When an Overage Dependent Is Processed, the Employee and Dependents Are Not Showing Correctly on the HIPAA EDI 834 File Full File Audit. (Doc ID 2163301.1)

Last updated on JUNE 08, 2023

Applies to:

Symptoms

When a Full File Audit is run for an employee with family coverage where an overage dependent loses coverage, the output in the file is incorrect as only the terminated dependent is showing.  The family, employee, spouse, and eligible children should also show in the file.


STEPS
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1. Terminate coverage for an overage dependent.  Navigation:  Benefits > Enroll in Benefits > Health Benefits.
2. Run Benefit Snapshot.  Navigation: Benefits > Interface with Providers > Refresh Benefit Snapshot
3. Create HIPAA files with File Type of "Full File Audit".  Navigation: Benefits > Interface with Providers > Create HIPAA EDI 834 File
4. The output in the file is incorrect as only the overage dependent is showing.

Changes

Cause

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