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Companion Document 834 834 Benefit Enrollment and Maintenance This Companion Document serves as supplementary material to the primary resources, ASC X12 Standards for Electronic Data Interchange Technical
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How to fill out companion document 834

How to fill out companion document 834
01
Gather all the necessary information and documents, including member information, policy information, and employer information.
02
Identify the purpose of the companion document 834, which is typically to transmit enrollment information between health insurance plans and trading partners.
03
Start by entering the basic information of the member, such as their name, date of birth, gender, and contact details.
04
Provide the policy information, including policy number, effective date, and termination date if applicable.
05
Enter the employer information, including employer name, address, and contact details.
06
Include any additional information required by the specific trading partner or health insurance plan.
07
Ensure all the information entered is accurate and complete.
08
Review the filled out companion document 834 thoroughly for any errors or missing information.
09
Submit the filled out companion document 834 to the appropriate recipient, either electronically or by mail.
10
Keep a copy of the filled out companion document 834 for your records.
Who needs companion document 834?
01
Health insurance plans and trading partners often require companion document 834 to transmit enrollment information.
02
Employers may need companion document 834 to update employee enrollment information with the health insurance plan.
03
Individuals or members may need companion document 834 to make changes to their enrollment status, such as adding or removing dependents.
04
Government agencies or regulatory bodies may request companion document 834 for auditing or compliance purposes.
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What is companion document 834?
Companion document 834 is an electronic file format used to exchange health care enrollment and maintenance information between employers, health plans, and third-party administrators.
Who is required to file companion document 834?
Employers, health plans, and third-party administrators are required to file companion document 834.
How to fill out companion document 834?
Companion document 834 is typically filled out using a specific format provided by the relevant health care organization or agency.
What is the purpose of companion document 834?
The purpose of companion document 834 is to ensure accurate and timely exchange of health care enrollment and maintenance information.
What information must be reported on companion document 834?
Companion document 834 typically includes information such as member enrollment details, changes in coverage, and terminations.
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