Issue: 47155 Open Enrollment Segments 2015 forward

Number

0080

Submitting Entity (SE)

47155

Add Date

May 13, 2021

Update Date

Jun 3, 2022 Oct 7, 2022 Sep 14, 2023 Sep 25, 2023

Update

Delta Dental has resolved incorrect open segments for plans 2015 forward. The corrected data will be available in October 2023. The issue still exists in data provided prior to October 2023.

Description

A system change and acquisition resulted in a data submission gap in which records were not received when an enrollment segment closed.

The submitter, Delta Dental (47155) redesigned its data extraction process to address this issue. It is expected that all data will be replaced.

UPDATE: Delta Dental resubmitted years 2015 forward with corrected disenrollment dates (ME163A). NOTE: Disenrollment dates for years 2013 and 2014 are still problematic and will be connected in the next build.

 

Workaround: Pull the available claims for members and assess the latest paid date to understand when the members were last active. Determine if the time since the last paid date represents what could be an inactive member.

This workaround does not always work. Work with the Arkansas APCD team as needed.

Active/Resolved

Active

Action / Resolution

Delta Dental resubmitted years 2015 forward with corrected disenrollment dates (ME163A). Counts between previous builds and the current build may vary.

NOTE: Disenrollment dates for years 2013 and 2014 are still problematic and will be connected in the next build.

Category 1

Open Enrollment Segments

Category 2

Delta Dental

Tip / Issue

Issue