Eligibility data definition

Eligibility data means demographic information for each individual member enrolled for medical or pharmacy benefits for one or more days of coverage at any time during a reporting period.
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Eligibility data means client personal information as provided by ProviderOne system.
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Eligibility data means the following data on a covered individual: (1) name;
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Examples of Eligibility data in a sentence

  • Contractor shall utilize Shared Eligibility data and State Drug Assistance Program (SDAP) surrogate data eligibility whenever said data is available in CAREWare to reduce barriers to care for ▇▇▇▇ ▇▇▇▇▇ Part A clients.

  • Eligibility data was derived from the “Client by Month” data table in the ProviderOne Operational Data Store (ODS).

  • Contractor shall utilize Shared Eligibility data and AIDS Drug Assistance Program (ADAP) surrogate data eligibility whenever said data is available in CAREWare to reduce barriers to care for ▇▇▇▇ ▇▇▇▇▇ Part A clients.

  • Eligibility data from this system along with other sources will be used by Contractors to verify eligibility for NEMT services.

  • Health and Wellness (HWM) Vendor - Eligibility data (changes, additions, and terminations), detailed claims data, and biometric data will be transferred by the TPA to the HWM daily.

  • Eligibility data (changes, additions, terminations) will be transferred by the TPA to the PBM daily.

  • The following files will be included: Claims data Eligibility data Provider enrollment data BHSF’s point of contact regarding this data set will be ▇▇▇ ▇▇▇▇▇▇, Program Manager at ▇▇▇.▇▇▇▇▇▇@▇▇.▇▇▇.

  • Eligibility data shall be provided in a timely manner, which in the case of electronic eligibility files shall in no event be less than monthly, and in the format requested by Delta Dental.

  • Eligibility data shall be provided in a timely manner and in the format requested by Delta Dental.

  • Eligibility data will include such elements as: name of Member date of birth of Member social Security number employee identification number date of hire member address member telephone number plan type plan tier level dependents eligibility date Prescription Drug Rebates.


More Definitions of Eligibility data

Eligibility data means the minimum amount of identifying information about the Customers’ eligible Members needed by Castlight to provide the Enterprise Services. Castlight acknowledges and agrees that as to any Member for whom a Confidentiality Flag is included in the eligibility file provided by Anthem, no communications, whether via email or otherwise will be provided for such Member (and his or her covered family members) on a going forward basis. For purposes of this provision, “Confidentiality Flag” shall mean an indicator included in the eligibility file to designate each Member for whom access and communications must be suppressed in order to comply with applicable privacy laws and regulations.
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Related to Eligibility data

  • Eligibility Date means, with respect to each Borrower and Guarantor and each Swap, the date on which this Agreement or any Other Document becomes effective with respect to such Swap (for the avoidance of doubt, the Eligibility Date shall be the Effective Date of such Swap if this Agreement or any Other Document is then in effect with respect to such Borrower or Guarantor, and otherwise it shall be the Effective Date of this Agreement and/or such Other Document(s) to which such Borrower or Guarantor is a party).

  • Eligibility Waiting Period means the continuous length of time you must be in Active Employment in an eligible class to reach your Eligibility Date.

  • Eligibility and selection criteria means criteria for determining:

  • Retirement Eligibility means attainment of age 60 and completion of at least five (5) years of continuous service with the Company.

  • Eligibility means the decision as to whether an individual qualifies, under financial and nonfinancial requirements, to receive program benefits.