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Health InsuranceElectronic Eligibility Data Transmission OverviewVersion 12/7/2010 Employee Trust Funds Applications Development Bureau Division of Information Technology 801 West Badger Road Madison,
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Electronic eligibility data transmission is the process of electronically sending eligibility information for a group of individuals to a specific entity.
Employers or organizations offering group health plans are required to file electronic eligibility data transmission.
Electronic eligibility data transmission can be filled out using specific software or electronic tools provided by the entity requesting the information.
The purpose of electronic eligibility data transmission is to provide accurate and timely information about the eligibility of individuals for group health plans.
Information such as employee names, social security numbers, dependent information, and eligibility status must be reported on electronic eligibility data transmission.
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