
ELG00016 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(25) |
RACE-OTHER |
ELG214 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,836 |
RULE-7044 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-RX |
CRX00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
FILE-NAME |
CRX006 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,837 |
RULE-7045 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-MAIN |
MCR00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
MANAGED-CARE-SERVICE-AREA |
MCR029 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,838 |
RULE-7046 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
UNDER-SUPERVISION-OF-PROV-NPI |
CIP226 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,839 |
RULE-7047 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
NDC-UNIT-OF-MEASURE |
CIP285 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,840 |
RULE-7048 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
ADMITTING-PROV-TAXONOMY |
CLT177 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,841 |
RULE-7049 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(6) |
DRUG-UTILIZATION-CODE |
CRX143 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,842 |
RULE-7050 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
BILLING-PROV-NUM |
CLT130 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,843 |
RULE-7051 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(100) |
PROV-TAX-NAME |
PRV025 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,844 |
RULE-7052 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
CRX109 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,845 |
RULE-7053 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-CHRONIC-CONDITIONS |
ELG00008 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
ELG127 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,846 |
RULE-7054 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(50) |
ICN-ORIG |
CRX019 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,847 |
RULE-7055 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
REFERRING-PROV-TYPE |
CIP192 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,848 |
RULE-7056 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-CHRONIC-CONDITIONS |
ELG00008 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
HEALTH-HOME-CHRONIC-CONDITION |
ELG130 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,849 |
RULE-7057 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(50) |
ICN-ORIG |
COT158 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,850 |
RULE-7058 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(7) |
ADMITTING-DIAGNOSIS-CODE |
CIP030 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,851 |
RULE-7059 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
SERVICING-PROV-TAXONOMY |
COT191 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,852 |
RULE-7060 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
NATIONAL-DRUG-CODE |
CRX120 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,853 |
RULE-7061 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
BILLING-PROV-SPECIALTY |
CRX073 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,854 |
RULE-7062 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
SERVICING-PROV-TAXONOMY |
CLT214 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,855 |
RULE-7063 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ETHNICITY-INFORMATION |
ELG00015 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
ELG203 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,856 |
RULE-7064 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-TAXONOMY-CLASSIFICATION |
PRV00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
PRV084 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,857 |
RULE-7065 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
CLAIM-LINE-STATUS |
CLT195 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,858 |
RULE-7066 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
TPL073 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,859 |
RULE-7067 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(15) |
MANAGED-CARE-LOCATION-ID |
MCR038 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,860 |
RULE-7068 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
COPAY-WAIVED-IND |
CIP213 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,861 |
RULE-7069 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
PROCEDURE-CODE-FLAG |
COT171 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,862 |
RULE-7070 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-AFFILIATED-GROUPS |
PRV00008 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
PRV107 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,863 |
RULE-7071 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(50) |
HEALTH-HOME-ENTITY-NAME |
COT138 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,864 |
RULE-7072 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
ELIGIBLE-STATE |
ELG070 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,865 |
RULE-7073 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-AFFILIATED-PROGRAMS |
PRV00009 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
PRV123 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,866 |
RULE-7074 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
DISABILITY-INFORMATION |
ELG00017 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
DISABILITY-TYPE-CODE |
ELG224 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,867 |
RULE-7075 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-RX |
CRX00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
FILE-STATUS-INDICATOR |
CRX011 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,868 |
RULE-7076 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-OT |
COT00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
COT001 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,869 |
RULE-7077 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(14) |
HCPCS-RATE |
CIP279 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,870 |
RULE-7078 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
PRIMARY-LANGUAGE-ENGL-PROF-CODE |
ELG045 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,871 |
RULE-7079 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
UNDER-DIRECTION-OF-PROV-NPI |
CIP224 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,872 |
RULE-7080 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
BILLING-PROV-TAXONOMY |
COT114 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,873 |
RULE-7081 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(10) |
PRESCRIBING-PROV-NPI-NUM |
CRX075 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,874 |
RULE-7082 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(9) |
ELIGIBLE-ZIP-CODE |
ELG071 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,875 |
RULE-7083 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(5) |
CLAIM-PYMT-REM-CODE-2 |
CIP109 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,876 |
