Change Request Detail
No.
1012
Date
10/6/2004
Submitter
Type of Request
Enrollment in a Health Plan
Status
DSMO Process Completed
Business Reason
The Oklahoma Legislature mandates the Oklahoma State & Education Employees Group Insurance Board (OSEEGIB) to offer various levels of life coverage. In addition to communicating the coverage levels in the 834, OSEEGIB must also be able to communicate the coverage amount in the 834.
Suggestion
Health Coverage Policy Amount (2300) AMT01- add a qualifier for Life Insurance or, if request 1011 is granted, authorize use P3 qualifier.
DSMO Category
J
Recommendation
This request should be directed to X12N TG2 WG4 Enrollments - Co-Chair Donald J. Brooks, Magellan Behavioral Health djbrooks@magellanhealth.com and Caren Rothstein, Aetna Inc. RothsteinC@Aetna.com
Appeal Recommendation