|
| The category value associated with the change made to the coverage record (i.e. Create, Add Member, Change Covered Status, etc.) |
| May contain organization-specific values: No |
| Category Entries: |
| Create Coverage |
| Add Member |
| Change Coverage Eff Date |
| Change Member Eff Date |
| Remove Member |
| Add Account |
| Change Payor |
| Change Benefit Plan on Employer Group |
| Change Corporation |
| Change Employer Group |
| Change Coverage Term Date |
| Change COBRA Status |
| Change Member Relationship |
| Add Benefit Bucket |
| Change Benefit Bucket Amount |
| Change Member Term Date |
| Member Coverage Marked In Question |
| Change Covered Status |
| Change File Order Override |
| Change Riders on Employer Group |
| Remove Benefit Plan from Employer Group |
| Change Activation Date on Employer Group |
| Change Termination Date on Employer Group |
| Change Member Number |
| Change Eff Dt Due to Group Term Date |
| Change Term Dt Due to Group Eff Date |
| Change Attribute Effective Date |
| Change Attribute Termination Date |
| Remove Coverage Attribute |
| Change Member Term Reason |
| Coverage Transferred |
| Change Coverage Application Date |
| Change Member Application Date |
| Change Pending Expiration Date |
| Change Subscriber ID |
| Change Coverage Level Riders Tracking on Employer Group |
| Change Riders Manually on Coverage |
| Change Riders Automatically on Coverage |
| Change Use HRA on Employer Group |
| Change Premium Billing Effective Date on Coverage |
| Change Premium Billing Term Date on Coverage |
| Change Premium Billing Premium Rate on Coverage |
| Change Premium Billing APTC Amount on Coverage |
| Change Premium Billing CSR Amount on Coverage |
| Change Premium Billing Tribal Amount on Coverage |
| Change Premium Billing Employer Amount on Coverage |
| Change Premium Billing Responsibility Amount on Coverage |
| Change Premium Billing Member Premium on Coverage |
| 834 Confirmation - Queue |
| 834 Confirmation - Ad Hoc |
| 834 Cancellation - Queue |
| 834 Cancellation - Ad Hoc |
| 834 Termination - Queue |
| 834 Termination - Ad Hoc |
| 834 Full Audit - Queue |
| 834 Full Audit - Ad Hoc |
| Delete Premium Rate Line on Coverage |
| Delete Member Premium on Coverage |
| 834 Supplementary Audit - Queue |
| 834 Supplementary Audit - Ad Hoc |
| Change Continuing Coverage |
| Change Premium Billing State Amount on Coverage |
| Add Member Effective Period |
| Remove Member Effective Period |
| Remove Release of Information |
| Add Member Effective Period Due to Group Activation Date Changes |
| Delete Member Effective Period Due to Group Activation Date Changes |
| Add Member Effective Period Due to Group Termination Date Changes |
| Delete Member Effective Period Due to Group Termination Date Changes |
| Coverage Enrollment Reason Changed |
| Coverage Termination Reason Changed |
| Member Enrollment Reason Changed |
| Generate IRS 1095-B |
| Change Premium Billing Non-Hyde Credit Amount on Coverage |
| Change Issuer Policy ID |
| Add Issuer Policy ID |
| Remove Issuer Policy ID |
| Change Medicare Advantage Workflow Status |
| Change Medicare Number |
| Change Premium Billing Medicare Part C Premium Override |
| Change Premium Billing Medicare Part D Premium Override |
| Change Premium Billing Medicare LIS for Part D |
| Change Premium Billing Medicare Late Enrollment Penalty |
| Change Premium Billing Medicare LIS for LEP |
| Change Premium Billing Medicare LEP Waived |
| Generate MARx Transaction |
| Medicare Advantage Daily Transaction Reply Report Message Received |
| Change Medicare Premium Payment Option |
| Change HIX Enrollment Additional Maintenance Reason Code |
| Coverage Transferred Using Employer Group Transfer Coverage Utility |
| Access Subscriber or Dependent Demographic Information |
| M834 CSR Variant Change |
| M834 Coverage Gap |
| Medicare Advantage BEQ Response message received |
| Change External Subscriber ID |
| Change External Member ID |
| Change Premium Billing Medicare LIS Effective Date |
| Change Premium Billing Medicare LIS Term Date |
| Change Premium Billing Medicare LIS Percentage |
| Change Premium Billing Medicare Premium Override Effective Date |
| Change Premium Billing Medicare Premium Override Term Date |
| M834 Single/Family Employer Group Change |
| Change Subscriber Demographic Information |
| Edit Transaction in Staging Area |
| Change Agent Information |
