What we check / Schema conformance

blockerHPT-L1-003

Setting is a recognized value

The setting column must be one of 'inpatient', 'outpatient', or 'both'. Any other value can't be interpreted by downstream tools or payers reconciling the file.

Regulatory citation

CMS v3.0.0 CSV/JSON data dictionary, standard_charges.setting enum

How to fix it

Set the setting column to inpatient, outpatient, or both for every row.

Active since

2024-01-01