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Validates that the subscriber relationship code is one of the allowed values defined in the X12 270/271 eligibility transaction standard. Valid codes include 18 (Self), 01 (Spouse), 19 (Child), 20 (Employee), 21 (Unknown), 39 (Organ Donor), 40 (Cadaver Donor), 53 (Life Partner), and G8 (Other Relationship).
Validates that HumanName.use values conform to the HL7 FHIR R4 NameUse value set. Only the defined codes are permitted: usual, official, temp, nickname, anonymous, old, and maiden.
Validates that values conform to the FDA National Drug Code (NDC) 10-digit format with hyphens. The NDC uniquely identifies a drug product and supports three segment patterns: 4-4-2 (labeler-product-package), 5-3-2, and 5-4-1. All three formats are accepted by the FDA NDC Directory.
Validates that values conform to the HL7 FHIR R4 date data type format. FHIR dates follow ISO 8601 and allow partial precision: YYYY (year only), YYYY-MM (year and month), or YYYY-MM-DD (full date). This flexibility supports clinical scenarios where only partial date information is known.
Validates that Claim Adjustment Reason Codes (CARCs) are 1 to 3 digits in the range 1-999. CARCs are used in X12 835 remittance advice transactions to communicate why a claim or service line was adjusted. Each code must be a numeric value maintained by the X12 Code Maintenance Committee and published by the Washington Publishing Company (WPC).
Validates that smart meter reading intervals are one of the standard values: 5, 15, 30, or 60 minutes. These intervals represent the industry-standard data collection frequencies for Advanced Metering Infrastructure (AMI) and are critical for accurate load profiling, billing, and demand response programs.
Validates that position 1 of the VIN contains a recognized World Manufacturer Identifier (WMI) country code per ISO 3780. Position 1 indicates the country or region of manufacture: 1-5 = North America, 6-7 = Oceania, 8-9 = South America, A-H = Africa, J-R = Asia, S-Z = Europe.
Validates the NPI check digit using the Luhn algorithm as specified in 45 CFR 162.406. The algorithm prefixes '80840' to the first 9 digits of the NPI, then applies the Luhn mod-10 formula. The 10th digit of the NPI must equal the computed check digit. This ensures the NPI is not just well-formed but mathematically valid.
Validates that policy numbers conform to a standard alphanumeric format between 10 and 20 characters. Accepts uppercase letters, digits, and hyphens. Ensures policy identifiers are consistent for binding, endorsement tracking, and claims linkage.
Validates that values conform to the US Social Security Number format (XXX-XX-XXXX). Enforces ATIN/SSN rules: area number (first 3 digits) cannot be 000, 666, or 900-999; group number (middle 2 digits) cannot be 00; serial number (last 4 digits) cannot be 0000.
Validates North American Industry Classification System (NAICS) code format per the U.S. Census Bureau specification. NAICS codes are 2-6 digit numeric codes used to classify business establishments by industry. The hierarchy is: 2-digit sector, 3-digit subsector, 4-digit industry group, 5-digit NAICS industry, and 6-digit national industry. Valid sector codes range from 11 (Agriculture) through 99 (Unclassified). NAICS codes are required on EEO-1 Component 1 reports.
Validates that the DEA controlled substance schedule on pharmacy claims contains only permitted values for dispensing. Valid values are II, III, IV, V (or their numeric equivalents 2-5), or null/blank for unscheduled drugs. Schedule I substances cannot be legally dispensed in a pharmacy setting and are flagged as invalid.
Validates that Patient.link.type values conform to the HL7 FHIR R4 LinkType value set. Only the defined codes are permitted: replaced-by, replaces, refer, and seealso.
Validates that the claim type is one of the recognized healthcare claim categories: professional (CMS-1500/837P), institutional (UB-04/837I), dental (ADA/837D), or pharmacy (NCPDP). Each claim type determines the form, required fields, and processing rules applicable to the claim.
Validates that BES (Bulk Electric System) cyber asset impact ratings contain only the three allowed values defined by NERC CIP-002: High, Medium, or Low. These ratings determine the security controls required for each asset and are critical for compliance categorization.
Validates that ICCID (Integrated Circuit Card Identifier) values conform to the standard format: 19 or 20 digits starting with 89. The ICCID uniquely identifies a SIM or eSIM card and is composed of an industry identifier (89 for telecom), country code, issuer identifier, individual account number, and a check digit.
Validates that EPA Greenhouse Gas Reporting Program (GHGRP) facility identifiers are numeric values between 5 and 7 digits long. These identifiers are assigned to facilities that report greenhouse gas emissions under 40 CFR Part 98.
Validates that Legal Entity Identifier (LEI) values conform to the ISO 17442 standard: 18 alphanumeric characters followed by 2 check digits. LEIs uniquely identify legal entities participating in financial transactions and are mandatory for Solvency II reporting, EMIR, and MiFID II compliance.