Hello Rakesh Roy,

Mr. Rhodes indicated that he would reach out to DEV directly; however, I did want to list the client note below from a 1/31/2017 email for documentation purposes:

The IRS benefit plan should be sent to us with the new 2017 plans prior to the first file being sent as of today we have not received and last year we never received from you at all?

Also we are experiencing many issues in ACA compliance with the reporting that is sent over from Workterra. We need one change to happen on the January 2017 file
that is due on February 10th,2017 for both the Employee and the Dependent file.

On the Employee file Column I “ Benefits Effective date” should be all employees for the month of January 2017. On all other months we should see only the changes made with that month
So on March 10th, 2017 when you send us the February 2017 file the only thing that should be on that file are any changes that happened between the January file and the February file. As of
today the file you are sending has all data for all months every month and when it is sent to the IRS it creates duplicate which in turn create a problem with our ACA reporting.

We have the same issue for the employee dependent file on Column F with the exact same scenario.

Please advise on what it will take to get the programmer to correct this,

Thank you.

Hello Rakesh Roy,

Prime sent the following message today with attachment (password will be sent separately):

I have attached a report of employees that are showing as a compliance risk through our third party ACA vendor Equifax. There are 309 employees that are active in the Workterra system but are not coming over on the IRS Employee file. What this means is that Prime will be at risk for penalties and fines so we need to understand why these employees are not being reported by Workterra?

Please advise at your earliest convenience.

Amber Love-Jones

Password not received.

FY! Rakesh Roy,Sachin Hingole,Nandkumar Prabhakar Karlekar,Mahendra Mungase

Hi Mahendra Mungase

Please verify the attached prime plan list 2017.
This report consider the class1, class2 and "Nicotine Product" only for cost distribution.

*Note *: this report is not considering the Apply Full time rate " additional flag.

Hi Amber Love-Jones

We have attached FEIN list which will come on 2017 prime files. Please review the FEIN , let us know if you want to add and remove FEIN.

FEIN with Employee count on JAN 17 file - EIN_List_Employee_Count.xls

FEIN With Dependent count on JAN 17 file - EIN_List_Dependent_Count.xls .

CC - Smita Pawar Sachin Hingole Nandkumar Prabhakar Karlekar Debbie Kulling Rakesh Roy Revansiddha Gaur

Thanks.

Hello Mahendra Mungase,

I spoke with Prime today and they have added more information to the message I sent yesterday. The attached report I sent yesterday is a list of 309 employees that are active in Workterra but are not coming over on the IRS Employee file and not showing on the 1095-C forms for 2016.

Please review for 2016 and advise a.s.a.p. why these employees are not being reported by Workterra?

Thank you!

Can you please look into this point.

CC- Sachin Hingole

We are currently working on JAN 2017 File.
We will update testing status on 10 Jan 2017 [EOD]

Hi Amber Love-Jones,

CONCERN : 309 Employees not reflected on Dec 2016 file.
CAUSE : In attached excel file has been provided inline comment in 'Harbinger Comment' column for each employee.

309 Employees Analysis Feedback.xls

No Of Employee - 309
Double Employees- -2
-----------------------------------
Remains Employees - 307
Blank EmpID - 1
-----------------------------------
Need to Analysed Emps - 306+1 (Blank Emp ID)
Not Present Emp Records - 225/307 ( In Excel highlighted by Orange Color )
Terminated Employees - 23 ( In Excel highlighted by Yellow Color )
Not Enrolled For ACA Plans - 53 ( In Excel highlighted by Blue Color )
Should Come one File Emps - 5 ( In Excel highlighted by Blue Color )
Note : We are working on these 5 employees analysis & for Blank EmpID Employee .

Regards,
Revan

Mahendra Mungase Smita Pawar Sachin Hingole Nandkumar Prabhakar Karlekar

Thank you Mahendra Mungase. I will advise if there are additional comments from Prime by end of day today.

Hello Mahendra Mungase,

Prime sent another report this morning, titled "workterra compliance_2016.xlsx. Password will be emailed to you.

The list shows employees that are missing from 2016. Prime can see them in WorkTerra, but the employees never came over to Prime in an IRS file. Please review and update immediately

Thank you.

Amber

Prime reviewed report titled "309 Employees Analysis Feedback." It was discovered that many employees highlighted in orange listed as not in WorkTerra are in WorkTerra. I went through every employee highlighted in orange and listed the location where they work or worked in 2016. Many are with Landmark, which was a Prime_Healthcare facility until 5/1/2016. Others are Prime breakout employees and I have listed them on the last column of the attached report.

Please find attached "309 Employees Analysis Feedback_Updated" attached. Password will be emailed to Mahendra Mungase. These need to be updated immediately so that I can advise Prime that they are fixed as of tomorrow, 2/9/2017.

Thank you.

Hi Amber Love-Jones,

We are working on 309 Employees Issue.

Regards,
Revan

Smita Pawar Mahendra Mungase Sachin Hingole Nandkumar Prabhakar Karlekar

Hi Mahendra Mungase,

As we discussed with you, Please look into above comments.

Regards,
Revan

Smita Pawar Sachin Hingole Nandkumar Prabhakar Karlekar

Hi Amber Love-Jones,

We have uploaded Prime Files for Jan 2017 on FTP.

URL: https://ftpsecure.ebsbenefits.com
Path:/users/workterraaca/Prime/Prime_facility_02092017

File names:1. Jan2017_EMP - 02092017.zip
2. Jan2017_DEP - 02092017.zip

Let us know your feed back for same.

Thanks,
Smita

FYI Sachin Hingole,Nandkumar Prabhakar Karlekar,Revansiddha Gaur,Mahendra Mungase

Hi Amber Love-Jones

Today we have done the analysis on shared ”309 Employees Analysis Feedback_Updated ” sheet and added Harbinger comments against each employee.

File Name - Latest_Analysis_Of_309_Employees_Feedback.zip

Password in next mail.

Below is high level analysis for 309 employee's.

Sr.No Employee Count Reason
1 177 Not found in system
2 109 Requested to remove “461175423 LANDMARK MEDICAL
CENTER LMC” facility from file.As Prime also receiving the same
data from Lawson
3 23 Details comments provided under “Harbinger Comments” column
*Total 309*

Please let me know for any query.
Thanks,

Mahendra

Hello Mahendra Mungase,

I have forwarded the "Latest_Analysis_Of_309_Employees_Feedback" to Prime, and will provide any feedback they have.

Thank you.

Hello Mahendra Mungase, Nandkumar Prabhakar Karlekar, Revansiddha Gaur,

Prime made comments on the last items we sent on 2.10.2017. I have added Prime's comments in red

Below is high level analysis for 309 employee's.
Sr.No Employee Count Reason
1 177 Not found in system - Prime will research these today
2 109 Requested to remove “461175423 LANDMARK MEDICAL
CENTER LMC” facility from file.As Prime also receiving the same
data from Lawson - Prime is asking who authorized that the Landmark employees be removed. Prime would like these 109 employees to be be added back into the IRS reporting as they were with WorkTerra through 4/30/2016. Please update and reissue report.

It is URGENT that the corrections for the 109 employees be made immediately.

Thank you.

Sure, ACA Team will look in to this and this will be done on or before Monday
Revansiddha Gaur Nandkumar Prabhakar Karlekar : Please look in to this on urgent basis.

Hi Amber Love-Jones

We have extracted the data from prime healthcare company for 109 employees for Jan to april month. 105 employees are exported on file. Please find the attached file

Following 3 employees are not eligible for any ACA Plan
So these will not come on ACA report.

1. CATHY A GIGNAC
2. LISA MILLETTE
3. GLENN MILLER

Following one employee is not found in Workterra.
1. Santana Victor

Folder name : Prime ACA 109 Emps Files.zip

*Additional information: *

We had completely blocked the following EIN so no any employee from these EIN has been exported on the ACA Prime file.

461175423 LANDMARK MEDICAL CENTER
461175423 LANDMARK PHYSICIAN OFFICE SERVICES
461175423 REHAB OF RHODE ISLAND
472819044 SUBURBAN COMMUNITY HOSPITAL
474575700 SUBURBAN COMMUNITY MEDICAL GROUP

Today, We have rerun the prime ACA files for these EIN and we have found 1000+ employees records for these EIN. Can you please audit the additional data and let us know your view on the same because not only 109 but also more than 1000 records are missing for above EIN.

