Schedule E - HIPAA 834 File Layouts Final.pdf
PDF 321 KB Posted
- Attached to
- Vision Insurance Plan Administration for CSC
- Solicitation number
- RFP 171 180000001030 4
- Issued by
- Michigan
About this file
This is a Schedule E document for RFP No. 180000001030 issued by the State of Michigan Department of Community Services (MDCS) for the Michigan Comprehensive Health Association Services Consortium (MCSC) Vision Request for Proposal. The document serves as an index to HIPAA 834 file layout specifications and user guides required for health insurance enrollment and benefits administration. The file provides hyperlinks to four technical documents: the MCSC 834 File Layout, MCSC 834 File User Guide, ORS 834 File Layout, and ORS 834 File User Guide. These documents establish the electronic data interchange standards for transmitting health plan enrollment and benefits information between the state, insurance carriers, and the MCSC system. The 834 file format is essential for processing real-time eligibility and enrollment data according to HIPAA standards.
This document does not contain specific pricing terms, contract duration, award dates, or other financial details. It functions as a technical specification reference document within the broader RFP package, establishing the data format requirements that any selected vendor must support for system integration and operational compliance with the MCSC Vision initiative.
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Other files
| File | Type | Posted |
|---|---|---|
| RFP 180000001030 Questions and Answers Final.docx | DOCX document | |
| Standard Contract Terms Final.docx | DOCX document | |
| Schedule A - Final.docx | DOCX document | |
| Proposal Instructions and Vendor Questions Worksheet Final.docx | DOCX document | |
| Schedule B - Pricing Matrix Final.xlsx | XLSX spreadsheet | |
| Vision RPF Q&A #33.xlsx | XLSX spreadsheet | |
| Schedule J Safeguard Requirements of Confidential Data Final.docx | DOCX document | |
| Schedule G - Provider Location Data for Disruption Analysis Final_Rev 2-28-18.xlsx | XLSX spreadsheet | |
| Schedule H - Sample Claims Report and Invoice Format Final.xlsx | XLSX spreadsheet | |
| Vision RPF Q&A #28.xlsx | XLSX spreadsheet | |
| Schedule C - Plan Design Final.docx | DOCX document | |
| Schedule D - GeoAccess Data Final_Rev 2-28-18.xlsx | XLSX spreadsheet | |
| Schedule I - SLA Reporting Format Final.pdf | ||
| Schedule F - Provider Cost Claims Data Final.XLSX | XLSX spreadsheet |
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Text version
SOM HIPAA 834 FILE LAYOUTS
MCSC Vision RFP, Schedule E Page 1
Select the hyperlinks below to view each document:
MCSC 834 File Layout
MCSC 834 File User Guide
ORS 834 File Layout
ORS 834 File User Guide
SCHEDULE E
RFP No. 180000001030 http://www.michigan.gov/documents/mdcs/MCSC_HIPAA_834_File_Format_610163_7.pdf http://www.michigan.gov/documents/mdcs/MCSC_HIPAA_Companion_Guide_610164_7.pdf http://www.michigan.gov/documents/mdcs/ORS_HIPAA_834_File_Format_610166_7.pdf http://www.michigan.gov/documents/mdcs/ORS_HIPAA_834_File_Companion_Guide_610165_7.pdf
File details come from the government source that posted it. Updated .