Issue: 47155 Open Enrollment Segments 2015 forward
- Kenley Money
- Ashley Sigler
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 May 17, 2024 |
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. Included in May 2024 Data Tips email. |
Description | THIS ISSUE HAS BEEN RESOLVED. 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 | Resolved |
Action / Resolution | The affected segments were closed in the 23C build and were released in Spring 2024. |
Category 1 | Open Enrollment Segments |
Category 2 | Delta Dental |
Tip / Issue | Issue |