Folder name : Folder name : Additional dataPrime File_1.zip

Please let me know if Call is required to discuss this matter.

AS FTP is not working so we are sending the mail for file delivery please check you mail.

Hi Amber Love-Jones

Do you have any updates on above comments 13 /Feb/17 by Nandkumar.

Also do you have any feed back on JAN 17 - file shared by Smita on 09/Feb/17 4:55 AM.

CC- Sachin Hingole Nandkumar Prabhakar Karlekar Smita Pawar

Thanks.

Hello Mahendra Mungase,

Prime reviewed the 2017 January file and have 15 facilities that do not belong on the file and 5 facilities that have no data. The 5 facilities with no data are on the attached spreadsheet, titled Copy of IRS checkoff with password. Password will be sent separately.

1. We have 15 facilities that came over on Workterra but are now Lawson please remove for Worterra file.
a. Bio-Med
b. Garden Grove
c. Dallas medical center
d. Southern Regional
e. United Home health
f. Garden City medical group
g. Roxborough
h. Lower Bucks
i. Dallas medical group
j. St. Clares
k. St. Michaels
l. Garden City
m. Lake Huron medical group
n. BMC
o. Glendora

2. Missing the following facilities Completely on January Workterra file:
a. River valley Physicians - Workterra
b. Coshocton - Workterra
c. East Liverpool - Workterra
d. Ohio Valley Home Health - Workterra
e. Ohio Valley Home Care – Workterra.

Also the count for Centinela Hospital looks really low 848 - please confirm if WT is pulling the correct data as from the individual servers?

Can you please revise and send over a January 2017 file as soon as possible?

Thank you.

Hi Smita Pawar

Can you please go through the comments.

Thanks

As per comments of Amber Love-Jones below are the action points for us...

• 15 Facilities data need to be removed
• 5 Facilities data need to be added
• The count for Centinela Hospital looks really low 848 confirmation.
• By revising send over a January 2017 file.

Mahendra Mungase Smita Pawar Sachin Hingole Nandkumar Prabhakar Karlekar

Hi Amber Love-Jones,

15 Facilities data need to be removed & 5 Facilities which needs to be added newly
Please find the attached excel sheet & mark in the column 'Include/Exclude' EINs to consider or not to be considered.So that it will be helpful to process the file with more accuracy in single cycle. In addition to this we have considered 5 Facilities which needs to be added newly in the attached sheet.

The count for Centinela Hospital looks really low 848 confirmation.
We have considered Centinela Hospital Facility only & we confirmed again. If we need to consider any other standard population please let us know.

Attachment
List of EINs to include or exclude for Year 2017 Prime Files.xlsx

Note : Password will be sent separately by mail.

Regards,
Revan

Mahendra Mungase Smita Pawar Sachin Hingole Nandkumar Prabhakar Karlekar

Hello Revansiddha Gaur,

Please find Prime's comments from your notes yesterday in red. I made additional comments back to Prime in blue.

15 Facilities data need to be removed & 5 Facilities which needs to be added newly
Please find the attached excel sheet. Please populate the 'Include/Exclude' column for EINs to be considered or not to be considered. This will be helpful to process the file with more accuracy in a single cycle. The missing 5 Facilities have been added in the attached sheet. Please add the EIN.

See attached spread sheet to send over to Development I’m just curious the understanding I have is that the facility notifies you that we will no longer be utilizing your services? As of January the benefits coordinators no longer have access to Workterra so apparently someone took away their rights so why do we still continue to get information on out reporting side?

We have alerted Development and EDI of the facilities that went to Lawson effective 1/1/2017 so that any reporting is stopped.

The count for Centinela Hospital looks really low 848 confirmation.
We have considered Centinela Hospital Facility only & we confirmed the 848 number again. If we need to consider any other standard population please let us know.

There is a discrepancy of 462 Employees between December 2016 and January 2017 data please analysis and advise

– Development will need to review and provide an answer to your question

Attachment
List of EINs to include or exclude for Year 2017 Prime Files.xlsx

This list that was sent to us has 9 Employer Names that were incorrect on your original file above? Again just out of curiosity how does something like this happen I have concerns that we have incorrect data in your system across the board? Please advise -

Development has been properly updated regarding the facilities.

Attached, please find the updated EIN Listing along with the 2016 ACA file where Centinela has approximately 400 more employees than the report you provided. Password will be emailed to Revansiddha Gaur.

Hi Amber Love-Jones,

Here we are let you that, We are going to furnish the Jan Full File & Feb Change File till 10 March.

Regards,
Revan

Mahendra MungaseSmita Pawar Sachin Hingole Nandkumar Prabhakar Karlekar

Hi Revansiddha Gaur,

I have advised the client that these files will not be available until March 10, 2017. The client may not be happy with the delay, but I will respond back if I hear anything from them.

Thank you.

Amber

Hi Amber Love-Jones,

To be included below EINs which are mentioned in the list in excel file- Copy of List of EINs to include or exclude for Year 2017 Prime Files (003)_UPDATED with password.xlsx we couldn't find the names in the class1name i.e. facility class. So we have stuck in the process of files. So here we are requesting you to please create the eligibility rule for below employers & let us know.

• River valley Physicians (part of East Liverpool)
• Coshocton 
• East Liverpool
• Ohio Valley Home Health (part of East Liverpool)
• Ohio Valley Home Care (part of East Liverpool)

Please response asap so that we can furnish the files within deadline.

Regards,
Revan

Smita Pawar Mahendra Mungase Sachin Hingole Nandkumar Prabhakar Karlekar

Hello Revansiddha Gaur,

Coshocton is a new, separate facility in WorkTerra with all plans effective 1/1/2017.

Eastliverpool is a new, separate facility in WorkTerra with all plans effective 1/1/2017. The other names listed above are classes within the facility:

Please advise what you mean when asking to "create the eligibility rule for below employers."

Thank you.

Amber

Hi Amber Love-Jones,

We have found 7 employees in two companies by different classes. Please review those employees which are listed below & let us know which companies employees should we refer to process the files?

Company Name : PrimeHealthcare

Company Name : Prime Healthcare

Regards,
Revan

Smita Pawar Mahendra Mungase Sachin Hingole Nandkumar Prabhakar Karlekar

Hello Revansiddha Gaur,

All of these employees fall under PrimeHealhcare (no space). Please confirm that the reporting will be available by Friday, 3/10 for the client.

Thank you.

Amber

Hi Amber Love-Jones

We will share Jan 17 files on tomorrow EOD.

Thanks

Hello Mahendra Mungase,

I understand that your team will have updated January 2017 and February 2017 files available tomorrow, 3/10/2017. Will the regular monthly file for March also be available tomorrow, 3/10/2017, or will that file be completed on April 10, 2017?

Thank you!

Amber

Hi Amber Love-Jones,

We have uploaded prime files for the month of Jan & Feb 2017 on EBS FTP.
March file will be available on Apr 10, 2017.

Details about uploaded files are as follows.

URL:https://ftpsecure.ebsbenefits.com
Path:/users/workterraaca/Prime/Primefacility03102017
Zip file name-Jan Feb File
File names-
1.Jan2017_EMP_Full.xls
2.Jan2017_DEP_Full.xls
3.Feb2017_EMP_Change.xls
4.Feb2017_DEP_Change.xls

Let us know, if you need any additional information.

Note: Testing of Feb 2017- Change files is in progress.
We will update you testing status for Feb file on Mar 16, 2017

Thanks,
Smita

FYI Nandkumar Prabhakar Karlekar,Sachin Hingole,Revansiddha Gaur,Kumar Chhajed,Mahendra Mungase

Thank you, Smita Pawar. I will let you know if the client has any additional questions.

Amber

Hi Amber Love-Jones,

Can you please let us know the feedback for provided files of Jan & Feb?
Once approved that files we can be able to start the process for March file.

Regards,
Revan
Smita Pawar Nandkumar Prabhakar Karlekar Sachin Hingole

Hello Revansiddha Gaur,

The client advised that they are still reviewing the January and February 2017 reports and will have updates later this afternoon. However, they did point out that Southern Regional is still coming across the January and February files. Southern Regional is no longer with WorkTerra as of 12/31/2016. The other Prime_Healthcare facilities that left WorkTerra as well are:

• Garden Grove (breakout as GGH in WorkTerra)
• Dallas Medical Center (breakout as DMC in WorkTerra)
• St. Clares (under Prime_Healthcare in WorkTerra)
• St. Mary's Passaic (under Prime_Healthcare in WorkTerra)
• Lower Bucks Union & Non-Union (under Prime_Healthcare in WorkTerra)
• Roxborough (under Prime_Healthcare in WorkTerra)

Thank you.

