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Washington Health Benefit Exchange Individual Market Companion Guide 834 Enrollment Transaction Document Version 6.0 March 30, 2018, Instructions related to the ASC X12 Benefit Enrollment and Maintenance

How to fill out 834 enrollment transaction companion

How to fill out 834 enrollment transaction companion

1. To fill out the 834 enrollment transaction companion, follow these steps:
2. Gather all the necessary information about the enrollee, such as name, address, date of birth, social security number, etc.
3. Identify the type of enrollment transaction you are processing, whether it is a new enrollment, change in coverage, or termination.
4. Fill out the header section of the 834 form with the required information, such as the sender's and receiver's identification numbers, transaction control number, etc.
5. Enter the individual's personal information in the subscriber section, including their name, gender, date of birth, social security number, etc.
6. Provide details about the primary policyholder and any dependents in the appropriate sections.
7. Fill out the coverage information, including the start and end dates, type of coverage, and any dependent information.
8. Make sure to include all relevant codes and identifiers for accurate identification and processing of the enrollment transaction.
9. Review the completed form for accuracy and completeness before submitting it to the appropriate recipient.
10. Keep a copy of the filled-out 834 form for your records.
11. If required, submit the completed 834 enrollment transaction companion electronically or through the designated method specified by the recipient.

Who needs 834 enrollment transaction companion?

1. Various entities need the 834 enrollment transaction companion, including:
2. - Health insurance providers
3. - Employers offering health insurance coverage to their employees
4. - Insurance agents or brokers
5. - Third-party administrators
6. - Government agencies overseeing healthcare programs
7. - Healthcare providers
8. These entities use the 834 enrollment transaction companion to exchange enrollment information electronically, ensuring accurate and timely processing of health insurance enrollments, changes, and terminations.

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What is 834 enrollment transaction companion?

834 enrollment transaction companion is a standardized electronic file format used in the healthcare industry to exchange enrollment information between insurers, employers, and benefit plans.

Who is required to file 834 enrollment transaction companion?

Insurers, employers, and benefit plans are required to file 834 enrollment transaction companion when enrolling or updating member information.

How to fill out 834 enrollment transaction companion?

834 enrollment transaction companion can be filled out electronically using a compatible software that follows the specific format requirements outlined by the industry standard.

What is the purpose of 834 enrollment transaction companion?

The purpose of 834 enrollment transaction companion is to facilitate the exchange of enrollment information in a standardized format, reducing errors and ensuring accurate enrollment and coverage information.

What information must be reported on 834 enrollment transaction companion?

834 enrollment transaction companion must include member demographic information, coverage details, enrollment effective dates, and any changes to existing information.