Type:
Enhancement
Status:
Closed
Priority:
Medium
Resolution:
Done
Affects Version/s:
None
Module:
BenAdmin
- Export
Company:
City of Claremont
Item State:
Production Complete
City of Claremont-Sunlife 834 Enrollment and Demographic change type.
This enhancement is related to EDI-22
After moving to change file testing, the only remaining issue we have is INS03 and INS04. They want a code based on the type of change. Please see below.
This is absolute requirement for Sun Life and we cannot pass testing without coding for this. How quickly can this achieved?
I have a call on Friday, 4/1 with the Broker and Carrier and need to have some indication of what how long this will take.
INS04:
INS04 maintenance code '25' should ONLY be used for a member SSN change.
You are sending member change INS03 ='001' with an INS04 value '25'.
For member demographic change, NON SSN, INS03 = '001' please use INS04 = '33'.
If INS04 = '25' is received for an existing client the transactions reject because we are trying to update an existing SSN with the same SSN.
General Guidelines:
Initial Enrollment - INS03 = '021'
USE: INS04 ='28' (initial enrollment)
Termination - INS03 = '024'
USE INS04 = '07' (benefit termination) or '08' (EE termination)
SSN Change - INS03 = '001'
USE: INS04 ='25'
Any Other Demographic Change: Address, Salary, Name etc. - INS03 = '001'
Use: INS04 = '33'
Rehire - INS03 = '021'
USE: INS04 = '41' (re-enrollment)
Unknown/Unidentified Change: INS03 ='001'
Use: INS04 = 'AI'
Thanks,
Chris
Rakesh Roy (Inactive)
made changes -
05/Apr/16 02:56 PM
Field
Original Value
New Value
Account Executive
Kiyo Takahashi
[ ktak
]
Ganesh Sadawarte (Inactive)
made changes -
06/Apr/16 07:04 AM
Developer
Ganesh Sadawarte
[ ganesh.sadawarte
]
Item State
Parent values: Development(10200)Level 1 values: In Analysis(10204)
Rakesh Roy (Inactive)
made changes -
07/Apr/16 05:04 AM
Status
New Request
[ 10029
]
Pending for Approval
[ 10002
]
Rakesh Roy (Inactive)
made changes -
07/Apr/16 05:04 AM
Status
Pending for Approval
[ 10002
]
Approved for Development
[ 10003
]
Ganesh Sadawarte (Inactive)
made changes -
11/Apr/16 08:40 AM
Item State
Parent values: Development(10200)Level 1 values: In Analysis(10204)
Parent values: Development(10200)Level 1 values: In Progress(10206)
Ganesh Sadawarte (Inactive)
made changes -
14/Apr/16 05:33 AM
Description
City of Claremont-Sunlife 834 Enrollment and Demographic change type.
This enhancement is related to EDI-22
City of Claremont-Sunlife 834 Enrollment and Demographic change type.
This enhancement is related to EDI-22
After moving to change file testing, the only remaining issue we have is INS03 and INS04. They want a code based on the type of change. Please see below.
This is absolute requirement for Sun Life and we cannot pass testing without coding for this. How quickly can this achieved?
I have a call on Friday, 4/1 with the Broker and Carrier and need to have some indication of what how long this will take.
INS04:
INS04 maintenance code '25' should ONLY be used for a member SSN change.
You are sending member change INS03 ='001' with an INS04 value '25'.
For member demographic change, NON SSN, INS03 = '001' please use INS04 = '33'.
If INS04 = '25' is received for an existing client the transactions reject because we are trying to update an existing SSN with the same SSN.