Hi Amber Love-Jones,

We are giving you the Jan,Feb,Mar files before 10th April. Is this OK ? please let us know.

Regards,
Revan

Smita Pawar Sachin Hingole Nandkumar Prabhakar Karlekar

Hello Revansiddha Gaur,

I would prefer to wait until the client has provided feedback on the January and February files we already sent on 3/10/17. I will keep you updated on when I hear back from Prime.

Thank you,

Amber

Hi Amber Love-Jones,

Can you please expedite for the feedbacks on the Jan & Feb files? which will help to furnish the files within deadlines.

Thanks & Regards,
Revan

Smita Pawar Nandkumar Prabhakar Karlekar

All - Please hold off on the above until we have completed the files for WT-8253 - We need the Southern Regional files completed 1st!

Thanks!

Jenni

Hello Smita Pawar,

Please commence on processing March 2017 files.

Client did have an item that they would like Dev to research:
Saint Marys Reno Anesthesia for 2017 now shows none of the employees on WT's reporting exist in Prime's employee files. Prime is asking why they don't have any records of the actual employees that work under the FEIN 300852838.

For example Shane Kruitbosch EEID198069 is active on WT under Saint Mary’s Medical Group but Prime hase him working at Saint Marys Reno Anesthesia.
Karen Willemsen EEID1089 is under Saint Marys Reno Anesthesia FEIN on your report but Prime does not show this employee working for Prime at all. Note: This employee is listed under Summit Surgery Center at Saint Marys Galena, which is no longer with WorkTerra as of 9/30/2016.

Can you please look at these examples and advise the client what is going on with this FEIN? Prime advises that the 2016 files were fine for this FEIN, so can a comparison be run between 2016 and 2017 to see what changed?

Thank you.
Amber

Hi Amber Love-Jones,

Can you please provide us the consolidated discrepancy details, so that we can analyse before processing for March file?

Note : We can not start to process the March files unless and untill confirm the files are valid for Jan and Feb files.

Thanks,
Revan

Smita Pawar Sachin Hingole Nandkumar Prabhakar Karlekar

Per Mahendra Mungase, I am adding all new information for January 2017 going forward to WT-8255.

Thank you.

Smita Pawar, Nandkumar Prabhakar Karlekar,

Hello,

While we are waiting for WT-9121 to be completed, the client has advised that they have an answer regarding Summit Surgery Center Galena employees. These employees are under contract and have a TPA which processes their 1095 C's, so these employees do not need to be included in any ACA reporting for 2017.

Thank you,

Amber

Revansiddha Gaur, Smita Pawar

Attached, please find screenshots and explanation from Prime regarding St. Marys Reno Anesthesia employees being reported under St Marys Medical Group.

Thank you,

Amber

Hi Amber Love-Jones

1. we will stop all employees from "Summit Surgery Center at St Marys Galena" class for 2017.
2. There are no employees present in workterra for Reno Tahoe Anesthesiology class.
3. Can you provide the list of employees [EMPID or SSN] which need to be on file for EIN 300852838 so we can take care for the same.

Thanks
Nandkumar

Hello Nandkumar Prabhakar Karlekar and Revansiddha Gaur,

Attached, please find a recent request from Prime_Healthcare. Attachment is titled JIRA - WT-8076 with password. The password will be emailed to you separately.

Screenshot #1: The employees listed should be moved over to St. Mary’s Reno Anesthesia. Prime has listed the employees below, but WT needs to create a platform for FEIN 300852838 as it currently resides in Workterra as Summit but has the Reno Anesthesia FEIN# and Summit Employees.

Screenshot #2: For the Summit employees, they need to remain under the Summit Platform with the FEIN of 77-0615561 and should NOT BE MOVED to St Mary’s Medical. Prime Healthcare does not need these employees reported to them as they do not process their ACA – it is handled through a TPA.

Screenshot #3: Please move those employees to St. Marys Regional Medical Center FEIN 454-

Lastly, client advises that WT should have 4 FEIN for Prime with 3 that they need reporting on:

Reno Anesthesia 300852838
ST Mary’s Regional 454989022
ST Mary Medical Group 455557052

Thank you!

Amber

Hello Revansiddha Gaur,

Please confirm if these are updates that can be made while we're waiting for completion of WT-9121.

Thank you,

Amber

Hi Amber Love-Jones,

Please provide the SSN list in editable format
for the below point mentioned in the "JIRA - WT-8076 with password.docx" document.

For the Summit employees in screenshot 2 below, these employees need to remain under the Summit Platform with the FEIN of 77-0615561 and should NOT BE MOVED to St Mary’s Medical. Prime Healthcare does not need these employees reported to them as they do not process their ACA – it is handled through a TPA.

Thanks,
Revan
Nandkumar Prabhakar Karlekar Smita Pawar Sachin Hingole

Hello Revansiddha Gaur,

The ssns have been added to those employees that need to be Reno Tahoe Anesthesia. I have attached the document, titled Reno Tahoe Anesthesia JIRA screenshot with password, and will email the password separately.

Thank you,

Amber

Hi Amber Love-Jones,

Please find the excel sheet EmployeePresentInMultipleCompany.xlsx for listed out the employee which are present in multiple company. so we need input from your end that from which company employee should be considered on the file?

For your reference one employee record in the excel sheet has been highlighted in yellow color which is active in more than one company.

Reno Tahoe Anesthesia JIRA screenshot with password in this sheet again screen shot is attached of ssn . If its in textual information so we can copy those ssn & we query on backend & complete the task sooner. so requesting you to please provide the same in textual information.

Thanks,
Revan

Note : Password will mail you.

Nandkumar Prabhakar Karlekar Sachin Hingole Smita Pawar

Hello Revansiddha Gaur,

I reviewed the excel sheet EmployeePresentInMultipleCompany.xlsx. Please confirm:

1. Are all of these employees on the spreadsheet duplicates?
2. If they are all duplicates, please list which facility(s) they're listed under. I don't see duplicate names, and in most cases, only one facility. Column B has COMPANYNAME listed, and Column K has CLASS1Name Listed - both appear to be the same names. Please advise.
3. There are no lines highlighted in this report, as indicated above. Please advise.

Thank you,

Amber

Hello Revansiddha Gaur,

Please respond to comments made last week. The client is very anxious to receive their January, February, March, April and May 2017 ACA monthly reports.

Thank you.

Amber

Hi Amber Love-Jones,

Currently we are working with Amit Thorve for Metso Files. So once we completed the same. We will schedule for the Prime files.

Thanks,
Revan

Nandkumar Prabhakar Karlekar Smita Pawar Sachin Hingole

Hello,
This item has been escalated to Dave and Nick, in addition to myself. We need to have this item prioritized as well. Please advise, what is the estimated timeframe when we can expect the files? Thank you.

Hi Yamilka Coca

Currently, we are processing the metso files. As this task will get complete. we will start prime file data analysis.
we will provide Jan Month full file for review on or before 16 June 2017.

Please let me know you View.

Bharti Satpute,Amit Thorve

Hi Amber Love-Jones,
We have uploaded Prime Files for Jan 2017 on FTP.

URL: https://ftpsecure.ebsbenefits.com
Path:/users/workterraaca/Prime/Prime_facility_06082017
File name:1. Prime -Jan-2017.zip

Note: Zip folder contains Employee & Dependent files.
Sending password in email

Thanks,
Smita

FYI Nandkumar Prabhakar Karlekar,Rakesh Roy,Sachin Hingole,Revansiddha Gaur,Amit Thorve

Hi Amber Love-Jones

We have uploaded change files for the month of Feb & March 2017.
Below are the details of uploaded files.

