Member eligibility file definition

Member eligibility file means a data file containing demographic information for each individual member eligible for medical benefits, for one or more days of coverage at any time during the reporting month.
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Member eligibility file means a data file composed of demographic information for each individual Member eligible for medical or pharmacy benefits as specified in the RIAPCD Technical Specification Manual, for one or more days of coverage at any time during the reporting month.
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Member eligibility file means a data file that contains demographic information for each individual member eligible for medical or pharmacy benefits for one or more days of coverage at any time during the reporting period.
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Examples of Member eligibility file in a sentence

  • If ESI must create or modify a Member eligibility file by manually entering employee data or if the format is inconsistent with ESI’s standard requirements, there will be a $1.00 per Member implementation fee.

  • If ESI must create a Member eligibility file by manually entering the data, there will be a [*CONFIDENTIAL TERMS HAVE BEEN OMITTED FROM THIS DOCUMENT AND FILED SEPARATELY WITH THE SECURITIES AND EXCHANGE COMMISSION PURSUANT TO A REQUEST FOR CONFIDENTIAL TREATMENT*] implementation fee.

  • If a Member requests a change from one dental plan to another, the change will be prospective and the effective date will be the first day of the month in which the Member appears on the Member eligibility file for the receiving dental plan.

  • If a Member requests a change, the change will be prospective and the effective date will be the first day of the month in which the Member appears on the Member eligibility file for the receiving dental plan.

  • PIHP will provide Administrator with a monthly electronic Member eligibility file, full build and daily updates thereto, in a manner and using processes mutually agreed upon by the parties.


More Definitions of Member eligibility file

Member eligibility file means a data file composed of demographic information for each individual Member eligible for medical or pharmacy benefits as specified in the RIAPCD Technical Specification Manual, for one
Sample 1Sample 2
Member eligibility file means a data file con- taining demographic information for each individual member eligible for medical or pharmacy benefits for one or more days of coverage at any time during the reporting month.
Sample 1Sample 2
Member eligibility file means a data file containing demographic information for each individual member eligible for medical, pharmacy, or dental benefits for one or more days of coverage at any time during the reporting month as well as any retrospective updates that correspond to previously submitted eligibility data. The term also includes benefits attributed and associated effective periods.
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Member eligibility file means a data file containing
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Related to Member eligibility file

  • Eligibility Date means, with respect to each Borrower and Guarantor and each Swap, the date on which this Agreement or any Other Document becomes effective with respect to such Swap (for the avoidance of doubt, the Eligibility Date shall be the Effective Date of such Swap if this Agreement or any Other Document is then in effect with respect to such Borrower or Guarantor, and otherwise it shall be the Effective Date of this Agreement and/or such Other Document(s) to which such Borrower or Guarantor is a party).

  • Eligibility Conditions means the eligibility conditions specified in the Act and the Rules including all the eligibilityconditions listed in Clause [5] of the Tender Document.

  • Eligibility Requirements means, with respect to any Person, that such Person has at least $200,000,000 in capital/statutory surplus or shareholders’ equity (except with respect to a pension advisory firm or similar fiduciary) and at least $600,000,000 in total assets (in name or under management), and is regularly engaged in the business of making or owning commercial real estate loans (or interests therein), mezzanine loans (or interests therein) or commercial loans (or interests therein) similar to the Mortgage Loan.