eFileExchange

(1-2 weeks)

(2-3 weeks)

(3-5 business days)

(1 business day)

(2 business days)

All plan code changes will need to be accounted for with the future participation period.

Your profile will be delivered to your Customer Success Manager and your file submitter.

In the event there are significant changes to the plan structure please ensure additional times is delegated for testing (at least 30 days prior to renewal date).

If HSA or FSA are to be added to the enrollment file, please allow for 90 days for testing purposes and also refer to the guide supplied previously and posted to your SFTP site.

Within 48 hours or receipt, our Customer Success Manager will ensure quality assurance practices are completed and the file is delivered to Blue Cross.

File Summary Reports will also be posted to your SFTP.

Blue Cross will process the file the following business day into the membership system. ID Cards, Member Packets and Secure Portal Changes will be updated that night.

Within 48 hours of the file transmission from the Group, Benefitfocus will post reports to your SFTP site.

All plan code changes will need to be accounted for with the future participation period.

Summary: This tab gives an overview of the processed file and will list the count for all adds, terms and updates, as well as the count for exceptions and tolerable exceptions.

Activity: Each Blue Cross member is listed on this tab, which includes a detailed, member-specific description of all changes on the specific feed. Each Blue Cross member is listed on this tab. Any member who does not have an update will not have any specific change noted in their details.

Exceptions: Members who have failed a validation step and are not sent to Blue Cross are listed on this tab with the specific error that caused the contract to be held back. This must be corrected within your group’s payroll and/or benefits administration system and resent on the following feed. These errors will persist until corrected.

Tolerable Exceptions: Members that have failed a validation but will be sent to Blue Cross are listed on this tab with the specific failed validation. This must be corrected within your group’s payroll and/or benefits administration system and resent on the following feed. These errors will persist until corrected.

No Activity: This lists your Blue Cross members on the file who have no changes.

Drops: Members who have dropped off the file feed without a termination sent for their coverage are populated to this tab. The members may also appear on one of the above tabs. Please note that these members will only be reported once; this notice is not pulled forward.

Effective Date Only Change: This shows information for you information for you as the reporting contact. No call to action is needed with the details contained on this tab.

You will correct data for any exceptions or make any necessary modifications to changes. Benefitfocus will send the updated member data to Blue Cross in the next scheduled file.

Any manual corrections can be sent directly to Blue Cross; however, this should still be updated within your payroll system to ensure the correct data is not overwritten by the incorrect file data.