URL:https://ftpsecure.ebsbenefits.com
Path:/users/workterraaca/Prime/Prime_facility_06092017
Name:Prime Feb & Mar.zip

Our Observations are as follows

1.While testing Feb months file we observed that employee 'VICKI M MATHIS' [Company:CHMC] has a election from 01/03/2017.This employee has not a offer for a complete month in the month of Jan 2017 . Hence this employee not reflected on Jan month's full file
and reflected on Feb month's change file.
2.Similarly we observed that there are duplicate records of employees in more than one company and its related data e.g..
1.CONSUELO GARCIA ---HMC Comanay
2.JOANNE R GENN ----PMC Company

Note: Zip folder contains Employee & Dependent files.
Sending password in email

Thanks,
Smita

FYI Nandkumar Prabhakar Karlekar, Rakesh Roy,Sachin Hingole,Revansiddha Gaur,Amit Thorve,Yogesh Chaudhari

Hello Yogesh Chaudhari and Smita Pawar,

Thank you for sending over the February and March files.

Below are responses to the comments you made on the select employees above.

CHMC employee Vicki Mathis was on a LOA and returned to work on 1/3/2017, and re-elected benefits

HMC employee Consuelo Garcia is listed with two separate ssns - awaiting confirmation of which is correct from the facility.

PMC employee Joanne R Genn - employee is listed under PMC (Pampa Regional Medical Center) and Prime_Healthcare zDelete Pampa Regional Medical Center. Employee information should be pulled from PMC site only. Facility transferred from Prime_Healthcare to it's own site, PMC.

Thank you,

Amber

Hi Amber Love-Jones,

We have uploaded Prime Files for April and May 2017 on FTP.

URL: https://ftpsecure.ebsbenefits.com
Path:/users/workterraaca/Prime/Prime_facility_06122017

File name : Prime Files April May.zip

Note: Zip folder contains Employee & Dependent files.
Sending password in email

Thanks,
S Prashant
-----------------------------------------------------------------------------
CC- Nandkumar Prabhakar Karlekar,Rakesh Roy,Sachin Hingole,Revansiddha Gaur,Amit Thorve Yogesh Chaudhari

Amber Love-Jones

'VICKI M MATHIS' enrollment date is 01/03/2017 , means he do not have offer for the complete January month. Hence this employee not reflected on Jan month's full file and reflected on Feb month's change file. This is behavior of our system.

Please see the attached screen shot from IRS site ( https://www.irs.gov/instructions/i109495c/ar01.html#d0e1116 ) which describes all days of a month offer is required.

Please let us know your thought on same asap.

Once you get confirmation about 'CONSUELO GARCIA' employee, please terminate him from respective old company and also terminate with same date in file as well.

Nandkumar Prabhakar KarlekarSmita PawarPrashant SamalSachin Hingole

Amit ThorveJennifer JohnsonAmber Love-JonesYamilka CocaNandkumar Prabhakar KarlekarRevansiddha GaurSmita Pawar

Hi All,
Please find the attached Prime_Duplicate_Active_Employee_List.zip file contains duplicate employees list whose status is Active in 2 or more companies of Prime. There are distinct 173 duplicate active employees present in multiple companies.

Password sent in mail.

Hello Yogesh Chaudhari,

1. Vicki M Mathis returned from a Leave of Absence effective 1/3/2017, and according to plan rules, employees can re-enroll in benefits effective the same date that they return. I do not see any other place in the system where the coverage has to be reinstated the first of the month for a return from LOA.

2. Employee Consuelo Garcia had the duplicate enrollment employment terminated.

3. Currently reviewing duplicate employee list, and expect to have it completed this week.

4. Prime Healthcare reviewing January 2017 full file and found the following employees listed with zDelete before the facility name:

EEID 107647 - Johnny Guajardo: lists as zDelete Knapp in Prime Healthcare: Employee is currently Active under HMC
EEID 107491 - Dusterhus, Luke: lists as zDelete Harlingen in Prime Healthcare: Employee was Active (now termed 1/31/17) under HMC
EEID 107161 - Sheerin, Aisha: lists as zDelete Harlingen: Employee was Active (now termed 3/1/17) under HMC
EEID 106411 - Vasquez, Georgina: lists as zDelete Harlingen: Employee was Active (now termed 1/31/17) under HMC
EEID 107889 - Magallan, Cruz: Active under HMC
EEID 106136 - Vega, Kady: lists as zDelete Harlingen: Employee was Active (now termed 1/31/17) under HMC
EEID 100174 - Ortega, Jose: lists as zDelete Harlingen: Employee is currently Active under HMC

These employees were moved from Prime Healthcare to HMC. Should those with zDelete be appearing on the January 2017 full file? Please advise.

Thank you!

Amber

Amber Love-Jones

1. Do you want this Vicki M Mathis employee on January month file? Please confirm and let me know.

2. Please find the below details analysis for above mentioned employee. These employees is not belongs to Zdelete class. these are populating as per data in respective company.

EEID 107647 - Johnny Guajardo : Employee is currently Active under KMC (Knap Medical Centre), it has an EIN of Harlingen Medical Centre at the employee level in KMC.
This is data issue. Please check and confirm.

EEID 107491 - Dusterhus, Luke : Employee was terminated on 1/31/2017 in HMC, As it has coverage for whole month in HMC, it is populating on January Month File.

EEID 107161 - Sheerin, Aisha : Employee was active January month in HMC and terminated on 03/01/2017, Hence it is populating on January month file from HMC.

EEID 106411 - Vasquez, Georgina : Employee was terminated on 1/31/2017 in HMC, As it has coverage for whole January month in HMC, so it is populating on January Month File.

EEID 107889 - Magallan, Cruz: Employee is active in HMC from 11/30/2016, hence it is populating on January month file from HMC company

EEID 106136 - Vega, Kady: Employee was terminated on 1/31/2017 in HMC, As it has coverage for whole January month in HMC, so it is populating on January Month File.

EEID 100174 - Ortega, Jose: Employee is active in HMC from 12/21/1999, hence it is populating on January month file from HMC company

Please let us know your inputs asap

Nandkumar Prabhakar KarlekarSmita PawarRevansiddha Gaur

Hello Nandkumar Prabhakar Karlekar, Smita Pawar, Revansiddha Gaur,

1. Please include Vicki Mathis on the January file.
2. I still find these employees listed as Active or recently Active on the below facilities. What data issue could there be? The zDelete facility showing up on the ACA reporting is not correct:

EEID 107647 - Johnny Guajardo: lists as zDelete Knapp in Prime Healthcare: Employee is currently Active under HMC
EEID 107491 - Dusterhus, Luke: lists as zDelete Harlingen in Prime Healthcare: Employee was Active (now termed 1/31/17) under HMC
EEID 107161 - Sheerin, Aisha: lists as zDelete Harlingen: Employee was Active (now termed 3/1/17) under HMC
EEID 106411 - Vasquez, Georgina: lists as zDelete Harlingen: Employee was Active (now termed 1/31/17) under HMC
EEID 107889 - Magallan, Cruz: Active under HMC
EEID 106136 - Vega, Kady: lists as zDelete Harlingen: Employee was Active (now termed 1/31/17) under HMC
EEID 100174 - Ortega, Jose: lists as zDelete Harlingen: Employee is currently Active under HMC

3. Prime advised today, 6/15/17, that the employees on the attachment, titled "ACA 8076 Missing from January File" are active on the payroll system and are in WorkTerra, but are not on the January file. Please advise.

Thank you,

Amber

Hello Amber Love-Jones,Jennifer Johnson,Yamilka Coca,Amit Thorve,Nandkumar Prabhakar Karlekar,Revansiddha Gaur,Smita Pawar

1. We can include Vicki Mathis in January month file, there are many employee those do not have offer for whole month i.e. everyday. We will have to populate those employee as well in January month file though they have offer for single day in month.

2. Can we discuss about these 7 employee in call?

3. Please find the attached file ACA 8076_Missing_January File_HB_Updated.xls contains detail analysis of employees those were reported as missing in January month with its reason.

Can you please schedule call on your suitable time?

Thanks,

Yogesh

Amber Love-Jones

Do you any updates on above query and call?

Thanks,

Jennifer JohnsonYamilka CocaNandkumar Prabhakar KarlekarRevansiddha GaurSmita Pawar

Hello Yogesh Chaudhari,

Jennifer Johnson and I can be available for a call 6/22 or 6/23 at 9:00 a.m. PST. Please let us know if this will work for you; if so, please send a call in number.

In the interim, Prime Healthcare came back with another small list of employees who should have been on the January report, but are not. The names are attached under ACA 8076_EEs missing from January file. Please review and advise.

