BCBS of MASSACHUSETTS (MA) 834 Layout (Outbound) Connector

Dayforce Integration Studio Administrator Guide

Version
R2025.2.1
ft:lastPublication
2025-11-06T15:50:20.000994
BCBS of MASSACHUSETTS (MA) 834 Layout (Outbound) Connector
BCBS of MASSACHUSETTS (MA) 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

Studentstatus

YesNoconditionOrResponsecode

COBRAQUALIFYINGEVENTCODEWODOD

EMPINSMembers > EMPREFMemberPolicyNumber

DEPINSMembers > DEPREFMemberPolicyNumber

REF1L – Referenceidentification

EMPINSMembers > EMPHDHealthCoverage > EMPHDHealthCoverageInfo

DEPINSMembers > DEPHDHealthCoverage > DEPHDHealthCoverageInfo

HD- MaintenanceReasonCode

HD- InsuranceLineCode

HD- PlanCoverageDescription

HD – CoverageLevelCode

EMPINSMembers > EMPHDHealthCoverage > EMPREFHealthCoveragePolicyNumber

DEPINSMembers > DEPHDHealthCoverage > DEPREFHealthCoveragePolicyNumber

HD - REF-1L- ReferenceIdentification

EMPINSMembers > EMPNM1P3ProviderName/ EMPNM1QNProviderName

DEPINSMembers > DEPNM1P3ProviderName/ DEPNM1QNProviderName

NM1ProviderName(P3) – NM103

NM1ProviderName(P3) – NM104

NM1ProviderName(P3) – NM105

NM1ProviderName(P3) – NM106

NM1ProviderName(P3) – NM107