Common use of Uploaded Disenrollment Reports Clause in Contracts

Uploaded Disenrollment Reports. Involuntary disenrollments that meet the criteria established by the Agency shall be submitted by the Health Plan using the X12N 834 transaction. This monthly file must meet the specifications outlined in the AHCA/ACS ANSI ASC X12N 834 Benefit Enrollment and Maintenance Florida Medicaid Companion Guide, and must be uploaded to the Medicaid fiscal agent’s secure Internet site. Upon 60-day notification from the Agency, the report format and submission requirements may change.