RULE-7084 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(5) |
CLAIM-PYMT-REM-CODE-3 |
CIP110 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,877 |
RULE-7085 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
ELG033 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,878 |
RULE-7086 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(5) |
CLAIM-PYMT-REM-CODE-1 |
CIP108 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,879 |
RULE-7087 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-LT |
CLT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(9) |
PROV-FACILITY-TYPE |
CLT221 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,880 |
RULE-7088 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-OPERATING-AUTHORITY |
MCR00005 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
OPERATING-AUTHORITY |
MCR067 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,881 |
RULE-7089 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-LICENSING-INFO |
PRV00004 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
PRV060 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,882 |
RULE-7090 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
RACE-INFORMATION |
ELG00016 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
ELG209 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,883 |
RULE-7091 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-BED-TYPE-INFO |
PRV00010 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
PRV127 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,884 |
RULE-7092 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
1115A-DEMONSTRATION-INFORMATION |
ELG00018 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
1115A-DEMONSTRATION-IND |
ELG233 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,885 |
RULE-7093 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
ELIGIBLE-LAST-NAME |
TPL024 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,886 |
RULE-7094 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(50) |
MARITAL-STATUS-OTHER-EXPLANATION |
ELG035 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,887 |
RULE-7095 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-IP |
CIP00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
FILE-STATUS-INDICATOR |
CIP011 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,888 |
RULE-7096 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
SUBMITTER-ID |
COT021 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,889 |
RULE-7097 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
STATE-PLAN-OPTION-PARTICIPATION |
ELG00011 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
ELG159 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,890 |
RULE-7098 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-IP |
CIP00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
CIP231 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,891 |
RULE-7099 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MFP-INFORMATION |
ELG00010 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
ELG157 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,892 |
RULE-7100 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-PROVIDER |
PRV00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
PRV007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,893 |
RULE-7101 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-ACCREDITATION-ORGANIZATION |
MCR00007 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
STATE-PLAN-ID-NUM |
MCR085 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,894 |
RULE-7102 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
LTSS-PARTICIPATION |
ELG00013 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
SUBMITTING-STATE |
ELG179 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,895 |
RULE-7103 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-ELIGIBILITY |
ELG00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
ELG001 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,896 |
RULE-7104 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HCBS-CHRONIC-CONDITIONS-NON-HEALTH-HOME |
ELG00020 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
HCBS-CHRONIC-CONDITION-NON-HEALTH-HOME-CODE |
ELG242 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,897 |
RULE-7105 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
MEDICARE-BENEFICIARY-IDENTIFIER |
COT147 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,898 |
RULE-7106 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-IP |
CIP00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
FILE-ENCODING-SPECIFICATION |
CIP004 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,899 |
RULE-7107 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
COPAY-WAIVED-IND |
CRX095 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,900 |
RULE-7108 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-AFFILIATED-PROGRAMS |
PRV00009 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
SUBMITTING-STATE-PROV-ID |
PRV118 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,901 |
RULE-7109 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
CLT016 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,902 |
RULE-7110 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MFP-INFORMATION |
ELG00010 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
MFP-REASON-PARTICIPATION-ENDED |
ELG153 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,903 |
RULE-7111 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(500) |
STATE-NOTATION |
ELG028 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,904 |
RULE-7112 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
ADMISSION-TYPE |
CIP028 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,905 |
RULE-7113 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(4) |
CLAIM-LINE-COUNT |
COT070 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,906 |
RULE-7114 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(3) |
OTHER-TPL-COLLECTION |
CLT072 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,907 |
RULE-7115 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
TOOTH-QUAD-CODE |
COT197 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,908 |
RULE-7116 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(12) |
STATE-PLAN-ID-NUM |
MCR037 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,909 |
RULE-7117 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-LT |
CLT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
DISCHARGE-HOUR |
CLT047 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,910 |
RULE-7118 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-OT |
COT00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: 9(11) |
RECORD-NUMBER |
COT018 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,911 |
RULE-7119 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
FILE-HEADER-RECORD-RX |
CRX00001 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
SUBMISSION-TRANSACTION-TYPE |
CRX003 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,912 |
