Discrepancy Standard Messages

Standard enrollment discpreancy messages generated by Ideon

Ideon ingests carrier error messages, then uses carrier-specific rulesets to apply standardized messages. The first table of messages below are ones that are assigned to the platform at default.

The second table of messages is for messages that are visibile to the platform, but assigned to Ideon at default.

Please note, additional messages may be added periodically.

Standard Message
Parameter
Severity

Earnings

The platform has reported an earnings effective date that conflicts with the carrier's reported value. Please confirm the earnings effective date. (Earnings units displayed in cents)

earnings_effective_date

Warning

The platform has reported an annual earnings amount that conflicts with the carrier's reported value. Please confirm the annual earnings. (Earnings units displayed in cents)

annual_earnings

Warning

The platform has not reported an annual earnings amount, but the carrier requires a value. Please provide an annual earning amount. (Earnings units displayed in cents)

annual_earnings

Failure

Demographics

The platform has reported a birth date that is invalid according to the carrier's rules. Please provide a valid birth date.

birth_date

Failure

The platform has reported a birth date that conflicts with the carrier's reported value. Please confirm the member's birth date.

birth_date

Failure

The platform has reported an email address that is invalid according to the carrier's rules. Please provide a valid email address

emails

Failure

The platform has reported an email address that conflicts with the carrier's reported value. Please confirm the email address.

emails

Info

The platform has reported an email address, but the carrier has not reported a value. Until this Coverage Period is in Production, please update the carrier using your current administrative method.

emails

Info

The platform has not reported an email address, but the carrier has reported a value. Please provide an email address.

emails

Info

The platform has reported a social security number that is invalid according to the carrier's rules. Please provide a valid social security number

social_security_number

Failure

The platform has reported a social security number that conflicts with the carrier's reported value. Please confirm the social security number.

social_security_number

Failure

Carrier requires copy of Social Security card. Please follow up directly with carrier.

social_security_number

Failure

The platform has reported a residential address that conflicts with the carrier's reported value. Please confirm the address.

residential_address

Warning

The platform has reported an address that is invalid according to the carrier's rules. Please provide a valid address.

residential_address

Failure

The address value provided is missing one or more of the following pieces: Street #, Street Name, City, State, Zip Code. Please verify and update with complete address.

residential_address

Warning

The platform has reported a phone number that conflicts with the carrier's reported value. Please confirm the phone number.

phone_numbers

Info

The platform has reported a phone number, but the carrier has not reported a value. Until this Coverage Period is in Production, please update the carrier using your current administrative method.

phone_numbers

Info

The platform has not reported a phone number, but the carrier has a value. Please provide a phone number.

phone_numbers

Info

The platform has reported an employment status that conflicts with the carrier's reported value. Please confirm the employment status

employment_status

Failure

The platform has reported a benefit status that conflicts with the carrier's reported value. Please confirm the member's benefit status.

employment_status

Warning

Member's hours worked is less than the minimum hours for group Short-Term Disability coverage.

employment_status

Failure

The platform has reported a gender that conflicts with the carrier's reported value. Please confirm the gender.

gender

Info

gender must be male or female

gender

Failure

Coverage

This coverage is missing a bundled plan that accompanies it. Please add accompanying plan.

coverage

Warning

The requested change cannot be made, as it is outside of the carrier's retro guidelines.

coverage

Failure

The reinstatement request cannot be processed, as it exceeds the retro guidelines for this carrier. Please send with a valid effective date, or contact the carrier to pursue a retro exception.

coverage

Failure

The reinstatement could not be processed, as this member is not on record as being previously terminated. Please review transaction type.

coverage

Failure

The platform has reported a plan selection that is invalid according to the carrier's rules. Please provide a valid plan election for the member's benefit class.

coverage

Failure

The platform has reported a plan selection that conflicts with the carrier's reported value. Please confirm the plan selection.

coverage

Failure

The platform has reported an active coverage for this plan, but the carrier has not reported a value. Until this Coverage Period is in Production, please update the carrier using your current administrative method.

coverage

Failure

The platform has not reported this member with active coverage, but the carrier has reported a value. Please add this member to platform.

coverage

Warning

The platform has not reported the subscriber with active coverage, but the carrier has reported a value. Please add this member to platform.

coverage

Failure

The platform has not reported a required coverage, but the carrier requires an election. Please provide an active coverage.

coverage

Failure

The platform has not reported a plan selection, but the carrier has reported a value. Please confirm and add the plan selection.

coverage

Warning

The platform has not reported active coverage for this member, but the carrier has reported a value. Until this Coverage Period is in Production, please update the carrier using your current administrative method.

coverage

Failure

The platform has not reported active coverage for this dependent, but the carrier has reported a value. Until this Coverage Period is in Production, please update the carrier using your current administrative method.

coverage

Failure

The platform has not reported active coverage, but the carrier has reported a value. If the coverage should be active, please add it to the platform. If it should not be active, please provide a termination date.

coverage

Warning

The carrier requires the member to submit a form answering additional eligibility questions in order to elect this product. Please provide documentation or work with the Ideon and Carrier teams to complete this process.

coverage

Failure

The assigned network ID for this member is invalid for coverage

coverage

Failure

Member is previously terminated. Please confirm plan dates and resend as reinstatement if necessary.

