Tip: Disenrollment Dates in the Future - QualChoice

Number

0109

Submitting Entity (SE)

70998A, 95448A, 95448B

Add Date

Apr 6, 2022

Update Date

Feb 22, 2023 Apr 10, 2024

Update

Included in February 2023 Data Tips Email. Reposted in April 2024 Data Tips Email

Description

Understanding disenrollment dates set in the future that are not ‘9999-12-31’ or NULL

Active/Resolved

Active

Action / Resolution

Open ended disenrollment dates (ME163A) are used to identify active enrollment unless the member is a dependent. For dependents the disenrollment date reflects the date in which a dependent reaches age 26.

Category 1

Disenrollment Date

Category 2

Data Quality

Tip / Issue

Tip