Member Eligibility File Sample Clauses

Member Eligibility File. Benefit Intelligence to provide eligibility file template detailing the information required from the company to enroll plan members in Teladoc.  Name/ DOB/ Gender/ Address/ Telephone XII. Fulfillment- Teladoc will provide the following.
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Member Eligibility File. (V) signals a data element value that is valid only for Voluntary Reporting Entities. Data Element # Reference Data Element Name Type Length Description/Codes/Sources Req’d Thresh. ME001 N/A Reporting Entity Code varchar 8 Distributed by HCCD Administrator R 100% ME002 N/A Reporting Entity Name varchar 30 Distributed by HCCD Administrator R 100% ME003 271/2110C/EB/ /04, 271/2110D/EB/ /04 Insurance Type Code/Product char 2 See Lookup Table B-1.A R 100% ME004 N/A Year int 4 4 digit Year for which eligibility is reported in this submission R 100% ME005 N/A Month char 2 Month for which eligibility is reported in this submission expressed numerical from 01 to 12. R 100% ME006 271/2100C/REF/1L/02, 271/2100C/REF/IG/02, 271/2100C/REF/6P/02, 271/2100D/REF/1L/02, 271/2100D/REF/IG/02, 271/2100D/REF/6P/02 Insured Group or Policy Number varchar 30 Group or policy number - not the number that uniquely identifies the subscriber R 99.5% ME007 271/2110C/EB/ /02, 271/2110D/EB/ /02 Coverage Level Code char 3 See Lookup Table B-1. I R 99.9% ME008 271/2100C/NM1/MI/09 Subscriber Social Security Number varchar 9 Subscriber’s social security number; Set as null if unavailable O Data Element # Reference Data Element Name Type Length Description/Codes/Sources Req’d Thresh. ME009 271/2100C/NM1/MI/09 Plan Specific Contract Number varchar 128 Plan assigned subscriber’s contract number; Set as null if contract number = subscriber’s social security number or use an alternate unique identifier such as Medicaid ID. Must be an identifier that is unique to the subscriber. R 99.9% ME010 N/A Member Number varchar 128 Unique number of the member within the contract. Must be an identifier that is unique to the member. May include a combination of contract number and suffix number to be unique. This column is the unique identifying column for membership and related medical and pharmacy claims. Only one record per eligibility month. ME-010 = MC-009; PC-009 R 100% ME011 271/2100C/NM1/MI/09, 271/2100D/NM1/MI/09 Member Identification Code varchar 9 Member’s social security number or Medicaid ID. Must be an identifier that is unique to the member. Used for matching member records. R 99.9% ME130 Member Telephone Number char 10 Member’s telephone number on record with Reporting Entity; required if ME011 is blank or unknown; used for matching member records. Do not include parentheses, dashes or periods. R if ME011 is blank 100% ME012 271/2100C/INS/Y/02, 271/2100D/INS/N/02 Individual Relationship Code c...
Sample 1

Related to Member Eligibility File

  • Member Eligibility Verify Member eligibility contemporaneous with the rendering of services. BCBS will provide systems and/or methods for verification of eligibility and benefit coverage for Members. This is furnished as a service and not as a guarantee of payment;

  • Program Eligibility 1. All officers, regardless of assignment, will be eligible for the vehicle program subject to the limitations set forth below.

  • Benefit Eligibility For purposes of the Benefit Plan entitlement, common-law and same sex relationships will apply as defined.

  • Continuing Eligibility To continue health benefits, a permanent intermittent employee must be credited with a minimum of 480 paid hours in a control period or 960 paid hours in two consecutive control periods.

  • Student Eligibility A. The Texas Success Initiative (TSI) requires mandatory assessment for all students to determine college readiness in reading, writing and math. The xxxx authorizes the Texas Higher Education Coordinating Board to prescribe assessment instruments with a statewide passing standard. The initiative allows an institution to determine when a student is ready to perform college‐level coursework. High School students who seek to register in a dual credit course, which will grant college credit must prove “college readiness” by achieving a college level score as outlined in Appendix A.

  • Group Benefits Eligibility 7.2.1 Participation in the Plan shall be a condition of employment for all teachers commencing employment for a full school year.

  • Client Eligibility Client eligibility and service referral are the responsibility of DDA under chapter 388- 823 WAC (Eligibility) and chapter 388-825 WAC (Service Rules). Only persons referred by DDA shall be eligible for direct Client services under this Program Agreement. It is DDA’s responsibility to determine and authorize the appropriate direct service(s) type. Direct Client services provided without authorization are not reimbursable under this Program Agreement.

  • Funding Eligibility Contractor understands, acknowledges, and agrees that, pursuant to Chapter 2272 (eff. Sept. 1, 2021, Ch. 2273) of the Texas Government Code, except as exempted under that Chapter, HHSC cannot contract with an abortion provider or an affiliate of an abortion provider. Contractor certifies that it is not ineligible to contract with HHSC under the terms of Chapter 2272 (eff. Sept. 1, 2021, Ch. 2273) of the Texas Government Code.

  • Contribution Eligibility You are eligible to make a regular contribution to your Xxxx XXX, regardless of your age, if you have compensation and your MAGI is below the maximum threshold. Your Xxxx XXX contribution is not limited by your participation in an employer-sponsored retirement plan, other than a Traditional IRA.

  • Service Eligibility A bonus authorized by subsection (a) may be paid to a person or offi- cer only if the person or officer agrees under subsection (d)—

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