Eligibility file definition

Eligibility file means a data set containing demographic information for each individual enrollee eligible for medical benefits for one or more days of coverage at any time during a calendar month for an Oregon resident as defined in ORS 803.355 or a non-Oregon resident who is a member of a PEBB or OEBB group health insurance plan.
Eligibility file means a census file to determine Members who are eligible to receive Everside Services.
Eligibility file. The term “Eligibility File” shall mean the file created by NDPERS and transmitted to PBM listing the names and other pertinent information necessary for PBM to enroll Plan Beneficiaries, terminate enrollment, or to make changes to existing Plan Beneficiary records.

Examples of Eligibility file in a sentence

  • This information will then be entered on the Nursing Home Eligibility file in the payment system.

  • Prone positioning of patients with moderate hypoxaemia due to covid-19: multicentre pragmatic randomised trial (COVID-PRONE).

  • The CHC-MCO will receive the change in the Participant’s eligibility status on the daily 834 Eligibility file the day after CAO processing.

  • Eligibility file: A file that is sent electronically to the third-party administrator that contains information on all active or retired staff members and their eligible family members who are covered under the plan; this file is the basis on which the third-party administrator determines who is eligible for coverage under the United Nations health insurance programme.

  • This identifier is used to link this Benefit Plan line with its attributes to eligibility lines using APCD Member Eligibility file data element ME128 (Benefit Plan Contract ID).

  • CHC end dates on the 834 Eligibility file that do not fall on the last day of the month, as identified by the IEB, will be adjusted by OLTL.LIFE Referral1.

  • CHC end dates on the 834 Eligibility file that do not fall on the last day of the month, as identified by the IEB, will be adjusted by OLTL.

  • The date of entitlement for Medicaid benefits is the first day of the month in which the individual moved to the state even though the individual does not yet appear on the Medicaid Eligibility file.

  • CHC effective dates on the 834 Eligibility file that do not fall on the first day of the month will be adjusted by OLTL.

  • In the late 19thcentury, preservation efforts were underway in the United States with regards to preserving Civil War battlefields (Smith, 2008; Smith, 2017).


More Definitions of Eligibility file

Eligibility file means a data set containing demographic information for each individual enrollee eligible for medical benefits for one or more days of coverage at any time during a calendar month for an Oregon resident as defined in ORS 803.355 or a
Eligibility file means a data set containing demographic information for each
Eligibility file means electronic communication supplied to PBM or its Vendor by Client (or its designee) which identifies the Members covered under the Plan Document, along with other eligibility information required by PBM for PBM to provide Services.
Eligibility file means the file provided by Customer (or Customer’s designated affiliate) to Castlight in accordance with Castlight’s specifications that identifies all Members.

Related to Eligibility file

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

  • 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 period means the period in which a business may

  • Eligibility Service of an employee means the period or periods of service credited to him under the provisions of Article II for purposes of determining his eligibility to participate in the Plan as may be required under Article III or Article VI.

  • Eligibility Conditions means the eligibility conditions specified in the Act and the Rules including all the eligibility conditions listed in Clause [5] of the Tender Document.

  • Eligibility Criteria means the legal criteria as specified in the Clause 5 of this E- Auction Process Information Document;

  • Eligibility Requirements means, with respect to any Person, that such Person (i) has total assets (in name or under management) in excess of $600,000,000 and (except with respect to a pension advisory firm or similar fiduciary) capital/statutory surplus or shareholder’s equity of $250,000,000 and (ii) is regularly engaged in the business of making or owning commercial real estate loans or operating commercial mortgage properties.

  • Credit File means all Credit Documents and all other credit, collateral, or insurance documents in the possession or custody of the Assuming Institution, or any of its Subsidiaries or Affiliates, relating to an Asset or a Loan included in a Put Notice, or copies of any thereof.

  • Eligibility Date means the date you become eligible for insurance under this plan. The Eligibility Requirements are shown in the Schedule of Benefits.

  • Eligibility Determination means an approval or denial of eligibility and a renewal or termination of eligibility as set forth in OAR 410-200-0015;¶

  • Eligibility Record Date means a record date that is 1 year or more before the adoption of a plan of conversion by a credit union board and is set forth in a plan of conversion for determining eligible members of a converting credit union.

  • Year of Eligibility Service means where an Employer designates a one or two 12-consecutive-month eligibility waiting period, an Employee must complete at least 1,000 Hours of Employment during each 12-consecutive-month period (measured from his date of Employment and then as of the first day of each Plan Year commencing after such date of Employment); provided, however, if an Employee is credited with 1,000 Hours of Employment in both the initial eligibility computation period and the first Plan Year which commences prior to the first anniversary of the Employee's employment commencement date, the Employee will be credited, for eligibility purposes, with two Years of Eligibility Service. Where an Employer designates an eligibility waiting period of less than 12 months, an Employee must, for purposes of eligibility, complete a required number of hours (measured from his date of Employment and each anniversary thereafter) which is arrived at by multiplying the number of months in the eligibility waiting period requirement by 83 1/3; provided, however, if an Employee completes at least 1,000 Hours of Employment within the 12 month period commencing on his Employment commencement date or during any Plan Year commencing after such Employment commencement date, such Employee will be treated as satisfying the eligibility service requirements.

  • Certification period means the period for which an individual is certified eligible for a program.