12/15/2023 0 Comments Edi testing 834 filr testing forum![]() ![]() This information is used to determine whether an enrollment termination had been previously sent to a vendor, rather than maintaining a "copy" of the last carrier interface extract in the database. The sample Carrier Interface programs use the run history table (BN_SNAP) to determine the last time that an interface was created for a particular vendor and plan type, as well as, the last time that the BN_SNAP tables were populated. If you've used the "send terminations only once" feature in the Sample Carrier Interface extract SQR programs, then you'll need to delete some of the run history prior to re-running a Carrier Interface extract. Since nearly all of the data in an extract resides in the BN_SNAP tables, no changes made to employee, dependent/beneficiaries or enrollments since the Enrollment Snapshot Process was run will be reflected in a re-run unless the Enrollment Reporting Snapshot process is also re-run. ![]() Re-running an extract will simply re-create the same file that was originally generated. Each of these sample programs includes functionality to record a history of each execution, as well as, the ability to send an enrollment termination to a provider only once.Īfter determining the file layout requirements of each of your providers, you should customize (or clone) the appropriate sample SQR program for each unique file layout.Īny Carrier Interface Extract can be re-run without re-running the corresponding Enrollment Reporting Snapshot (table population) process, provided that the BN_SNAP tables still contain the desired "As Of" date. Each of these sample SQR programs is a fully-functioning file extract program including a realistic set of data for the associated plan types. Because of this, we deliver a set of sample file extract SQR programs that you can easily customize to meet the requirements of each of your providers. Provider requirements for enrollment data are seldom the same from one provider to the next. These are the only situations in which we pass a termination record. ? If the Effective Date of the termination is later than the As Of date of the previous extract that we created for this provider. ? If the Coverage Begin date of the termination is later than the As Of date of the previous extract that we created for this provider. ? If it was posted to the Base Benefits enrollment tables after the previous Snapshot was run (meaning that the prior Snapshot did not see this termination). PeopleSoft will send a termination in any of the three following situations: The basic mechanism for this is to use the Run History (BN_SNAP_HIST) to determine the last date that an extract was created for a particular provider and plan type, as well as, the date that the previous Snapshot was created. PeopleSoft delivers a set of Sample Carrier Extracts demonstrating how this is done (one each for Health, Life/AD&D, Disability and Savings plans). Sending a particular termination only once (or as few times as possible, while ensuring that it gets sent at least once) is handled in the carrier extracts. If coverage was in effect, then the plan from the prior row is considered to be the "losing" plan. ![]() This is done by accessing the most recent prior row in the Base Benefits enrollment table to determine if coverage was in effect immediately prior to the current enrollment record. An implied termination is a BN_SNAP_PLAN row that is generated as a result of the participant moving from one plan to another, from a plan to a waive, or from active coverage to Cobra coverage for a particular plan type.įor both positive and implied terminations, all terminations in the BN_SNAP_PLAN table will reflect the plan and vendor of the "losing" provider. A positive termination is simply the reporting of a (T)erminate row in the Base Benefits enrollment table for a given plan type. There are two types of terminations processed through the Snapshot: Positive and Implied. Here is some information I found on Metalink that might be useful for you: ![]() We run Snapshot process before we generate HIPAA files for our vendors. The options we selected for sending a full file with terminations ony once are "FULL FILE AUDIT" option in File Type In the Enrollment Snapshot Options Page, we check marked "Include Implied Terminations" and "Include Implied Dependent Term". ![]()
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