Validating a Coverage Gap Submission

Overview

After file importing is completed the Coverage Gap data file lines within the Submission are ready to be validated using a Validation Set. The validation set tells Validata which validations, called Rule Sets, to perform on the data and how to handle any validation errors that are encountered. You can run any Rule Set validation on the lines in the Submission. Validata records the results and uses them to assign each line an overall status of either Included or Excluded. To learn more about validation, see the Validation documentation.

When creating a new Coverage Gap Submission, if the analyst has opted to automate validation within the submission creation wizard, the Submission validation begins automatically without any manual actions. For more information about automatically initiating validation for Submission, see Validation Automation. When the analyst has not opted for the automated validation within the submission creation wizard, the validation must be initiated manually for the Submission. 

Run Validation Manually

The Validation Analyst can run the validation manually when all files are successfully uploaded/imported.

This section describes how to initiate the validation for a Submission manually.

1. In the Validata application, navigate to the Submission menu.

2. On the Submissions page, from the list table, click the Submission Name link to open the Submission.
   The Submission details page is displayed.

3. On the Submission header section click the ellipsis (three dots) and select the Validate &options.

4. The Validation Options window is displayed. Specify the following validation options:

   • Type of validation: Whether to perform the validation using a Single Validation or a Chained Validation. The default is Single Validation.

   • Validation set: Select the name of the Validation Set that will be used for validating the Submission. The list includes only Validation Sets or Chained Validation Sets based on the input for the Type of validation.

   • Duplicate check indicator: Specify the duplicate check status that will be considered while validating the Lines:

     • Processed: To validate the Submission Lines that were checked for duplicates previously.  

     • Not Processed: To validate the Submission Lines were not checked for duplicates previously.

     • All: To validate all the Submission Lines irrespective of whether they were checked for duplicates previously. This is the default value.

   • Include all dates of service: By default, the Include all dates of service is set to Yes; this means all the data lines, irrespective of their Date of Service, will be validated.

     When the Include all dates of service is set to No, you can specify the Validation period start date/end date. That means all the data lines whose Date of Service falls under the specified Validation period start date/end date will be validated. The data lines in the Submission whose Date of Service does not fall under the Validation period start date/end date will be ignored during the validation of the Submission.

     Select the Start date and End date of the Validation period start date/end date using the calendar widget or enter manually in the MM/DD/YYYY format.

To start the validation, click Run Validations.

When the Coverage Gap Submission is in progress, On the Submissions list table:

• The status column value is displyed as “In Progress”

• The Workflow column value is displyed as “Validation: In progress”.

After validation completion, on the Submission details page,

• The status column value is displyed as “Review”

• The Workflow column value is displyed as “Validation: In Complete”.

Viewing Validation Results Within Submission

When the Submission validation is completed, you can view the validation result overview within the Submission. 

• In the Process and results overview section within the Submission, the Analyst can view the following metrics details:

  • Lines with error: The count of lines with error after validation completion.

  • Units with errors: The count of units with errors after validation completion.
    Note: When there are no errors associated with any data lines included in the Submission 0 value is displyed for these metrics.

• In the Data Lines tab, the Analyst can view the Error Codes (if any errors are associated with the lines) and Line Statues assigned to the data lines after validation.

Re-Validate a Coverage Gap Submission

The Validation Analyst can validate a Submission using different Validation Sets. Once a Submission is validated using a Validation Set, the Analyst can re-validate the Submission by choosing another Validation Set under the Validation Options section.

When the Validation Analyst makes some changes to the Submission once the first validation has been processed, the Analyst has to rerun the validation for the respective Submission. The Analyst has to re-validate a Submission when the following changes are made to the Submission after the first validation has been processed:

• The included file within the Submission has been changed

• Changing the existing Mapping Set of any included files in the Submission.

When the Analyst makes any one of the above changes and proceeds to save changes, the following confirmation message is displayed on the page:

Click Yes to proceed with saving the changes.

Change the Validation Settings

The Validation Analyst can change the Validation Settings for a Coverage Gap Submission within the Submission Details page. To change the Validation Settings:

1. In the Validata application, navigate to the Submission menu.

2. On the Submissions page, from the list table, click the Submission Name link to open the Submission.
   The Submission details page is displayed.

3. On the Submission header section click the ellipsis (three dots) and select the Validate &options. The Validation Options window is displayed.
   Note: When the validation settings were already specified during Submission creation (by opting the Start running validation automatically option) or upon starting the first manual validation process, the Validation Settings specified by the Analyst are pre-populated in the Validation Options window.

4. When any changes are made to the existing Validation Options, the following warning message is displayed, when saving the updated validation settings.

5. The updated validation setting is saved automatically when the Validation Analyst runs a validation immediately after making a change in the Validation Settings.

Note: The Validation Analyst can not make or save any changes in the validation settings window while the Submission validation is being processed.