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Technical Interface Guidelines
Health Plan Interface
Overview
In this section
This section includes information on roster and mass adjustment data (files) that are available to the Health Plans. The following topics are covered:
Active Care Listing Process
Annual Enrollment Potential Transition Listing Process
Daily Enrollment Notification Process
Daily Rate Code Summary Process
Early Intervention Program (EIP) File
Manual Payment Process
Mass Adjustment Process
Members With Choice Process
Monthly Enrollment Notification Process
Monthly Rate Code Summary Process
Open Enrollment Potential Transition Listing Process
Prior Plan Listing Process
Review File
Third Party Liability Process
Third Party Leads Submission Process
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