Edi testing 834 filr testing forum9/22/2023 Scenario 2 - To communicate changes for a member to whom we already sent a TERM transaction.įor example, if a member has coverage from to. An ADD Transaction with coverage start date as. A CANCEL transaction with coverage start date as. On, the system will create the following transactions:Ī. After processing the WMS transaction, there is a continuous coverage ( to ) in the eMedNY system. Let us assume, on, WMS/Counties noticed a gap and they removed that gap in member coverage and sent a transaction to eMedNY. The system will create the following transactions.Ī. Let us assume, WMS sent second coverge period ( to ) to eMedNY after (TERM Process). An ADD yransaction with coverage start date as. ADD & TERM transactions with coverage start date as and end date as. The system will create the following transactions:Ī. An ADD transaction with coverage start date as. A TERM transaction with coverage start date as and end date as. The system will create the following transactions on :Ī. Let us assume, WMS sent second coverge period ( to ) to eMedNY on. Following are the scenarios that explain what type of 834 transactions are created.ġ. There are two scenarios where there is a possibility of sending multiple transactions for the same member:įor example, if a member has two coverage periods associated with the same plan in the eMedNY system, one coverage period is from to and another coverage period is from to. 0003V00 (3rd file for the day)įor plans that will utilize the FTS/SOAP platforms, please see the User Manuals posted under the SELF HELP section on /selfhelp/index.aspx Note: Using the example above, if you wished to send three files in a single day, the completed remote files would be: Where node3 = Generation/File number in the following format (G000?V00), where ? = the ordinal (1, 2, 3, etc.) of the file you are sending for the day. Where node1 = 'P' followed by the first seven digits of your provider number (i.e. Files must be compressed into a ZIP file prior to sending files to the FTP/VPN ID. Monthly Secondary County Roster su09MMYY, sn19mmyy, BICSįor files inbound to eMedNY exchange: there are no file naming requirements eMedNY will apply its own naming convention for the remaining lifecycle of the file.įor files inbound to FTP/VPN: Naming conventions for FTP and VPN are the same as any other file uploaded to eMedNY.Monthly Provider Interim Enrollment Roster 10muMMYY, 10mnmmyy.Monthly Provider FIDA Disenrollment Reports UWMMYYYY, NWMMYYYY, UAMMYYYY, NAMMYYYY.Monthly Provider Disenrollment Rosters drupMMYY, drnpMMYY.Monthly Primary Re-Enrollment Report ru42MMYY.txt, rn42MMYY.Monthly Primary Provider Roster 52muMMYY, 52mnMMYY.Monthly Primary Provider LTC Surplus pltcMMYY.txt.Monthly Primary PCP Error Rosters mu42MMYY, mn42MMYY.Monthly Primary MLTC Clients with Budgets 02, 05, 06, or 07 pb1uMMYY, PUPB10-ERR, PUPB10-BT07.Monthly Primary County Rosters 57muMMYY, 57mnMMYY, BICS.Monthly PCP Auto Disenrollment Reports that have OMH Suspensions duP2MMYY.Monthly PCP Auto Disenrollment Reports for Prisoners duP1MMYY, NYC to PHRED.Monthly PCP Auto Disenrollment Reports for Closed Clients du97MMYY, dn97MMYY.Monthly Nursing Home Residents mnhuMMDD, mnhnMMDD, MNH120-MMDD.Monthly End of Lock-In Reports LCK-RPT-99.Monthly County R/E 83 ASA Reports ASA-CNTY-99.Monthly County Interim Enrollment Roster 20muMMYY.Monthly County Disenrollment Rosters drucMMYY, drncMMYY.Monthly Auto-Disenrollment Report du96MMYY, dn96MMYY.Monthly Auto Re-enrollment/Error Reports ru42mmyy, rn42mmyy.Daily One Step Managed Care Enrollment Report pupoa999.Daily Managed Care Enrollment and Error Report mpcea999, pupea999.Daily County Benefit Package Flip Report bpucMMDD.Monthly Secondary Provider Roster su08MMYY, sn18mmyy.Monthly Secondary PCP Error Rosters mu06MMYY, mn16mmyy.
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