General Guidelines:
Initial Enrollment - INS03 = '021'
USE: INS04 ='28' (initial enrollment)
Termination - INS03 = '024'
USE INS04 = '07' (benefit termination) or '08' (EE termination)
SSN Change - INS03 = '001'
USE: INS04 ='25'
Any Other Demographic Change: Address, Salary, Name etc. - INS03 = '001'
Use: INS04 = '33'
Rehire - INS03 = '021'
USE: INS04 = '41' (re-enrollment)
Unknown/Unidentified Change: INS03 ='001'
Use: INS04 = 'AI'
Thanks,
Chris
Satya
made changes -
14/Apr/16 12:23 PM
Fix Version/s
1.0
[ 10000
]
Satya
made changes -
14/Apr/16 01:41 PM
Satya
made changes -
14/Apr/16 01:41 PM
Ganesh Sadawarte (Inactive)
made changes -
22/Apr/16 11:53 AM
Item State
Parent values: Development(10200)Level 1 values: In Progress(10206)
Parent values: Development(10200)Level 1 values: Ready for Review(10208)
Ganesh Sadawarte (Inactive)
made changes -
25/Apr/16 05:37 AM
Item State
Parent values: Development(10200)Level 1 values: Ready for Review(10208)
Parent values: LB QA(10201)
Ganesh Sadawarte (Inactive)
made changes -
25/Apr/16 05:37 AM
Item State
Parent values: LB QA(10201)
Parent values: LB QA(10201)Level 1 values: LB Deployed(11600)
Ganesh Sadawarte (Inactive)
made changes -
25/Apr/16 05:37 AM
Assignee
Ganesh Sadawarte
[ ganesh.sadawarte
]
Aniruddha Dev
[ aniruddha.dev
]
Aniruddha Dev (Inactive)
made changes -
28/Apr/16 02:09 PM
Assignee
Aniruddha Dev
[ aniruddha.dev
]
Ganesh Sadawarte
[ ganesh.sadawarte
]
Ganesh Sadawarte (Inactive)
made changes -
29/Apr/16 07:16 AM
Assignee
Ganesh Sadawarte
[ ganesh.sadawarte
]
Aniruddha Dev
[ aniruddha.dev
]
Aniruddha Dev (Inactive)
made changes -
02/May/16 01:57 PM
Item State
Parent values: LB QA(10201)Level 1 values: LB Deployed(11600)
Parent values: LB QA(10201)Level 1 values: In Testing(10210)
Aniruddha Dev (Inactive)
made changes -
03/May/16 09:16 AM
Item State
Parent values: LB QA(10201)Level 1 values: In Testing(10210)
Parent values: LB QA(10201)Level 1 values: Ready for Stage(10213)
Aniruddha Dev (Inactive)
made changes -
03/May/16 09:16 AM
Status
Local Testing
[ 10200
]
Pending for Stage Approval
[ 10300
]
Ganesh Sadawarte (Inactive)
made changes -
04/May/16 11:32 AM
Item State
Parent values: LB QA(10201)Level 1 values: Ready for Stage(10213)
Parent values: Stage QA(10202)Level 1 values: Stage Deployed(11602)
Aniruddha Dev (Inactive)
made changes -
04/May/16 01:30 PM
Item State
Parent values: Stage QA(10202)Level 1 values: Stage Deployed(11602)
Parent values: Stage QA(10202)Level 1 values: In Testing(10214)
Aniruddha Dev (Inactive)
made changes -
05/May/16 07:43 AM
Item State
Parent values: Stage QA(10202)Level 1 values: In Testing(10214)
Parent values: Stage QA(10202)Level 1 values: Ready for Production(10217)
Aniruddha Dev (Inactive)
made changes -
05/May/16 07:43 AM
Status
Stage Testing
[ 10201
]
Pending for Production Approval
[ 10301
]
Ganesh Sadawarte (Inactive)
made changes -
05/May/16 10:08 AM
Status
Pending for Production Approval
[ 10301
]
Approved for production
[ 10034
]
Ganesh Sadawarte (Inactive)
made changes -
05/May/16 10:08 AM
Item State
Parent values: Stage QA(10202)Level 1 values: Ready for Production(10217)
Parent values: Production QA(10203)Level 1 values: Production Deployed(10221)
Aniruddha Dev (Inactive)
made changes -
05/May/16 12:56 PM
Item State
Parent values: Production QA(10203)Level 1 values: Production Deployed(10221)
Parent values: Production QA(10203)Level 1 values: In Testing(10218)
Aniruddha Dev (Inactive)
made changes -
05/May/16 01:23 PM
Assignee
Aniruddha Dev
[ aniruddha.dev
]
Kiyo Takahashi
[ ktak
]
Resolution
Fixed
[ 1
]
Status
Production Testing
[ 10202
]
Production Complete
[ 10028
]
Rakesh Roy (Inactive)
made changes -
11/May/16 03:33 AM
Item State
Parent values: Production QA(10203)Level 1 values: In Testing(10218)
Parent values: Production Complete(10222)
Chris Ellenberger
made changes -
27/Dec/16 06:49 PM
Status
Production Complete
[ 10028
]
Closed
[ 6
]
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