| Change Legacy HICN |
| Change Claim Code |
| Remove Claim Code |
| Add Claim Code |
| Add Premium Rate Line on Coverage |
| Change Broker Information |
| Add Coverage Attribute |
| Edit Coverage Attribute Comment |
| 834 Reinstatement - Queue |
| 834 Reinstatement - Ad Hoc |
| Change Medicare Coverage Type |
| Change Medicare Status Reason |
| Change Medicaid Identifier |
| Change Coverage Review Status |
| Change Member Risk Adjustment Factor |
| Add Third Party Payer Effective Period |
| Remove Third Party Payer Effective Period |
| Change Third Party Payer Effective Date |
| Change Third Party Payer Termination Date |
| Change Third Party Payer Name |
| Change Medicare LIS Copay Category |
| Add Medicare LIS Period |
| Delete Medicare LIS Period |
| Add Medicare LEP Period |
| Delete Medicare LEP Period |
| Change Premium Billing Medicare LEP Termination Date |
| Changed Coverage Effective Date Change Reason |
| Changed Member Effective Date Change Reason |
| Add Medicare Premium Override Period |
| Delete Medicare Premium Override Period |
| Add Rider Override Period |
| Delete Rider Override Period |
| Change Rider Override Termination Date |
| Change Rider Override Premium |
| Add Rider Effective Period |
| Delete Rider Effective Period |
| Change Rider Effective Period Termination Date |
| Add Member to Rider Effective Period |
| Remove Member from Rider Effective Period |
| Add Medicare Premium Payment Option |
| Delete Medicare Premium Payment Option |
| Change Grace Period Information |
| Change Premium Billing Medicare LIS Source Code |
| Change Requested Termination Date |
| Change Termination Notice Date |
| Add Covered Through |
| Remove Covered Through |
| Add Subscriber Employment Status |
| Remove Subscriber Employment Status |
| Change Subscriber Employment Status |
| Add MC Employment Date |
| Remove MC Employment Date |
| Change MC Employment Date |
| Add Subscriber Address |
| Remove Subscriber Address |
| Change Subscriber Address |
| Add Member Court Decree on Parent Responsibility |
| Remove Member Court Decree on Parent Responsibility |
| Change Member Court Decree on Parent Responsibility |
| Add Member Custodial Parent |
| Remove Member Custodial Parent |
| Change Member Custodial Parent |
| Add Sponsor Related History Effective From |
| Remove Sponsor Related History Effective From |
| Change Sponsor Related History From |
| Add Sponsoring Employer's Size |
| Remove Sponsoring Employer's Size |
| Change Sponsoring Employer's Size |
| Add Member Mailing Address |
| Remove Member Mailing Address |
| Change Member Mailing Address |
| Add Member Custodial Parent Address |
| Remove Member Custodial Parent Address |
| Change Member Custodial Parent Address |
| Add Member Responsible Person Address |
| Remove Member Responsible Person Address |
| Change Member Responsible Person Address |
| Add Sponsor Related History Effective To |
| Remove Sponsor Related History Effective To |
| Change Sponsor Related History Effective To |
| Change Geographic Area Investigation Start Date |
| Change Geographic Area Temporary Address Start Date |
| Add Attribute Effective Date |
| Add Attribute Termination Date |
| Add Coverage Attribute Comment |
| Remove Attribute Effective Date |
| Remove Attribute Termination Date |
| Remove Coverage Attribute Comment |
| Merge Member Records |
| Add Member Responsible Person |
| Remove Member Responsible Person |
| Change Member Network |
| Add Member Effective Period Enrollment Reason |
| Change Member Effective Period Enrollment Reason |
| Remove Member Effective Period Enrollment Reason |
| Add Member Effective Period Termination Reason |
| Change Member Effective Period Termination Reason |
| Remove Member Effective Period Termination Reason |
| Medicare Advantage Monthly Membership Report Transaction Received |
| Medicare Advantage Monthly Membership Report Omission Transaction Created |
| Member Effective Periods Changed |
| Generate COBA E01 Add Submission |
| Generate COBA E01 Change Submission |
| Generate COBA E01 Delete Submission |
| Terminate Member's Coverage |
| Add M3P Effective Period |
| Terminate M3P Effective Period |
| Change M3P Effective Periods |
| Add M3P Election Request |
| Change M3P Election Request Status |
| Change M3P Election Requests |
| Add M3P Likely to Benefit |
| Change M3P Likely to Benefit |
| Change Eligibility Verification Grace Period |
| Change Member Card ID |
