ANTHEM Wellpoint Benefits 834 Layout (Outbound) Connector

Dayforce Integration Studio Administrator Guide

Version
R2025.1.0
ANTHEM Wellpoint Benefits 834 Layout (Outbound) Connector
ANTHEM Wellpoint Benefits 834 Layout (Outbound) Connector
Parent path for the field Fields that must be mapped
N1SponsorName

Sponsor Name – N102

Sponsor Name – N104

EMPINSMembers > EMPINSMemberLevelDetailWithDOD/ EMPINSMemberLevelDetailWODOD

DEPINSMembers > DEPINSMemberLevelDetail

MedicalPlancode

Qualifyingeventcode

EmploymentStatuscode

Studentstatus

YesNoconditionOrResponsecode

EMPINSMembers > EMPREFMemberIdentificationNumberDX

DEPINSMembers > DEPPREFMemberIdentificationNumber

REFDX – Referenceidentification

EMPINSMembers > EMPHDHealthCoverage > EMPHDHealthCoverageInfo

DEPINSMembers > DEPHDHealthCoverage > DEPHDHealthCoverageInfo

HD- MaintenanceReasonCode

HD- InsuranceLineCode

HD- PlanCoverageDescription

EMPINSMembers > EMPHDHealthCoverage > EMPREFHealthCoveragePolicyNumber

DEPINSMembers > DEPHDHealthCoverage > DEPREFHealthCoveragePolicyNumber

HD-REF-1L- ReferenceIdentification

EMPINSMembers > EMPNM1P3ProviderName/ EMPNM1QNProviderName

DEPINSMembers > DEPNM1P3ProviderName/ DEPNM1QNProviderName

NM1ProviderName(P3/QN) – NM103

NM1ProviderName(P3/QN) – NM104

NM1ProviderName(P3/QN) – NM105

NM1ProviderName(P3/QN) – NM106

NM1ProviderName(P3/QN) – NM107