This page (revision-15) was last changed on 26-Nov-2021 10:22 by Kevin Higgs

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Page References

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RBINTERFACE
RBINTERFACE

Version management

Difference between version and

At line 3 changed one line
!!Purpse
!!Purpose
At line 95 changed one line
!Report Parameters
!!!SYSTEM PROCESSING
!!Processing Sequence\\
*Select all the employee records where employee has an enrolment in either filtered plan types.
*The following record segments will be written at the beginning of the file:  “ISA’, ‘GS’, ‘ST’, ‘BGN’, and ‘REF’, ‘DTP’.
*For each employee, and dependants, who are new to the medical/dental plan coverage, or terminates coverage, or has changes in coverages within the reporting period will be processed, the following record segments will be created:
At line 101 added 39 lines
||Record Segment||Code||Description||Processing Conditions||
|1000A N1|P5|Plan Sponsor|One per File|
|1000B N1|IN|Insurer|One per File|
|1000C N1|TV|TPA/Broker Name|Situational|
|2000 INS|Y|Member is a Subscriber|One record only, either ‘Y’ or ‘N’|
|2000 INS|N|Member is a Dependant|
|2000 REF|0F|Subscriber Number|
|2000 REF|1L|Group Number|
|2000 REF|F6|Medicare HIC Number|Situational|
|2000 DTP|303|Maintenance Effective Date|
|2000 DTP|336|Employ Begin Date (Subscriber only)|
|2000 DTP|338|Medicare Begin Date|
|2000 DTP|339|Medicare End Date|
|2000 DTP|356|Eligibility Begin Date|
|2000 DTP|357|Eligibility End/ Termination Date|
|2000 DTP|394|Rehire Date|Situational|
|2100A NM1|IL|Member Name|
|2100A PER|IP|Member Communication Numbers|Situational|
|2100A N3| |Member Resident Street Address|Required for Subscriber segment|
|2100A N4| |Resident City, State, ZIP|Required if Segment ‘2100A N3’ is sent|
|2100A DMG| |Member Demographics|
|2100A NM1|31|Member Mailing Address|Situational|
|2100C N3| |Member Mailing Street Address|Situational|
|2100C N4| |Mailing City, State, ZIP|Situational|
|2200 DSB|2|Long Term Disability|Situational|
|2200 DTP|360|Disability Begin Date|Situational|
|2200 DTP|361|Disability End Date|Situational|
|2300 HD|001|Health Coverage Change|One record code only|
|2300 HD|021|Health Coverage Add|One record code only|
|2300 HD|024|Health Coverage Termination|One record code only|
|2300 HD|030|Maintenance Type Code Unknown|One record code only|
|2300 DTP|348|Benefit Begin Date|
|2300 DTP|349|Benefit End Date|
|2300 REF|1L|Member Policy Number|
*The following record segments will be written at the end of the file:  “SE’, ‘GE’, ‘IEA’.
!!Report Parameters
This page (revision-15) was last changed on 26-Nov-2021 10:22 by Kevin HiggsTop