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Type:
Support Activity
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Status: Closed
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Priority:
Critical
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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: BenAdmin
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Labels:None
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Support Task Type:Query Resolution
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Environment:Production
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Reported by:EDI
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Company:Memorial Regional Health
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Module:BenAdmin
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Severity:Simple
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
Kevin Hale (Inactive)
created issue -
Kevin Hale (Inactive)
made changes -
| Field | Original Value | New Value |
|---|---|---|
| Description |
For UMR COBRA Connections - 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 |
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 |
Kevin Hale (Inactive)
made changes -
| Summary | UMR Qualifying Event Code Updates | UMR Qualifying Event Code Updates_Memorial Regional Health |
Kevin Hale (Inactive)
made changes -
| 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 |
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] |
| Assignee | Satya [ ID10004 ] | Ganesh Sadawarte [ ganesh.sadawarte ] |
| Remaining Estimate | 0h [ 0 ] | |
| Time Spent | 0.5h [ 1800 ] | |
| Worklog Id | 95030 [ 95030 ] |
| Assignee | Ganesh Sadawarte [ ganesh.sadawarte ] | Kevin Hale [ kevin.hale ] |
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
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 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
| Assignee | Kevin Hale [ kevin.hale ] | Ganesh Sadawarte [ ganesh.sadawarte ] |
| EDI Analyst 1 | Damion Velasquez [ damion.velasquez ] | |
| Original Estimate | 0h [ 0 ] |
| Assignee | Ganesh Sadawarte [ ganesh.sadawarte ] | Rajendra Pawar [ rajendra.pawar ] |
| Assignee | Rajendra Pawar [ rajendra.pawar ] | Vinayak Kulkarni [ vinayak.kulkarni ] |
Hi Damion,
We have added given cobra event name for Memorial Regional Health, Please check, Thanks.
| Issue Type | Change Request [ 10002 ] | Support Activity [ 10301 ] |
| Status | New Request [ 10029 ] | Resolved [ 5 ] |
| Support Task Type | Query Resolution [ 11205 ] | |
| Workflow | WT_Features [ 59617 ] | WT_Support [ 64457 ] |
| Assignee | Vinayak Kulkarni [ vinayak.kulkarni ] | Damion Velasquez [ damion.velasquez ] |
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
| Status | Resolved [ 5 ] | Reopen [ 4 ] |
| Comment | [ [~Vinayak.Kulkarni] - the last comment by [~Damion.Velasquez] has client email which states that they need numbers (and not text) for reason. Is this something that has to be part of the COBRA events? ] |
| Resolution | Done [ 10000 ] | |
| Status | Reopen [ 4 ] | Resolved [ 5 ] |
Can you close this? I dont have the option Thanks
| Assignee | Damion Velasquez [ damion.velasquez ] | Vinayak Kulkarni [ vinayak.kulkarni ] |
| Status | Resolved [ 5 ] | Closed [ 6 ] |
Closed..Thanks
| Transition | Time In Source Status | Execution Times |
|---|
|
82d 43m | 1 |
|
4d 11h 46m | 1 |
|
1m 12s | 1 |
|
25d 21h 9m | 1 |
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