 |
1578 |
What is the difference between “Issuer Policy ID” and “Group Number Assigned by Issuer”? |
If an Issuer does not assign a unique Policy ID, the Subscriber ID should be used to populate this element. |
05/13/2014 |
|
|
1579 |
The
Excel template asks for dates in a “CCYYMMDD” format. Can CMS confirm
that the form requires a “CCYYMMDD” format, and not a “Y ... more |
The Excel template has been updated to require the format "YYYYMMDD". |
05/13/2014 |
|
|
1580 |
Some
issuer systems require that members are paid through their termination
date before they are terminated in the system. Will t ... more |
Beginning
with plan year 2015, the FF-SHOP will send termination transactions
immediately when an employer voluntarily terminates ... more |
05/13/2014 |
|
|
1581 |
Are "Total Employee Responsibility Amount" and "Total Employer Responsibility Amount" optional data elements f ... more |
Yes, these are optional data elements. |
05/13/2014 |
|
|
1582 |
Should issuers include cancellations when reporting enrollment/reconciliation files for SHOP in 2014? |
Cancellations should not be included on the file. |
05/13/2014 |
|
|
1583 |
1.
Does the ‘Coverage Effective Start Date' field refer to the member
effective start date or the group effective start dat ... more |
1. The "Coverage Effective Start Date" refers to the member effective start date.
2. The file should only contain memb ... more |
05/13/2014 |
|
|
1584 |
Where
can issuers find the relationship codes referenced- ASC X12 834 TR3?
Is the expectation that Issuers will send the closest ... more |
CMS has updated the file template with new codes. Valid values now include: 01 - Subscriber, 02 - Spouse, and 03 - Dependent. |
05/13/2014 |
|
|
1585 |
If an issuer does not have an Issuer Assigned Member ID. Is it okay if the issuer leaves this field blank? |
If an issuer does not have an Issuer Assigned Member ID, please populate this field with the Subscriber ID. |
05/13/2014 |
|
|
1586 |
For issuers that participate in SHOPs in several states, can CMS confirm that issuers should submit a separate file per state? |
The
SHOP 2014 Excel Format contains a HIOS/Issuer ID that would segregate
the members between the two HIOS IDs. Thus, they can be ... more |
05/13/2014 |
|
|
1587 |
The
timeline indicates that issuers will send monthly files to CMS starting
in August 2014 through February 2016. Is this supposed ... more |
Issuers
may be sending files as late as February 2016. This will accommodate
plans for the 2014 plan year that run late into 2015 ... more |
05/13/2014 |
|
|
1588 |
When will the first SHOP enrollment/reconciliation file be due to CMS? |
The first file is due to CMS on August 15, 2014. |
05/13/2014 |
|
|
1589 |
Please clarify if issuers can submit both Issuer IDs in one template since they're both in the same state. |
The
SHOP 2014 Excel Format contains a HIOS/Issuer ID that would segregate
the members between the two HIOS IDs. Thus, they can be ... more |
05/13/2014 |
|
|
1590 |
Is there a naming convention for the excel file Issuers will be sending or will this be covered in future guidance? |
The files sent by partners to CMS follow the file naming convention given in this section. APP ID is optional.
Format:
TradingPar ... more |
05/13/2014 |
|
|
1591 |
What
evidence would the issuer need to obtain from a broker in order to
comply with the requirement to validate broker certificati ... more |
Brokers
are able to log into the FFM Marketplace training system and print out a
certificate documenting they have completed requi ... more |
05/13/2014 |
|
|
1592 |
What
method will be used to send MS Excel spreadsheets to CMS, (i.e. Email,
File Transfer Protocol (FTP), etc.) for SHOP 2014 enro ... more |
The
SHOP 2014 Excel Format shall be sent to the Electronic File Transfer
(EFT) Secure Point of Entry (SPOE) Mailboxing Folder usi ... more |
05/13/2014 |
|
|
1593 |
Will Group XML files be sent to carriers if their plans are not selected in the 'employee choice' model during initial e ... more |
Group XML files will not be sent to a carrier if a carrier's plans are not selected in the "employee choice" model ... more |
05/13/2014 |
|