You provided the report titled Prime_Duplicate_Active_Employee_List dated 6/13/2017. Can you please add hire dates and effective dates for each entry?

Thank you,

Amber

Amber Love-JonesJennifer Johnson

I have scheduled meeting today 6/22 at 9 a.m. PST. It is fine for us.
Please see the meeting details.

Thursday, June 22, 2017 | 9:30 pm India Time (GMT+05:30) (9 a.m. PST)
Meeting number: 578 462 200
Meeting link:https://harbingergroup.webex.com/harbingergroup/j.php?MTID=m53448787c9b15c07b589b267136a52a7

Audio connection:
1-8773614628 (US) Call-in toll-free number
+91-180030106096 (India) Call-in number
Leader Pin: 5857
Conference Code: 128 328 7607

Please find the attached file UPDATED_Prime_Duplicate_Active_Employee_List.zip contains list of duplicate employees along with Hire and Effective Date. Password sent in mail.

Thanks,
Yogesh Chaudhari

Nandkumar Prabhakar KarlekarRevansiddha GaurSmita Pawar

Amber Love-Jones Jennifer Johnson

I have analysed missing employee provided in ACA 8076_EEs missing file.

File contains almost 8 employees and out of these 6 employees is already exists in Jan-2017 file.

Please find the attached updated HB_UPDATED_ACA 8076_EEs missing from January FIle.doc file with comment from Harbinger team.

Thanks,
Yogesh
Nandkumar Prabhakar KarlekarRevansiddha GaurSmita Pawar

Hello Jennifer JohnsonAmber Love-JonesNandkumar Prabhakar Karlekar

MOM of ACA Prime Call on 6/22

1. Include Vicki Mathis in January month file and also if employee has offer for single day in Month should we include in file or Not?
[EBS] : Jennifer and Amber is going to confirm with the client for the expected result.

2. List of employees missing in Jan 2017 file and list of employees those should not populate in Jan month file reported by client.
[EBS] : Jennifer and Amber will check the detail analysis provided by Yogesh for all the reported employees. They will share the feedback with harbinger team.

3. List of Duplicate Active employees across all the facilities of Prime.
[Harbinger] : Yogesh has shared list of duplicate employees those are active in two or more companies of Prime along with their Hire and Effective Date
[EBS] : EBS is going to share duplicate active employee list with client, will take appropriate action for those.

Thanks,
Yogesh Chaudhari

Revansiddha GaurSmita Pawar

Hello Yogesh Chaudhari, Rakesh Roy, Revansiddha Gaur,

1. I have reviewed the report you attached titled UPDATED_Prime_Duplicate_Active_Employee_List.zip. There are several facilities that are listed that do not require ACA reporting for 2017 because they are no longer Active in WorkTerra:

• Garden City (Part of Primehealthcare No-space)
• GGH (Garden Grove)
• Huntington Beach (part of Prime_Healthcare)
• Roxborough (part of Prime_Healthcare)
• Southern Regional
• Suburban (Part of Primehealthcare No-space)
• United Home Health (Part of Primehealthcare No-space)
• West Anaheim (Part of Prime_Healthcare)

I have sent the duplicates for the other Active facilities to Prime Healthcare for review.

2. Please see the attached file titled KMC ACA REPORTING FOR 2017: The listing shows the plans employees were enrolled in medical plans before their termination prior to 1/31/17, but didn't show up on the January 2017 ACA report. Please review and provide updates.

3. Attached file titled+Terminated employees+: There is a list of employees on this attachment that are on the January 2017 ACA report for HMC but are terminated in WT. Please review and provide updates.

4. Please see attached file titled Clean Up 6-2017 (002): The client has 3 separate lists asking for information. Please review and provide updates.

Thank you.

Hi Amber Love-Jones,

We have started working on same.
Could you please eloborate point no.04 more so that it will be helpful for us.
We will share our analysis for points 2 and 3.

Thanks,
Smita

FYI Nandkumar Prabhakar Karlekar, Sachin Hingole,Yogesh Chaudhari,Prashant Samal,Revansiddha Gaur

Hi Amber Love-Jones,

Please find our analysis in attached file Prime analysis KMC HMC.zip.
Sending password in separate mail.
Let us know, if you need any additional information.

Thanks,

FYI Nandkumar Prabhakar Karlekar,Sachin Hingole,Rakesh Roy,Yogesh Chaudhari,Revansiddha Gaur

Hello Yogesh Chaudhari,

For item #4 above, please disregard.

MOM of ACA Prime Call on 6/22 - please see my comments below.
1. Include Vicki Mathis in January month file and also if employee has offer for single day in Month should we include in file or Not? - Client confirmed that any employees formerly on LOA that return to work are to be included in the monthly report in the month that they re-enrolled in benefits, regardless of the effective date.

Additionally, CHMC employee April Joshua, EEID372915 – Returned from LOA and enrolled Family in EPO3 Plan eff 1/9/2017. Please include this employee on the January report.

2. List of employees missing in Jan 2017 file and list of employees those should not populate in Jan month file reported by client.
[EBS] : Jennifer and Amber will check the detail analysis provided by Yogesh for all the reported employees. They will share the feedback with harbinger team. - please provide report and password once again.

3. List of Duplicate Active employees across all the facilities of Prime.
[Harbinger] : Yogesh has shared list of duplicate employees those are active in two or more companies of Prime along with their Hire and Effective Date
[EBS] : EBS is going to share duplicate active employee list with client, will take appropriate action for those. List has been provided to Prime to disseminate amongst the facilities. Still awaiting feedback from Prime.

Attached, please find a new listing of employees that Prime has provided. It appears that existing Active employees in Workterra did not appear on the January 2017 report. Explanations of what is requested are listed above each grouping of employees. The password will be emailed to you separately.

Thank you,

Amber

Hello Smita Pawar,

Please disregard the email attached dated 6/28/17 titled Dev_D.Fleury emails 6.21.217 with password.xlsx. I have audited all employees on the form and have created a new spreadsheet showing only the items that we need Dev to research. This report is titled Dev_UPDATED Report from Prime 6.30. The password will be sent via email.

Additionally, Jennifer Leugers looked at the EEID numbers below:

742958
492973
890883
997700

Each of the above records showed that EEs had a QE between January-May. For example EE originally enrolled in 1/1/2017, QE on 2/1/2017, report may be pulling the earliest effective date instead of the true effective date of the original enrollment. So the EE shows 2/1 and gets pulled onto 2/1 and not on the 1/1 report. Can you please see if perhaps this is the reason that so many employees are missing from the January 2017 reporting? Thank you.

Amber Love-Jones
Jennifer Johnson

Hello Amber Love-Jones

1. To Include employees those formerly on LOA and return to work in the month that they re-enrolled in benefits, regardless of the effective date.
[EBS] : You will have to select LOA status on all ACA plans from plan design screen for all the facilities of Prime. So when we will furnish file again such employees will get included in file.

2. We are doing analysis of consolidated file Dev_UPDATED Report from Prime 6.30. provided by you. We will provide the detail analysis report of all these employees on Wednesday EOD.

Jennifer Johnson Nandkumar Prabhakar KarlekarSmita Pawar

Hello Yogesh Chaudhari,

I do not have the option to select LOA on all ACA plans from the plan design screen. We do not have ACA plans listed.

We do not need to include employees on LOA on the reports; only*strong text* those employees who elect benefits on days other than the first of the month - those are indicators of people who were on LOA and have returned to work.

I will look for the analysis reporting from you by EOD Wednesday, 7/5.

Thank you.

Hello Amber Love-Jones Jennifer Johnson

I. To populate LOA employee on file we have only below 2 options.

• We will have to select LOA status on all the ACA plans for all prime facilities. In that case all the employee those are LOA will also be populate on file.
• Any employee who is on LOA and again renerolled in the system, he has to select his benefits from 1st of the month.
  If you are not agree with the above 2 options then will have to make the changes in code to handle above situations and for that we need Dave approval.

II We have done analysis of file Dev_UPDATED Report from Prime 6.30. except employee of Providence Medical Center employees. Please find the attached Analysis_Dev_UPDATED_Prime 6.30.zip file contains detail analysis of all the employees.

