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Type:
Support Activity
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Status: Closed
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Priority:
Medium
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Resolution: Done
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Affects Version/s: None
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Fix Version/s: None
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Component/s: None
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Labels:None
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Support Task Type:Data Correction
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Environment:Production
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Reported by:Support
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Module:BenAdmin - Export
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Severity:Simple
Employee Maria Martin - The UMR Medical File
Per carrier Carol Bass, our file sent EE in code AO4 but for the children / child our file sent code AO3. This kicked out because they are asking why on different codes/plans. I show this EE is enrolled in FSA which is why EE is in the AO4code I think. Why do we send EE and child with different codes? This resulted in Issue for child Francisco Octavio. Any others impacted?
- relates to
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WT-11726 need to develop new macro in rule engine as "Employee enrolled In"
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- Closed
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Hi Damion,
Your assumption is very true, as dependents are never enrolled into Flex, "Member Enrolled in" from conditional rule is giving else value.
As of now, We can not achieve this using any kind of customization change. We need to develop new macro in rule engine as "Employee enrolled In", and we can use this on Spouse and child sub-template which will solve our purpose.
Let us know priority of this so that we can schedule development of "Employee Enrolled In" in rule engine. Thanks.
Yes let's move forward. We are sending the wrong code for all dependents when Employee enrolled in HCSA. Is there a quick solution by way if indicator or rule I could set until then. This is causing discrepancy and billing concerns
Thank you
CC Tracy Kot
Hi Damion,
Request you to create new "Enhancement" JIRA and link this jira to it. Thanks.
Can you close this? I dont have the option Thanks
Hi Vinayak
Can the team look into this? The REF1L that is mapped to Health Tier Policy no has a Conditional Rule. It is working for the subscriber but not dependents. The rule is pulling Benefittype HSCA being the FLEX. My assumption is that the Dependents are never enrolled in the Flex so never have a Benefittype of HCSA so Dependents are getting the Else Value. Is that correct?
Rule set in REF 1L:
If Enrollment Member Enrolled In Benefittype equal to HCSA
Then REF02 Reference Identification(HEALTH COVERAGE POLICY) equal to 767000412194A04
Else REF02 Reference Identification(HEALTH COVERAGE POLICY) equal to 767000412194A03
Company Leel templates:
UMR_834_5010_Gold_HSA
UMR_834_5010_GOLD_HSA_ACTIVE_COBRA