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Nevada Medicaid
HIPAA Transaction
Standard Companion Guide
Refers to the Technical Report Type 3
Document
Based on ASC X12N version:
005010×220A1Benefit Enrollment and
Maintenance (834)
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How to fill out maintenance 834
How to fill out maintenance 834
01
To fill out maintenance 834, follow these steps:
02
Gather the necessary information such as the member's name, birth date, address, and contact information.
03
Obtain the member's enrollment information, including the plan ID and effective date.
04
Ensure you have the member's eligibility information, such as their eligibility start and end dates.
05
Verify the member's gender, relationship to the primary subscriber, and other relevant demographic details.
06
Fill in the appropriate sections of the 834 form with the gathered information.
07
Review the completed form for accuracy and completeness.
08
Submit the filled out maintenance 834 form to the appropriate recipient, as specified by your organization or insurance provider.
09
Keep a copy of the submitted form for your records.
Who needs maintenance 834?
01
Maintenance 834 is needed by healthcare organizations, insurance providers, and other entities involved in managing member enrollment and eligibility information.
02
It is used to transmit changes in membership, such as adding new members, terminating coverage, or updating existing member information.
03
This form is vital for maintaining accurate and up-to-date member records, ensuring proper coverage and facilitating effective communication between different parties involved in healthcare management.
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What is maintenance 834?
Maintenance 834 is a form used to report updates or changes to an individual's health insurance coverage.
Who is required to file maintenance 834?
Health insurance providers are required to file maintenance 834 to report any changes in an individual's coverage.
How to fill out maintenance 834?
Maintenance 834 can be filled out electronically through the provider's online portal or submitted via mail using the paper form.
What is the purpose of maintenance 834?
The purpose of maintenance 834 is to ensure that accurate and up-to-date information about an individual's health insurance coverage is reported to the relevant authorities.
What information must be reported on maintenance 834?
Maintenance 834 typically requires information such as the individual's name, policy number, effective date of changes, and the reason for the update.
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