ANTHEM Wellpoint Benefits 834 Layout (Outbound) Connector

Dayforce Integration Studio Administrator Guide

Version
R2025.2.1
ft:lastEdition
2025-12-01
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