Issue: Incorrect Open Enrollment Segments
Number | 0098 |
|---|---|
Submitting Entity (SE) | 12231, 12567, 90328 |
Add Date | Jan 4, 2022 |
Update Date | Apr 4, 2022 Oct 7, 2022 |
Update | Incorrect disenrollment dates have been corrected |
Description | Carriers with incorrect open segments |
Active/Resolved | Resolved |
Action / Resolution | Incorrect disenrollment dates have been found for the following entities. 12231 - River Valley moved to United A (79413A) in 2017. However, River Valley disenrollment dates (ME163A) were not closed properly resulting in a significant number of open enrollment segments. When the disenrollment date value is 9999-12-31, data users can assume disenrollment of 2016-12-31. RESOLUTION IN PLACE. Corrected data was resubmitted. 90328- First Health/Aetna stopped submitting eligibility data in 2019. Disenrollment dates (ME163A) were not closed properly resulting in a significant number of open enrollment segments. When the disenrollment date value is 9999-12-31, data users can assume disenrollment of 2018-12-31. RESOLUTION IN PLACE. Corrected data was resubmitted. 12567 - Care Improvement moved to United Health (79413D) in 2017. However, Care Improvement disenrollment dates (ME163A) were not closed properly resulting in a significant number of open enrollment segments. When the disenrollment date value is 2199-12-31, data users can assume disenrollment of 2016-12-31. RESOLUTION IN PLACE. Corrected data was resubmitted. |
Category 1 | Data Quality |
Category 2 | Enrollment Segments |
Tip / Issue | Issue |