834 File Transactions

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1 point

An (A) Add transaction means the member has been reinstated for the current month.

True

False

1 point

In scenario 1, the mbr was termed 01/01/2015 and reinstated the same day.

True

False

1 point

What does the 'C' transaction type mean and why would this come on the 834?

Current, mbr termed

Change, DOB updated

Current, DOB updated

Change, mbr termed

1 point

Always look to the TranDate and not the Cover Begin Date when looking for variance month that is in question.

True

False

1 point

In scenario 1, the mbr is termed and no longer active for 01/01/2015.

True

False

1 point

In the attached scenario 1, on what date was the mbr enrolled and for what eff date? xx/xx/xxxx, xx/xx/xxxx

1 point

In scenario 2 a Full file was received in July and therefore means the mbr is enrolled for the current month of July as well as August.

True

False

1 point

The 834 Full File for IL is for current month enrollment only.

True

False

1 point

In scenario 1, the mbr is active with LTC waiver coverage for October 2014

True

False

10.

1 point

Check all that apply.
In scenario 2, the mbr was ____

newly enrolled on 02/01/2015 with eff date 02/01/205 and termed on 7/30/2015 for end date of 07/31/2015

waiver eligible 12/01/2014

added on 11/19/2014 as HCBS and then changed to LTC on the 1/24/2015 Full File

active the entire month of July

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