Common use of Daily File Clause in Contracts

Daily File. The Department will provide to the PH-MCO an 834 Daily Membership File that contains record(s) 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 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 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.

Daily File. The Department will provide to the PH-MCO with an 834 Daily Membership Eligibility File that contains record(s) one record for each HealthChoices Recipient where data for that Recipient has changed that day. The file will contain contains add, termination and change records, but will does not contain BH-related information. The file 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 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.

Daily File. The Department will provide to the PHCHC-MCO an a Daily 834 Daily Membership Eligibility File that contains record(s) for each HealthChoices Recipient Participant where data for that Recipient Participant has changed that day. The file will contain add, termination termination, and change records, but will not contain BH-BH related information. The file contains demographic changes, eligibility changes, Enrollment changes, Members Participants enrolled through the automatic assignment process, and TPL information. The PHCHC-MCO must process this file within 24 twenty-four (24) hours of receipt. The PHCHC-MCO must reconcile this file against its internal membership information Participant data and notify the Department of any discrepancies within thirty (30) Business Daysbusiness days.