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  1. WORKTERRA
  2. WT-12649

UMR Qualifying Event Code Updates_Memorial Regional Health

    Details

    • Type: Support Activity
    • Status: Closed
    • Priority: Critical
    • Resolution: Done
    • Affects Version/s: None
    • Fix Version/s: None
    • Component/s: BenAdmin
    • Labels:
      None
    • Support Task Type:
      Query Resolution
    • Environment:
      Production
    • Reported by:
      EDI
    • Company:
      Memorial Regional Health
    • Module:
      BenAdmin
    • Severity:
      Simple

      Description

      For the MRH_UMR COBRA connection - the QUALIFYING EVENT CODE is currently mapped to the 'Enrollment COBRA Qualifying Event Name'. We need the values in the Event Builder Changed to Numeric Values:

      1 – Termination
      2 – Retirement
      3 – Medicare Entitlement
      4 – Death of PQB
      5 – Ineligible Dependent
      6 – Reduced Hours
      8 – Divorce/Separation

      cc: James Clack

        Attachments

          Activity

          Hide
          Ganesh.sadawarte Ganesh Sadawarte (Inactive) added a comment -

          Hi Kevin Hale,

          We have added above numeric values for Enrollment COBRA Qualifying Event Name except 3 – Medicare Entitlement. Could you please let us know on which scenario 3 – Medicare Entitlement event happen.

          Please let us know if you need any other details.

          CC-Vinayak Kulkarni,Umesh Kadam

          Thanks,
          Ganesh

          Show
          Ganesh.sadawarte Ganesh Sadawarte (Inactive) added a comment - Hi Kevin Hale , We have added above numeric values for Enrollment COBRA Qualifying Event Name except 3 – Medicare Entitlement. Could you please let us know on which scenario 3 – Medicare Entitlement event happen. Please let us know if you need any other details. CC- Vinayak Kulkarni , Umesh Kadam Thanks, Ganesh
          Hide
          Kevin.Hale Kevin Hale (Inactive) added a comment -

          Hey Ganesh Sadawarte - you can disregard #3. Thanks for taking care of the others - much appreciated.

          cc: Amit Thorve | Vinayak Kulkarni | Umesh Kadam | James Clack

          Show
          Kevin.Hale Kevin Hale (Inactive) added a comment - Hey Ganesh Sadawarte - you can disregard #3. Thanks for taking care of the others - much appreciated. cc: Amit Thorve | Vinayak Kulkarni | Umesh Kadam | James Clack
          Hide
          Damion.Velasquez Damion M Velasquez added a comment -

          Hello Ganesh,

          I am facilitating this build, and we do have production approval. We are experiencing this issue in the file Template, can this be updated?
          MRH_UMR COBRA_QE
          Subscriber Subtemplate
          Position: CONTROL
          Mapping Enrollment COBRA Qualifying Event Name (No DTS Functionality for ONShore EDI)

          Per the Specification for UMR COBRA QE:
          1 - Termination of Employment
          2 -Retirement
          4 - Death
          5 - Ceasing to be an eligible dependen
          6 - Reduced Hours
          8 - Divorce or Separation
          21 - USERRA
          26 - Termination with Severance

          CCRyan Sapp

          Show
          Damion.Velasquez Damion M Velasquez added a comment - Hello Ganesh, I am facilitating this build, and we do have production approval. We are experiencing this issue in the file Template, can this be updated? MRH_UMR COBRA_QE Subscriber Subtemplate Position: CONTROL Mapping Enrollment COBRA Qualifying Event Name (No DTS Functionality for ONShore EDI) Per the Specification for UMR COBRA QE: 1 - Termination of Employment 2 -Retirement 4 - Death 5 - Ceasing to be an eligible dependen 6 - Reduced Hours 8 - Divorce or Separation 21 - USERRA 26 - Termination with Severance CC Ryan Sapp
          Hide
          Ganesh.sadawarte Ganesh Sadawarte (Inactive) added a comment -

          Hi Rajendra Pawar,

          Please check this

          CC-Vinayak Kulkarni

          Thanks,
          Ganesh

          Show
          Ganesh.sadawarte Ganesh Sadawarte (Inactive) added a comment - Hi Rajendra Pawar , Please check this CC- Vinayak Kulkarni Thanks, Ganesh
          Hide
          Vinayak.Kulkarni Vinayak Kulkarni (Inactive) added a comment -

          Hi Damion,

          We have added given cobra event name for Memorial Regional Health, Please check, Thanks.

