Group Enrollment Reporting
Accurate and timely enrollment information from the group allows us to respond to member inquiries, process claims correctly and generate accurate billing statements. We offer three methods for reporting enrollment information. The method a group uses depends on such factors as the group size, the level of change activity, and required reporting frequency.
Online Enrollment
Online Enrollment is recommended for employee groups of 2,000 or less. In some cases, it is also appropriate for larger groups who have multiple locations and/or groups with minimal ongoing changes. Online Enrollment, a part of this web site, allows you to view and apply daily additions, changes and terminations to the membership file. All transactions are updated in real time. Please contact your marketing representative to obtain more information about using Online Enrollment.
Electronic Enrollment
The Electronic Enrollment process is recommended for employee groups of 500 or more. Electronic Enrollment facilitates the transfer of enrollment information in a standard data format that increases data accuracy and decreases turnaround time. This requires HIPAA 834 file format sent via FTP. Please contact your marketing representative if you would like information on our implementation process and file format requirements.
Paper Enrollment
If Online or Electronic Enrollment are not options, we also accept enrollment and changes using enrollment forms. We will provide Membership Enrollment and Membership Maintenance forms for your use.
