Timely Filing Limit Check

freshnesshigh

Validates that claims are submitted within the timely filing limit from the date of service. Most payers require claims to be filed within 365 days (1 year) of the service date. Medicare requires filing within 12 months of the date of service, and many commercial payers have 90-180 day limits. Late filings result in claim denials.

v1.0.0by dqhub245 downloads4.1 (12)

timely-filingdeadlinebillingclaimshealthcaredenial-prevention

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

CMS42 CFR 424.44

X12X12 837 DTP segments

HIPAA45 CFR 162.1102

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 timely-filing-check --format soda --table YOUR_TABLE
npx dqhub install timely-filing-check --format dbt --model YOUR_MODEL
npx dqhub install timely-filing-check --format sql --dialect snowflake