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  1. WORKTERRA
  2. WT-13446

GFC > UMR 1500 > Unexpected Health Tier Policy No Effective Date

    Details

    • Type: Support Activity
    • Status: Closed
    • Priority: Medium
    • Resolution: System Behaviour
    • Affects Version/s: None
    • Fix Version/s: None
    • Component/s: BenAdmin
    • Labels:
      None
    • Support Task Type:
      Query Resolution
    • Environment:
      Production
    • Reported by:
      EDI
    • Company:
      GFC
    • Module:
      BenAdmin - Export
    • Severity:
      Simple
    • Provider & Benefits:
      UMR-Medical

      Description

      Hello,

      Health tier policy No for UMR medical plans uses rules based on the Yes/No response to the Disease Managment page. The file seems to be picking up the date following the effective date of the change used for the disease management response. instead of the actual date.

      Examples:

      Kara Freymiller
      Cari Griffiths
      Jeffrey Howatt
      Jeanette Leach
      Holly Miller
      Donald Rapp
      Anna Wos Kolodziejczy

      Admin QE event was used to make these changes and per Jennifer Mitchell review, the effective date should have been date of event. I checked health tier mapping records and there are no rules defined, so i am unclear why these records are receiving day after event date.

      Thanks,
      Chris

        Attachments

          Activity

          Chris.ellenberger Chris Ellenberger created issue -
          Prashant.samal Prashant Samal (Inactive) made changes -
          Field Original Value New Value
          Assignee Satya [ ID10004 ] Rajendra Pawar [ rajendra.pawar ]
          rajendra.pawar Rajendra Pawar (Inactive) made changes -
          Assignee Rajendra Pawar [ rajendra.pawar ] Rakesh Shahane [ rakesh.shahane ]
          rakesh.shahane Rakesh Shahane (Inactive) made changes -
          Status Open [ 1 ] In Progress [ 3 ]
          rakesh.shahane Rakesh Shahane (Inactive) made changes -
          Attachment EffectiveDateRule.jpg [ 73792 ]
          rakesh.shahane Rakesh Shahane (Inactive) made changes -
          Attachment Correction.jpg [ 73793 ]
          rakesh.shahane Rakesh Shahane (Inactive) made changes -
          Assignee Rakesh Shahane [ rakesh.shahane ] Chris Ellenberger [ chris.ellenberger ]
          Resolution System Behaviour [ 10100 ]
          Status In Progress [ 3 ] Resolved [ 5 ]
          rakesh.shahane Rakesh Shahane (Inactive) made changes -
          Remaining Estimate 0h [ 0 ]
          Time Spent 8h [ 28800 ]
          Worklog Id 106435 [ 106435 ]
          Chris.ellenberger Chris Ellenberger made changes -
          Status Resolved [ 5 ] Closed [ 6 ]

            People

            Assignee:
            Chris.ellenberger Chris Ellenberger
            Reporter:
            Chris.ellenberger Chris Ellenberger
            Account Executive:
            Jennifer Mitchell (Inactive)
            EDI Analyst 1:
            Chris Ellenberger
            Votes:
            0 Vote for this issue
            Watchers:
            3 Start watching this issue

              Dates

              Created:
              Updated:
              Resolved:

                Time Tracking

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                Remaining:
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                Logged:
                Time Spent - 8h
                8h