• Analysis of CHMC Employees sheet contains detail analysis of CHMC 52 employees why these were not populated on Jan-2017 file.
  Out of these 52, 14 employees were terminated before 01/01/2017 and 18 employees are in assessment period so we are not providing benefit to those 18 employee and detail analysis of remaining 20 employees.
• Analysis of HMC Employees sheet contain analysis 7 employees analysis why they are populated on Jan month file.
• There are basically 2 reasons why employees from Coshocton were not populated in Jan-2017 file.
  1. ACA plans in company is not marked as minimum essential coverage and self insured in the ACA customization screen. I have marked all medical plans as minimum essential and self insured plans in the system. Please see the attached screenshot.
  Please confirm the same.
  2.Other reason, There are almost 12 Class1 in Coshocton company,out of these only one Class1 Coshocton is mapped with genericeligibilityrule (i.e. EIN). From the list of employee you provided, almost 61 employees is belongs to other class1 (not with Coshocton).
  Coshocton Employee_Class1_Info sheet of attached file contains list of employee whose classes are other than Coshocton, so they are not populating on jan-2017 file. You will have to mapped other Class1 with genericeligibilityrule to populate these missing employees as well.

We are doing analysis of Providence Medical Center employees. Password sent in mail.

Note : It will be more helpful for us if you provide employee SSN while sending for employee for detail analysis.

Nandkumar Prabhakar KarlekarSmita PawarRevansiddha Gaur

Hello Yogesh Chaudhari,

Thank you for sending this list over.

I. The employees need to be added to the file for the month that they return and enroll in benefits. If this falls on a date other than the first of the month, the employee still needs to be added. Please check with Dave. This is what Prime Healthcare has instructed us to do.

II. I am checking with Prime Healthcare regarding Coshocton employees. There is only one class with several different facilities listed. I have asked Prime if there is an EIN attached to each facility. I will report back as soon as I have more information.

Thank you!

Amber

Amber Love-Jones

I. To handle the above condition of LOA to re-enrolled. We have only one way to do it. Though the employee is enrolled or eligible for single day of the month such employee will get populate on file irrespective of its status.

• e.g. Employee XYZ hired on 06/01/2016 and enrollment is terminated on 01/18/2017. This employee will get populated on Jan-2017 month file by considering full month coverage irrespective of any status.
• e.g. Employee PQR is hired on 10/22/2016 and its enrollment effective from 01/22/2017 and enrollment terminated on 04/30/2017. Still this employee will get populated on Jan-2017 file. We will consider eligible or enrolled in ACA medical plan for complete Jan month.
  Please confirm the above two examples.

II. Please find the attached Analysis_Proviedence_Medical_Center.zip file contains detail analysis for 20 employees of Providence medical center.

Password sent in mail.

Jennifer Johnson Nandkumar Prabhakar KarlekarSmita PawarRevansiddha Gaur

Hello Yogesh Chaudhari,

I.*strong text*

• e.g. Employee XYZ - if the employee is terminated mid-month, the term date for the medical plan will be end of month.
• e.g. Employee PQR - if this employee is on LOA and becomes effective for benefits and enrolls 1/22/2017, yes, we want the employee to be included on the January file, even if it is for one day.

*strong text*II.*strong text*Thank you for sending the Providence file - I will review and advise if there are any questions before sending it to Prime.

strong text*III.*strong text I have confirmed with Prime Healthcare that the facility, Coshocton Regional Medical Center, has only one EIN:

The same EIN needs to be used for the following facilities that fall under Coshocton:

• Coshocton
• Coshocton Arrowhead
• Coshocton Cardiology
• Coshocton Dresden Clinic
• Coshocton Ent
• Coshocton Family Phys
• Coshocton Occ Med
• Coshocton Ortho
• Coshocton Pain Clinic
• Coshocton Pleasant Valley
• Coshocton Surgical Center
• Coshocton Women's Health Center

Thank you!

Amber

Jennifer Johnson

Hello Amber Love-Jones

I. We can not handle this only for employee who was LOA and re-enrolled again. Any employee employee who is getting benefits for single day of month will get populate on respective month file irrespective of its any status.
Below are some of the examples of employee which will get populate on file.

• Suppose an employee PQR was terminated and again active in the system with enrollment effective date 01/15/2017. This employee will get populated on Jan month file.
• An employee LMN was on LOA and becomes effective for benefits and enrolls 1/22/2017 then this employee will come on file.

II. I have mapped all the facilities that fall under Coshocton with same EIN 320506896.

Jennifer JohnsonNandkumar Prabhakar KarlekarSmita Pawar

Hello Amber Love-Jones,

While doing analysis to populate employee who is getting benefit for single day of the encounter with below query. Please let us know your thoughts on same.

• Employee Carl Ling Jr. is enrolled in waived medical plan from 01/01/2017 to 03/02/2017. Carl Ling Jr. terminated on 03/03/2017 in the system. He has an offer of minimum cost plan EPO1 Plan from 01/01/2017 to 03/02/2017. So in Jan-2017 and Feb-2017 EPO1 Plan is populated as minimum cost plan on ACA file. Now if the employee is eligible for single day of the month still we are going to show employee on the respective month file. As he is terminated on 03/03/2017 then what is the expected cost should we populate on March month file. (Should we show cost of minimum eligible plan EPO1 Plan on file?). Please let us know your inputs for the same.
• Employee ELEANOR STOCKSTILL is enrolled in Saint Marys Regional Medical Center Employee Medical Plan plan from 01/01/2017 to 06/30/2017. He is terminated on 06/05/2017. He has offer of Saint Marys Regional Medical Center Employee PPO Medical Plan as minimum cost plan, so files from Jan-2017 to May- 2017 Saint Marys Regional Medical Center Employee PPO Medical Plan is populating as minimum cost plan on ACA file. Now if the employee has coverage of single day of the month we are going to populate it on file. As this employee is terminated on 06/05/2017 then which plan should we populate as minimum cost plan on the June-2017 file either enrolled plan (Saint Marys Regional Medical Center Employee Medical Plan) or minimum cost plan (Saint Marys Regional Medical Center Employee PPO Medical Plan) on June-2017 file? Please let us know your thoughts on same.

Hello [~Yogesh],

I have updated and attached the file titled_Analysis_Dev_UPDATED_Prime+6.30.zip for Development changes only. The password is the same, but will be emailed to you.

Thank you for mapping all facilities that fall under Coshocton to the same EIN.

I will review Providence file attached above as well as the two employees listed above and will have responses for you shortly.

Thank you.

Amber

Hello Amber Love-Jones

While doing analysis to populate employee who is getting benefit for single day of the encounter with one more query in below scenario.

• Employee JENNIFER VAZQUEZ is enrolled in Saint Marys Regional Medical Center Employee Medical Plan from 01/01/2015. JENNIFER VAZQUEZ is terminated on 05/22/2017. He has an offer of Saint Marys Regional Medical Center Employee PPO Medical Plan as minimum cost plan, so files from Jan-2017 to April- 2017 Saint Marys Regional Medical Center Employee PPO Medical Plan is populating as minimum cost plan on ACA file. Now if the employee has coverage of single day of month we are going to populate it on respective month file. As this employee is terminated on 05/22/2017 then its minimum plan offer(Saint Marys Regional Medical Center Employee PPO Medical Plan) is terminated on 05/22/2017 and its enrollment (Saint Marys Regional Medical Center Employee Medical Plan) is terminated on 05/31/2017 as we are terminating benefits on end of the month.
  Which plan should we populate as minimum cost plan on file of May-2017?

We are working on the above provided file and let you know once we done with the analysis.

Thanks,

Yogesh Chaudhari
Jennifer JohnsonNandkumar Prabhakar KarlekarSmita Pawar

Hello Yogesh Chaudhari,

We have had some of the Prime_Healthcare facilities notify us that some of their Active employees are listed under the facility called "Delete ACA." I ran the attached report for Prime_Healthcare and see that there is a substantial amount of Active employees that are listed under this facility. Password will be sent separately.

Can you please provide an explanation? We are not sure why these employees are showing under Delete ACA.

Thank you,

Amber

Jennifer Johnson

Hi Amber Love-Jones,

We had shared list of duplicate employee across all the facilities of Prime in WT-6186. List contains employees SSN with their company names. Jennifer Johnson had provided inputs to delete duplicate employee from one of the facilities for all the employee. As we discussed, Instead of deleting these duplicate employees we had created new class 'DeleteACA' and moved duplicate employee in that class. Also while delivering ACA files we are not considering these employees.
Please see the below link for more information.
https://workterra.atlassian.net/browse/WT-6186?focusedCommentId=76805&page=com.atlassian.jira.plugin.system.issuetabpanels%3Acomment-tabpanel#comment-76805

Thanks,
Yogesh Chaudhari

Nandkumar Prabhakar KarlekarJennifer JohnsonSmita Pawar

Hello Yogesh Chaudhari,

I have completed the questions asked for the Providence employees and included the file: Analysis Providence Medical Center_with password. The password will be sent to you separately.