          Show
          Vinayak.Kulkarni Vinayak Kulkarni (Inactive) added a comment - Hi Damion, We have added given cobra event name for Memorial Regional Health, Please check, Thanks.
          Hide
          Damion.Velasquez Damion M Velasquez added a comment -

          From: Damion Velasquez
          Sent: Tuesday, February 27, 2018 2:16 PM
          To: 'Kudick, Kathy L' <Kathy.Kudick@umr.com>
          Cc: Ryan Sapp <Ryan.Sapp@workterra.com>
          Subject: RE: IMPORTANT - ISSUE RE: Memorial Regional Health COBRA Event and General Notice TESTING Files

          Hello Kathy

          We have updated these values, so going forward they will be correct. Let me know if there are any outstanding items we need to react on

          From: Kudick, Kathy L Kathy.Kudick@umr.com
          Sent: Thursday, February 22, 2018 11:57 AM
          To: Damion Velasquez <Damion.Velasquez@workterra.com>
          Subject: RE: IMPORTANT - ISSUE RE: Memorial Regional Health COBRA Event and General Notice TESTING Files

          Hi Damion,

          The termination reasons have been changed to Words instead of numbers. 1 = Termination, 2 = Retirement….

          Can this be fixed? This file will be manually processed pending this correction.

          If you have questions or concerns, please let me know and I will be happy to respond.

          Kathy Kudick
          UMR ] Assc Bus Process Analyst – COBRA/Retiree & Direct Billing
          Direct: 715-841-7718
          Toll Free: 800-207-1824 ext 17718
          Fax: 877-291-3241

          Show
          Damion.Velasquez Damion M Velasquez added a comment - From: Damion Velasquez Sent: Tuesday, February 27, 2018 2:16 PM To: 'Kudick, Kathy L' <Kathy.Kudick@umr.com> Cc: Ryan Sapp <Ryan.Sapp@workterra.com> Subject: RE: IMPORTANT - ISSUE RE: Memorial Regional Health COBRA Event and General Notice TESTING Files Hello Kathy We have updated these values, so going forward they will be correct. Let me know if there are any outstanding items we need to react on From: Kudick, Kathy L Kathy.Kudick@umr.com Sent: Thursday, February 22, 2018 11:57 AM To: Damion Velasquez <Damion.Velasquez@workterra.com> Subject: RE: IMPORTANT - ISSUE RE: Memorial Regional Health COBRA Event and General Notice TESTING Files Hi Damion, The termination reasons have been changed to Words instead of numbers. 1 = Termination, 2 = Retirement…. Can this be fixed? This file will be manually processed pending this correction. If you have questions or concerns, please let me know and I will be happy to respond. Kathy Kudick UMR ] Assc Bus Process Analyst – COBRA/Retiree & Direct Billing Direct: 715-841-7718 Toll Free: 800-207-1824 ext 17718 Fax: 877-291-3241
          Hide
          Damion.Velasquez Damion M Velasquez added a comment -

          Can you close this? I dont have the option Thanks

          Show
          Damion.Velasquez Damion M Velasquez added a comment - Can you close this? I dont have the option Thanks
          Hide
          Ganesh.sadawarte Ganesh Sadawarte (Inactive) added a comment -

          Closed..Thanks

          Show
          Ganesh.sadawarte Ganesh Sadawarte (Inactive) added a comment - Closed..Thanks

            People

            Assignee:
            Vinayak.Kulkarni Vinayak Kulkarni (Inactive)
            Reporter:
            Kevin.Hale Kevin Hale (Inactive)
            EDI Analyst 1:
            Damion M Velasquez
            Votes:
            0 Vote for this issue
            Watchers:
            5 Start watching this issue

              Dates

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              Updated:
              Resolved:

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