Claim Adjustment Group Code Validation

formatcritical

Validates that the claim adjustment group code is one of the five standard codes defined for X12 835 remittance transactions: CO (Contractual Obligation), PI (Payer Initiated Reduction), PR (Patient Responsibility), OA (Other Adjustment), or CR (Correction and/or Reversal). The group code categorizes why the adjustment was made.

v1.0.0by dqhub1,054 downloads4.5 (99)

adjustmentgroup-coderemittanceclaimshealthcarex12-835hipaaeravalueset

Try This Rule

Parameters

column_namestringrequired

The column containing email addresses

thresholdfloatdefault: 0.99

Minimum fraction of valid emails (0.0 to 1.0)

Compliance Mapping

HIPAA45 CFR 162.1602

X12X12 835 Transaction Set - CAS01 (Claim Adjustment Group Code)

CAQH CORECAQH CORE 360 Uniform Use of CARCs and RARCs Rule

Install

soda

checks for {{table_name}}:
  - invalid_percent({{column_name}}) < {{(1 - threshold) * 100}}:
      valid regex: '^[a-zA-Z0-9._%+-]+@[a-zA-Z0-9.-]+\.[a-zA-Z]{2,}$'

dbt

{% test valid_email(model, column_name) %}
select {{ column_name }}
from {{ model }}
where {{ column_name }} not regexp '^[a-zA-Z0-9._%+-]+@[a-zA-Z0-9.-]+\\.[a-zA-Z]{2,}$'
{% endtest %}

sql

SELECT COUNT(*) as total,
  SUM(CASE WHEN {{column_name}} REGEXP
    '^[a-zA-Z0-9._%+-]+@[a-zA-Z0-9.-]+\\.[a-zA-Z]{2,}$'
    THEN 1 ELSE 0 END) as valid
FROM {{table_name}}

Great Expectations

{
  "expectation_type": "expect_column_values_to_match_regex",
  "kwargs": {
    "column": "{{column_name}}",
    "regex": "^[a-zA-Z0-9._%+-]+@[a-zA-Z0-9.-]+\\.[a-zA-Z]{2,}$",
    "mostly": {{threshold}}
  }
}

spark

from pyspark.sql.functions import col
pattern = r'^[a-zA-Z0-9._%+-]+@[a-zA-Z0-9.-]+\.[a-zA-Z]{2,}$'
invalid = df.filter(~col("{{column_name}}").rlike(pattern)).count()

Test Data

Passing Examples

id	value
1	alice@example.com
2	bob.smith@company.co.uk
3	charlie+tag@domain.org

Failing Examples

id	value
1	not-an-email
2	@missing-local.com
3	spaces in@email.com

CLI

Terminal

npx dqhub install adjustment-group-code-valid --format soda --table YOUR_TABLE
npx dqhub install adjustment-group-code-valid --format dbt --model YOUR_MODEL
npx dqhub install adjustment-group-code-valid --format sql --dialect snowflake