Daily File. The Department will provide a Daily 834 Eligibility File to the PH-MCO that contains one record for each action taken in eCIS for each HealthChoices Recipient where data for that Recipient has changed that day. The file will contain add, termination and change records, but will not contain BH- related information. The file will also contain demographic changes, eligibility changes, Enrollment changes, Members enrolled through the automatic assignment process, and TPL information. The PH-MCO must process this file within twenty-four (24) hours of receipt. The PH-MCO must reconcile this file against its internal membership information and notify the Department of any discrepancies within thirty (30) Business Days.
Appears in 6 contracts
Samples: Healthchoices Physical Health Grant Agreement, Grant Agreement, Healthchoices Physical Health Grant Agreement
Daily File. The Department will provide a Daily 834 Eligibility File to the PH-MCO that contains one record for each action taken in CIS/eCIS for each HealthChoices Recipient where data for that Recipient has changed that day. The file will contain add, termination and change records, but will not contain BH- related information. The file will also contain contains demographic changes, eligibility changes, Enrollment changes, Members enrolled through the automatic assignment process, and TPL information. The PH-MCO must process this file within twenty-four (24) hours of receipt. The PH-MCO must reconcile this file against its internal membership information and notify the Department of any discrepancies within thirty (30) Business Days.
Appears in 4 contracts
Samples: Grant Agreement, Grant Agreement, Grant Agreement
Daily File. The Department will provide a Daily 834 Eligibility File to the PH-MCO that contains one record for each action taken in eCIS for each HealthChoices Recipient where data for that Recipient has changed that dayDay. The file will contain add, termination and change records, but will not contain BH- related information. The file will also contain demographic changes, eligibility changes, Enrollment changes, Members enrolled through the automatic assignment process, and TPL information. The PH-MCO must process this file within twenty-four (24) hours of receipt. The PH-MCO must reconcile this file against its internal membership information and notify the Department of any discrepancies within thirty (30) Business Days.
Appears in 1 contract
Samples: Healthcare Agreements
