Monthly File. The Department will provide a Monthly Participant File for the CHC-MCO on the next to the last Saturday of each month. The file contains the MA Eligibility Period, CHC-MCO coverage, BH-MCO coverage and other Participant demographic information. It will contain only one record for each CHC Participant (the most current) where the Participant is both MA and CHC eligible at some point in the following month. The CHC-MCO must reconcile this Participant file against its internal Participant information and notify the Department of any discrepancies found within the data on the file within thirty (30) business days. The CHC-MCO is not responsible for Participants not included on this file with an indication of prospective coverage unless a subsequent Daily Participant File indicates otherwise. The CHC-MCO is not responsible for Participants with an indication of future month coverage if an 834 Daily Participant File received by the CHC-MCO prior to the beginning of the future month indicates otherwise.
Monthly File. All report files will be transmitted for download on PWEB (for Acquirer) or MWEB (for Acquirer Merchants) as the case may be, in accordance with the following schedule. All monthly reports will be made available by the [*] business day following the last day of a business month.
Monthly File. The Department will provide an 834 Monthly Eligibility File to each PH-MCO on the next to the last Saturday of each month. The file contains the MA Eligibility Period, PH-MCO coverage, BH-MCO coverage and other Recipient demographic information. It will contain only the most current record for each HealthChoices Recipient where the Member is both MA and Managed Care eligible at some point in the following month. The PH-MCO must reconcile this membership file against its internal membership data and notify the Department of any discrepancies within thirty (30) Business Days. Recipients not included on this file with an indication of prospective coverage will not be the responsibility of the PH- MCO unless a subsequent 834 Daily Eligibility File indicates otherwise. Those with an indication of future month coverage will not be the responsibility of the PH-MCO if an 834 Daily Eligibility File received by the PH-MCO prior to the beginning of the future month indicates otherwise.
Monthly File. The Department will provide an 834 Monthly Membership File for each MCO on the next to the last Saturday of each month. The file contains the MA Eligibility Period, PH-MCO coverage, BH-MCO coverage and other Recipient demographic information. It will contain only one record for each Managed Care Recipient (the most current) where the Member is both MA and Managed Care eligible at some point in the following month. The PH-MCO may reconcile this membership file against its internal membership information and notify the Department of any discrepancies found within the data on the file within thirty (30) Business Days, in order to resolve problems. Recipients not included on this file with an indication of prospective coverage will not be the responsibility of the PH- MCO unless a subsequent 834 Daily Membership File indicates otherwise. Those with an indication of future month coverage will not be the responsibility of the PH-MCO if an 834 Daily Membership File received by the PH-MCO prior to the beginning of the future month indicates otherwise.
Monthly File. The Department will provide an 834 Monthly Membership File for each PCO on the next to the last Saturday of each month. The file contains the Eligibility Period, PCO coverage, and other Beneficiary demographic information. The PCO must reconcile this membership file against its internal membership information and notify the Department of any discrepancies found within the data on the file within thirty (30) Business Days, in order to resolve problems. Beneficiaries without an indication of prospective coverage will not be the responsibility of the PCO unless a subsequent 834 Daily Membership File indicates otherwise. Beneficiaries with an indication of future month coverage will not be the responsibility of the PCO if an 834 Daily Membership File received by the PCO prior to the beginning of the future month indicates otherwise.
Monthly File. The Department will provide a Monthly 834 Eligibility File to the PH-MCO on the next to the last Saturday of each month. The file will contain the MA Eligibility Period, PH-MCO coverage, BH-MCO coverage and other Recipient demographic information. It will contain only the most current record for each HealthChoices Recipient where the Member is both MA and Managed Care eligible at some point in the following month. The PH-MCO must reconcile this membership file against its internal membership information. If discrepancies are found, the PH-MCO must first check eCIS and the Daily 834 file to see if the discrepancy has been resolved prior to reaching out to the Department. If the discrepancy persists the MCO must notify the Department within thirty (30) business days. Recipients not included on the Monthly 834 file with an indication of prospective coverage will not be the responsibility of the PH-MCO unless a subsequent Daily 834 Membership File indicates otherwise.
Monthly File. All report files will be transmitted or available for download on PWEB (for Acquirer) or MWEB (for Acquirer Merchants) as the case may be, in accordance with the following schedule. All monthly reports will be made available by the [*] business day following the last day of a business month. Timing for all monthly reports is subject to timely receipt of necessary data from Acquirer, such that Planet Payment shall not be responsible for late delivery of any report that is dependent upon information to be supplied by the Acquirer, which information is itself not delivered to Planet Payment on a timely basis. The following package of reports shall be made available on a monthly basis: [*]
Monthly File. All report files will be transmitted or available for download on PWEB (for Acquirer) or MWEB (for Acquirer Merchants) as the case may be, in accordance with the following schedule. All monthly reports will be made available by the [*] business day following the last day of a business month. Timing for all monthly reports is subject to timely * Certain information on this page has been omitted and filed separately with the Securities and Exchange Commission. Confidential treatment has been requested with respect to the omitted portions. receipt of necessary data from Acquirer, such that Planet Payment shall not be responsible for late delivery of any report that is dependent upon information to be supplied by the Acquirer, which information is itself not delivered to Planet Payment on a timely basis. The following package of reports shall be made available on a monthly basis:
(a) Monthly Computed Revenue Share Report;
(b) Monthly All Participant Revenue Share Summary Report;
(c) Monthly All Participant Revenue Share Detail Report;
(d) Monthly Merchant Incentive Statement;
(e) Monthly Merchant Revenue Share Report;
(f) Monthly Visa AP Active Acquirer Merchant Registration Report;
(g) Monthly Opt-in/Lost Opportunities by Merchant Report (when available which may be after the [*] business day of the month).
Monthly File. The Department will provide a Monthly 834 Eligibility File to the CHC-MCO on the next to the last Saturday of each month. The file contains the MA Eligibility Period, CHC-MCO coverage, BH-MCO coverage, and Participant demographic information. It will contain only the most current record for each CHC Participant where the Participant is both MA and CHC eligible at some point in the following month. The CHC-MCO must reconcile this Participant file against its internal Participant information. If discrepancies are found, the CHC-MCO must first check eCIS and subsequent Daily 834 files to see if the discrepancy has been resolved prior to reaching out to the Department. If the MCO cannot resolve the discrepancy, the MCO must notify the Department within thirty (30) business days of receipt of the Monthly 834 file with the discrepancy. Participants not included on this file with an indication of prospective coverage will not be the responsibility of the CHC-MCO unless a subsequent Daily 834 Membership File indicates otherwise.
Monthly File. The Department will provide a Monthly 834 Eligibility File to the PH-MCO on the next to the last Saturday of each month. The file will contain the MA Eligibility Period, PH-MCO coverage, BH-MCO coverage and other Recipient demographic information. It will contain only the most current record for each HealthChoices Recipient where the Member is both MA and Managed Care eligible at some point in the following month. The PH-MCO must reconcile this membership file against its internal membership information. If the membership information in the MCO’s system does not match the membership information on the Monthly File, the PH- MCO must first check eCIS and daily 834 files dated after the Monthly File to see if the discrepancy has been resolved prior to notifying the Department. If the PH-MCO cannot resolve the discrepancy, the PH-MCO must notify the Department within thirty (30) calendar Days of receipt of the Monthly 834 Eligibility File with the discrepancy. Recipients not included on the Monthly 834 Eligibility File with a specification of prospective coverage will not be the responsibility of the PH-MCO unless a subsequent Daily 834 Eligibility File specifies otherwise.
