Common use of Daily File Clause in Contracts

Daily File. The Department will provide to the CHC-MCO a Daily Participant Enrollment File that contains record(s) for each Participant where data for that Participant has changed that day. The file will contain add, termination, and change records, but will contain only one type of managed care coverage, either PH or BH. The file contains demographic changes, eligibility changes, Enrollment changes, Participants enrolled through the automatic assignment process, and TPL information. The CHC-MCO must process this file within twenty-four (24) hours of receipt. The CHC-MCO must reconcile this file against its internal Participant information and notify the Department of any discrepancies within thirty (30) business days.

Daily File. The Department will provide to the CHC-MCO a Daily Participant Enrollment File that contains record(s) for each Participant where data for that Participant has changed that day. The file will contain add, termination, termination and change records, but will contain only one type of managed care coverage, either CHC, PH or BH. The file contains demographic changes, eligibility changes, Enrollment changes, Participants enrolled through the automatic assignment process, and TPL information. The CHC-MCO must process this file within twenty-four (24) 24 hours of receipt. The CHC-MCO must reconcile this file against its internal Participant information and notify the Department of any discrepancies within thirty (30) business days.

Daily File. The Department will provide a Daily 834 Eligibility File to the CHC-MCO a Daily Participant Enrollment File that contains record(s) one recordfor each action taken in CIS/eCIS for each Participant where data for that Participant has changed that day. The file will contain add, termination, and change records, but will not contain only one type of managed care coverage, either PH or BHBH- related information. The file contains will contain demographic changes, eligibility changes, Enrollment changes, Participants enrolled through the automatic assignment process, and TPL information. The CHC-MCO must process this file within twenty-four (24) hours of receipt. The CHC-MCO must reconcile this file against its internal Participant information data and notify the Department of any discrepancies within thirty (30) business days.