Additionally, I added a second tab on the above attachment for the separate employee questions you posed on 7/10 and 7/11.

All of the analysis reports have been sent to the Prime team for review. As soon as I receive a response, I will communicate with you.

Thank you!

Amber

Hello Amber Love-Jones

Do you have any updates?

Thanks,
Yogesh Chaudhari

Nandkumar Prabhakar KarlekarJennifer JohnsonRevansiddha GaurSmita Pawar

Hello Amber Love-Jones

Do you have any updates on analysis reports shared with Prime team ?

Tomorrow,I will share some of our queries regarding Providence Medical Center.

Thanks,
Yogesh Chaudhari

Hello Amber Love-Jones,

Please find the attached sheet Updated_Analysis_Providence_Medical_Center_with password.zip contains feedback for Providence Medical Center employee. I have added one more columns as Harbinger Comment in attached sheet.

When can we expect to export Prime files for rest of the months?
It will be better if you shared feedback received from client, will made client suggested changes in next files.
password sent in mail.

Thanks,

Yogesh Chaudhari

Jennifer JohnsonAbhay PatilNandkumar Prabhakar KarlekarSmita PawarRevansiddha Gaur

Hello [~yogesh],

We are not ready to move forward with the January 2017 ACA files. The client has not completed their review of the recent HMC issue.

Additionally, it was stated that there are several employees enrolled in a medical plan AND the Waive Opt Out/Spouse Opt Out Plans for St. Marys Health Network and St. Marys Medical Group. Please advise if you are able to run this reporting for both facilities and advise which employees are enrolled in both medical and opt out plans.

Thank you!

Amber

Hello Yogesh Chaudhari,

Please review paragraph 2 above. Can Development assist?

Thank you!

Amber

Hello Amber Love-Jones

Please find the attached file Employee_List_Saint_Marys_Medical_OptOut.zip contains list of employees those are enrolled in Medical plan as well as in Waive Opt Out/Spouse Opt Out Plans in year 2017.

List contains employee belongs to below 3 facilities.
1. Saint Marys Regional Medical Center
2. Saint Marys Medical Group
3. Saint Marys General Hospital

Password sent in mail.

Thanks,
Yogesh Chaudhari

Nandkumar Prabhakar KarlekarSmita PawarRevansiddha Gaur

Hello Yogesh Chaudhari,

Thank you for creating the report. Will review and get back to Development with the next steps to resolve.

Amber

Hello Amber Love-Jones,

Do you have any updates or receive feedback on all above reports sent?

Thanks,

Yogesh Chaudhari

Nandkumar Prabhakar KarlekarSmita PawarRevansiddha Gaur

Hello Yogesh Chaudhari,

We are still awaiting feedback from Prime's ACA team; and we sent the St Marys reporting directly to the client to reconcile, and haven't received a response from them. I will keep you updated.

Thank you,

Amber

Hello Yogesh Chaudhari,

Attached, please find the updated report for the Saint Marys facilities where employees were enrolled in both Medical plans and the Medical Opt Out Plans. Please remove the Opt Out Plan for all employees listed on the spreadsheet. The password will be emailed to you.

Thank you!

Amber

Hello Amber Love-Jones

I have analysed attached 70 employees, all these employees are enrolled in 'Saint Marys Regional Medical Center Employee Medical Plan' as well as 'Spouse Opt out' plan. While exporting ACA files considering only medical benefits plans. The benefit Type of Spouse Opt Out plan is Spousal Opt Out Credit, We have not considered enrollment in this plan while exporting ACA files.
Also system is not support to delete/remove opt out coverage automatically, so we can not remove its coverage from opt out plan, need to remove it manually.
Please remove the Opt Out Plan manually at your end for all these employee.

Thanks,
Yogesh Chaudhari
Nandkumar Prabhakar KarlekarSmita PawarRevansiddha Gaur

Hello Amber Love-Jones

Have you received any feedback from Prime's ACA team?
When can we expect to export Prime files for rest of the months?

Thanks,
Yogesh Chaudhari

Nandkumar Prabhakar KarlekarSmita PawarRevansiddha Gaur

Hello Yogesh Chaudhari,

I have reached out to the client several times, without receiving a response. I will call the client Monday, 9/18.

Thank you.

Amber

Hi Amit Thorve

MOM Call:
1. Amit is going to set-up call with onshore team today or tomorrow.
2. If employee is eligible for single day of the month, Should this employee populate on file?
[EBS] : We will have to confirm this with client in call.

3. Provides list of employees neither waive and nor enrolled for all the facilities of Prime.
[Harbinger] : Harbinger team will provide list of neither enrolled nor waived employee for all the facilities of Prime.
To get list of neither enrolled nor waive employee for one company need complete one day including verification. In Prime we have almost 15 facilities so we need 15 days to complete this task. Everyday we will try to complete 1 or 2 companies and share report with Amit and onshore team.

4. List of waive or enrolled employee but not eligible for any ACA medical plan for all Prime facilities.
[Harbinger] : Yogesh will provide employee those are enrolled or waived in medical but not eligible for any ACA medical plan for all the facilities of Prime.
We need 3 days to complete this task for all the Prime facilities.

Thanks,

Yogesh Chaudhari
Nandkumar Prabhakar KarlekarSmita PawarRevansiddha Gaur

Hello Amit Thorve

As discussed in call, Please find the attached KMC_Neither_Enrolled_Nor_Waived_List.zip file contains list of employee those are neither waive nor enrolled in medical plan but are eligible for medical plan for KMC company.

Password sent in mail.

Thanks,
Yogesh Chaudhari

Amber Love-JonesYamilka CocaJennifer JohnsonAbhay PatilNickNandkumar Prabhakar KarlekarRevansiddha GaurSmita PawarSamir

Hello Amit Thorve,Amber Love-Jones

As discussed in yesterday's call, Please find the attached Revised_Prime_Duplicate_Active_Employee_List.zip revised list of employee those are Active in multiple Prime companies.

I have found almost 209 active employees those are duplicate across all the Prime facilities.

Password sent in separate mail.

Thanks,
Yogesh Chaudhari

Yamilka CocaJennifer JohnsonAbhay PatilNickNandkumar Prabhakar KarlekarRevansiddha GaurSmita Pawar

Hello Amit Thorve Revansiddha Gaur

Please ignore previously uploaded * KMC_Neither_Enrolled_Nor_Waived_List.zip* file contains list of employees those are neither enrolled nor waived for KMC company.While testing this file found some discrepancies. We will upload updated file by today EOD.

Thanks,
Yogesh Chaudhari

Yamilka CocaJennifer JohnsonNandkumar Prabhakar KarlekarRevansiddha GaurSmita Pawar

Hi Amber Love-Jones,

Please find the neither enroll nor waived employee list for below companies on ftp site.

Ftp Path: /users/workterraaca/Prime/2017/09232017
Companies:
1. Hospitality - WaiveList_Company ID_12444_Hospitality_09232017.xls
2. KMC - WaiveList_CompanyID_12440_KMC_09232017.xls
3. PMC-WaiveList_CompanyID_12443_PMC_09232017.xls

Thanks,
Revan

CC: Amit Thorve, Nandkumar Prabhakar Karlekar, Yamilka Coca, Jennifer Johnson, Yogesh Chaudhari, Smita Pawar

Hi Amber Love-Jones,

PFA '' Prime Checklist QA_Sep 25 2017.xls Harbinger's Prime check list and verified Prime companie's default plan mapping customization. Please review it and let us know, if any additions needs to be done from our side.

Thanks,
Smita

FYI: Amit Thorve,Nandkumar Prabhakar Karlekar,Yamilka Coca,Jennifer Johnson,Yogesh Chaudhari,Revansiddha Gaur

Hi Amber Love-Jones,

Please find the neither enroll nor waived employee list for below companies on ftp site.