RULE-7120 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
HEALTH-HOME-CHRONIC-CONDITIONS |
ELG00008 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(20) |
MSIS-IDENTIFICATION-NUM |
ELG129 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,913 |
RULE-7121 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(2) |
ADMISSION-HOUR |
CIP095 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,914 |
RULE-7122 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99 |
MEDICAID-FFS-EQUIVALENT-AMT |
COT179 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,915 |
RULE-7123 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(30) |
SERVICING-PROV-NUM |
COT189 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,916 |
RULE-7124 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-LINE-RECORD-RX |
CRX00003 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(8) |
RECORD-TYPE |
CRX108 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,917 |
RULE-7125 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
CLAIM-HEADER-RECORD-RX |
CRX00002 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
ADJUSTMENT-IND |
CRX025 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,918 |
RULE-7126 |
1 |
Formatting Error |
E1001 |
Value illegal for specified data type |
Parse Rule |
PROV-MEDICAID-ENROLLMENT |
PRV00007 |
|
|
|
|
Value must be compatible with specified T-MSIS picture format: X(1) |
PROV-ENROLLMENT-METHOD |
PRV102 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,919 |
RULE-7127 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-POA-FLAG |
DIAGNOSIS-POA-FLAG-6 |
CIP049 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,920 |
RULE-7128 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-POA-FLAG |
DIAGNOSIS-POA-FLAG-7 |
CIP052 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,921 |
RULE-7129 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-POA-FLAG |
DIAGNOSIS-POA-FLAG-8 |
CIP055 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,922 |
RULE-7130 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-POA-FLAG |
DIAGNOSIS-POA-FLAG-9 |
CIP058 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,923 |
RULE-7131 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-POA-FLAG |
DIAGNOSIS-POA-FLAG-10 |
CIP061 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,924 |
RULE-7132 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-POA-FLAG |
DIAGNOSIS-POA-FLAG-11 |
CIP064 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,925 |
RULE-7133 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-HEADER-RECORD-IP |
CIP00002 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: DIAGNOSIS-POA-FLAG |
DIAGNOSIS-POA-FLAG-12 |
CIP067 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,926 |
RULE-7134 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
CLAIM-LINE-RECORD-OT |
COT00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: HCBS-SERVICE-CODE |
HCBS-SERVICE-CODE |
COT187 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,927 |
RULE-7136 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
The values of the following fields should be unique (non-repeating) within each record: ELIGIBLE-ADDR-LN1,ELIGIBLE-ADDR-LN2,ELIGIBLE-ADDR-LN3 |
ELIGIBLE-ADDR-LN1,ELIGIBLE-ADDR-LN2,ELIGIBLE-ADDR-LN3 |
ELG066,ELG067,ELG068 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,928 |
RULE-7137 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
The values of the following fields should be unique (non-repeating) within each record: ADDR-LN1,ADDR-LN2,ADDR-LN3 |
ADDR-LN1,ADDR-LN2,ADDR-LN3 |
PRV047,PRV048,PRV049 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,929 |
RULE-7138 |
2 |
Relational error |
E2002 |
Values inconsistently specified (single record type, single record) |
One Record Type (Single Record) |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
The values of the following fields should be unique (non-repeating) within each record: INSURANCE-CARRIER-ADDR-LN1,INSURANCE-CARRIER-ADDR-LN2,INSURANCE-CARRIER-ADDR-LN3 |
INSURANCE-CARRIER-ADDR-LN1,INSURANCE-CARRIER-ADDR-LN2,INSURANCE-CARRIER-ADDR-LN3 |
TPL077,TPL078,TPL079 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,930 |
RULE-7140 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
'if fns.hasValue(@val.MANAGED-CARE-TELEPHONE), then fns.isNumericString(@val.MANAGED-CARE-TELEPHONE)' |
MANAGED-CARE-TELEPHONE |
MCR049 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,931 |
RULE-7141 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
ELIGIBLE-CONTACT-INFORMATION |
ELG00004 |
|
|
|
|
'if fns.hasValue(@val.ELIGIBLE-PHONE-NUM), then fns.isNumericString(@val.ELIGIBLE-PHONE-NUM)' |
ELIGIBLE-PHONE-NUM |
ELG073 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,932 |
RULE-7142 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG00003 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: MARITAL-STATUS |
MARITAL-STATUS |
ELG034 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,933 |
RULE-7143 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-ATTRIBUTES-MAIN |
PRV00002 |
|
|
|
|
'if fns.hasValue(@val.PROV-LAST-NAME), then fns.matches(@val.PROV-LAST-NAME, "^[^|*]*$")' |
PROV-LAST-NAME |
PRV030 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,934 |
RULE-7144 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-IDENTIFIERS |
PRV00005 |
|
|
|
|
'if fns.hasValue(@val.STATE-NOTATION), then fns.matches(@val.STATE-NOTATION, "^[^|*]*$")' |
STATE-NOTATION |
PRV082 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,935 |
RULE-7148 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR00003 |
|
|
|
|
'if fns.hasValue(@val.MANAGED-CARE-FAX-NUMBER), then fns.isNumericString(@val.MANAGED-CARE-FAX-NUMBER)' |
MANAGED-CARE-FAX-NUMBER |
MCR051 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,936 |
RULE-7149 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
'if fns.hasValue(@val.ADDR-TELEPHONE), then fns.isNumericString(@val.ADDR-TELEPHONE)' |
ADDR-TELEPHONE |
PRV053 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,937 |
RULE-7150 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
TPL-ENTITY-CONTACT-INFORMATION |
TPL00006 |
|
|
|
|
'if fns.hasValue(@val.INSURANCE-CARRIER-PHONE-NUM), then fns.isNumericString(@val.INSURANCE-CARRIER-PHONE-NUM)' |
INSURANCE-CARRIER-PHONE-NUM |
TPL083 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,938 |
RULE-7151 |
1.1 |
Value Error |
E1102 |
Value does not match specification |
One Record Type (Single Record) |
PROV-LOCATION-AND-CONTACT-INFO |
PRV00003 |
|
|
|
|
'if fns.hasValue(@val.ADDR-FAX-NUM), then fns.isNumericString(@val.ADDR-FAX-NUM)' |
ADDR-FAX-NUM |
PRV055 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2,939 |
RULE-7153 |
1.1 |
Value Error |
E1103 |
Value not in specified valid value set |
Valid Value |
ELIGIBILITY-DETERMINANTS |
ELG00005 |
|
|
|
|
If the field is populated, the value must be contained in the set of valid values with id: MAINTENANCE-ASSISTANCE-STATUS |
MAINTENANCE-ASSISTANCE-STATUS |
ELG096 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|