coverage

Failure

COBRA

Missing or mismatched member information on the COBRA file. Please review and update all relevant COBRA values.

coverage

Warning

Carrier requires copy(s) of payment documentation showing that the employee has been paying for the COBRA coverage without a lapse.

coverage

Warning

Carrier requires at least one day of coverage in the prior plan to enroll the member in COBRA coverage. Please confirm or update the coverages for the member.

coverage

Failure

Dependent

This dependent has reached or will soon reach the maximum age limit. If this dependent has a medical condition which qualifies them for coverage after the age of 26, please contact the carrier to provide documentation.

dependent

Info

The platform has reported this dependent with active coverage, but the carrier has not reported a value. Until this Coverage Period is in Production, please update the carrier using your current administrative method.

dependent

Info

The platform has reported a subscriber relationship that conflicts with the carrier's reported value. Please confirm the subscriber relationship.

dependent

Warning

The platform has reported a plan selection that is invalid according to the carrier's rules. Please confirm the plan selection.

dependent

Failure

The platform has reported a dependent add date that conflicts with the carrier's reported value. Please confirm the dependent add date.

dependent

Warning

The platform has not reported a dependent with active coverage, but the carrier has reported a value. If the dependent should be enrolled, please add their active coverages to the platform. If the dependent should not be enrolled, please provide a termination date for their coverages.

dependent

Warning

The member has indicated multiple dependents as spouse or domestic partner. Please provide a single spouse or domestic partner.

dependent

Failure

The dependent is not eligible for any non-COBRA benefit without a member election. Please confirm the status of all covered members in the family and provide updated coverages.

dependent

Failure

A change to the subscriber's record has invalidated this dependent's eligibility.

dependent

Failure

Employment Start and End Dates

The platform has reported an employment end date the conflicts with the carrier's reported value. Please confirm the employment end date.

employment_end_date

Warning

The platform has reported an employment start date that is invalid according to the carrier's rules. Please provide a valid employment start date.

employment_start_date

Failure

The platform has reported an employment start date that conflicts with the carrier's reported value. Please confirm the employment start date.

employment_start_date

Warning

Plan Start and End Dates

The platform has reported a plan end date that conflicts with the carrier's reported value. Please confirm the plan end date.

plan_end_date

Failure

The platform has reported a benefit end date for this plan that is invalid according to the carrier's rules. Please provide a valid benefit end date.

plan_end_date

Failure

The platform has reported a benefit end date for this plan that conflicts with the carrier's value.

plan_end_date

Info

The platform has reported a benefit end date for this plan, but the carrier has not reported a value. Until this Coverage Period is in Production, please update the carrier using your current administrative method.

plan_end_date

Failure

The platform has not reported a benefit end date for this plan, but the carrier has reported a value. If the carrier date is correct, please update the date on the platform. If the coverage should be active, please reach out to the carrier to request a reinstatement.

plan_end_date

Warning

The platform has reported a plan start date that conflicts with the carrier's reported value. Please confirm the plan start date.

plan_start_date

Failure

The platform has reported a plan start date greater than the plan end date on file with the carrier. Please review and adjust plan start date.

plan_start_date

Failure

The platform has reported a benefit start date for this plan that is invalid according to the carrier's rules. Please provide a valid benefit start date.

plan_start_date

Failure

The effective date provided for this coverage is too far in the future. Please send effective dates within plan guidelines.

plan_start_date

Warning

Reinstated member with coverage start date more than 1 day before previous term date. Start date updated to previous term date plus 1 day.

plan_start_date

Info

Group Number, Class, Department ID

The platform has reported a plan selection that is invalid according to the carrier's rules. Please provide a valid plan election and benefit start date.

plan_id

Failure

Volume

The platform has reported a coverage volume that conflicts with the carrier's reported value. Please confirm the coverage volume.

plan_volume

Warning

The platform has reported a coverage volume for this plan that is invalid according to the carrier's rules. Please provide a valid coverage volume.

plan_volume

Warning

The platform has not reported a coverage volume, but the carrier requires a value. Please provide a coverage volume.

plan_volume

Failure

The member must complete the Evidence of Insurability process and receive approval for the elected benefit amount

plan_volume

Warning

Subscriber

The platform has reported this subscriber with active coverage, but the carrier has not reported a value. Until this Coverage Period is in Production, please update the carrier using your current administrative method.

subscriber

Info

The platform has reported a name that is invalid according to the carrier's rules. Please provide a valid name.

subscriber

Failure

The platform has not reported a subscriber with active coverage, but the carrier has reported a value. If the subscriber should be enrolled, please add their active coverages to the platform. If the subscriber should not be enrolled, please provide a termination date for their coverages.

subscriber

Warning

Carrier requires documentation and verification of an employee’s payroll deductions for the product and timeframe. Please provide documentation to be shared with the Carrier.

subscriber

Failure

Standard Messages Visible to Platform

Standard Message
Parameter
Severity

Social Security Number

The carrier system flagged this member as a potential duplicate. Ideon will review the member and reply with next steps.

social_security_number

Failure

Coverage

Enrollment indicated, but member is already active

coverage

Warning

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