Ftp Path: /users/workterraaca/Prime/2017/09252017
Companies:
1. CHMC- WaiveList_CompanyID_12380_CHMC_09252017.xls Waive Employee Count- 68
2. EHMC- WaiveList_CompanyID_12381_EHMC_09252017.xls Waive Employee Count-19

Note:
We found some discrepancy in previously shared files which we updated the sheet in the same folder for the below companies.

1. KMC - WaiveList_CompanyID_12440_KMC_09232017.xls Waive Employee Count- 5
2. PMC-WaiveList_CompanyID_12443_PMC_09232017.xls Waive Employee Count- 18

Thanks,
Revan
CC: Amit Thorve, Nandkumar Prabhakar Karlekar, Yamilka Coca, Jennifer Johnson, Yogesh Chaudhari, Smita Pawar

Hi Amber Love-Jones

Please find the attached EmployeeList_Demographic_Classwise_EIN_Different.zip file contains list of employees whose EIN on demograpic is different than class-wise EIN. We have found almost 322 such employees across all the Prime facilities processing for ACA.
Attached file contains 2 columns EIN on Demographic (Employee EIN on his demograpic page ) and Class-wise EIN (EIN as per employee class1).
As per our current logic we are giving priority to demographic EIN. On ACA file Demographic EIN is populating for all these employee.

Can you please confirm with client about which EIN are valid/considered for all these employee?

Password sent in mail.

Thanks,
Yogesh Chaudhari

Amit ThorveYamilka CocaJennifer JohnsonNandkumar Prabhakar KarlekarRevansiddha GaurSmita Pawar

Hi Amber Love-Jones,

Please find the neither enroll nor waived employee list for below companies on ftp site.

Ftp Path: /users/workterraaca/Prime/2017/09262017

Companies:
1. GGH- WaiveList_CompanyID_12382_GGH_09262017.xls Waive Employee Count-133
2. SRMC-WaiveList_CompanyID_12429_SRMC_09262017.xls Waive Employee Count-76

Note: We have completed 7 companies till now & remaining 7 companies.

Thanks,
Revan

CC: Amit Thorve, Yamilka Coca, Jennifer Johnson, Nandkumar Prabhakar Karlekar, Yogesh Chaudhari, Smita Pawar

Hello Revansiddha Gaur,

Can you please rerun the Neither Enroll Nor Waive Employee List to include hire dates?

Thank you!

Amber

Amit Thorve, Yamilka Coca, Jennifer Johnson, Nandkumar Prabhakar Karlekar, Yogesh Chaudhari, Smita Pawar

Hello [~amit], Nandkumar Prabhakar Karlekar,

Per our call this morning, attached, please find the most recent EIN listing that I have for the Prime facilities. Let me know if you need anything else.

Thank you!

Amber

Jennifer Johnson, Yamilka Coca

Hi Amber Love-Jones,

With reference to comment-https://workterra.atlassian.net/browse/WT-8076?focusedCommentId=139857&page=com.atlassian.jira.plugin.system.issuetabpanels:comment-tabpanel#comment-139857

There is already provided hire dates in the excel sheet. Please refer employment date column for Hire Date.

Thanks,
Revan
Amit Thorve, Yamilka Coca,Jennifer Johnson, Nandkumar Prabhakar Karlekar,Yogesh Chaudhari,Smita Pawar

Hello Amber Love-Jones

Could you please provide most recent EIN list in Excel format?

If we will get this Excel then it will be very easy for us to compare with old EIN in system.

Thanks,
Yogesh Chaudhari

Amit ThorveNandkumar Prabhakar KarlekarRevansiddha Gaur

Hi Amit ThorveAmber Love-Jones

As per discussion in call, we have find list of cobra plan which are marked as ACAPlan across all prime facilities. We have found cobra plan is marked as ACA plan in below 3 companies.

• PrimeHealthcare
• Coshocton
• EastLiverpool

Please find the attached Prime_COBRA_Plan_List.xls file contains list of cobra plan those are marked as ACA across all Prime companies.
Employee those are eligible for these plan will get populate on ACA files. On May-2017 change file such employees are populated for referance.

Please let us know your thoughts.

Thanks,
Yogesh Chaudhari

Nandkumar Prabhakar KarlekarYamilka CocaJennifer JohnsonRevansiddha GaurSmita Pawar

Hi Amber Love-Jones

Please find the neither enroll nor waived employee list for below companies on ftp site.
FTP Path: /users/workterraaca/Prime/2017/09282017
Companies:
1. AH- WaiveList_CompanyID_12439_AH_09282017.xls.xls Waive Employee Count-34

NOTE : Please let us know when team is going to import these files into the system.

Thanks,
Yogesh Chaudhari

Amit ThorveNandkumar Prabhakar KarlekarYamilka CocaRevansiddha GaurSmita PawarJennifer Johnson

Hi Amber Love-Jones,

Please find the neither enroll nor waived employee list for below company on ftp site.

Ftp Path: /users/workterraaca/Prime/2017/09292017

Companies:
1. Prime Healthcare- WaiveList_CompanyID_11614_Prime Healthcare_09292017.xls

Waive Employee Count- 664

Below facilities are not considered in waive list.

1. Bio Medical Services Inc
2. Chino Valley Medical Center RNs
3. Dallas Medical Center
4. Dallas Regional Medical Center
5.Garden City HGC
6. Garden City PMG
7. Glendora Community Hospital
8. Huntington Beach Hospital
9. La Palma Intercommunity Hospital
10. Landmark
11. Lower Bucks Hospital Non Union
12. Lower Bucks Hospital Union
13. North Vista Hospital
14. PHS Gadsden Physician Management LLC
15. Rehabilitation Hospital of RI
16. Riverview Regional Medical Center
17. Roxborough Memorial Hospital
18. Saint Clares Health System
19. Saint Marys General Hospital
20. Summit Surgery Center at St Marys Galena
21. United Home Health Services
22. West Anaheim Medical Center

Thanks,
Revan

Amit Thorve, Nandkumar Prabhakar Karlekar, Yamilka Coca, Jennifer Johnson, Yogesh Chaudhari, Smita Pawar

Hi Amber Love-Jones,

Please find the neither enroll nor waived employee list for below companies on ftp site.

Ftp Path: /users/workterraaca/Prime/2017/10032017

Companies:

1. HMC- WaiveList_CompanyID_12441_HMC_10032017.xls (Waive Employee Count-49)

2. MHIN-WaiveList_CompanyID_12442_MHIN_10032017.xls (Waive Employee Count-70)

3.PrimeHealthCare (Without space)- WaiveList_CompanyID_12131_PrimeHealthcare_10032017.xls (Waive Employee Count-77)

Thanks,
Revan

Amit Thorve, Yamilka Coca, Jennifer Johnson, Nandkumar Prabhakar Karlekar, Yogesh Chaudhari, Smita Pawar

Hi Amber Love-Jones,

Please find the neither enrolled nor waived employee list for below companies on ftp site.
Ftp Path: /users/workterraaca/Prime/2017/10042017

Companies:
1. EastLiverPool - WaiveList_CompanyID_12793_EastLiverpool_10042017.xls (Waive Employee Count-320)
2. Coshocton - WaiveList_CompanyID_12777_Coshocton_10042017.xls (Waive Employee Count-232)

We have completed and uploaded neither enrolled nor waived employee list for all 14 facilities of Prime on FTP server.
Have you started loading these records into the system?

Thanks,
Yogesh Chaudhari

Amit ThorveYamilka CocaJennifer Johnson Nandkumar Prabhakar KarlekarRevansiddha GaurSmita Pawar

Hello Amber Love-Jones,

We have verified the EIN list Provided by you with the EIN and classes in system. All the classes and EIN are matched with EIN and classes in system. We have found discrepancy for the 4 EIN classes. Please find the attached 2017_Prime_EIN_LIST.zip file for more information.

Please check and let us know your feedback for these 4 EIN Classes.

Password sent in mail.

Thanks,
Yogesh Chaudhari

Amit ThorveNandkumar Prabhakar KarlekarYamilka CocaJennifer JohnsonRevansiddha GaurSmita Pawar

Hello Amber Love-Jones ,

Do you have any updates on all above comments from clients?

Thanks,
Yogesh Chaudhari

Amit ThorveNandkumar Prabhakar KarlekarRevansiddha GaurJennifer JohnsonYamilka CocaSmita Pawar

Hello Yogesh Chaudhari,

We have not received any response from the client.

Amber