BCBS of MICHIGAN (MI) 834 Layout (Outbound) Connector

Dayforce Integration Studio Administrator Guide

Version
R2025.2.1
ft:lastEdition
2025-12-01
BCBS of MICHIGAN (MI) 834 Layout (Outbound) Connector
BCBS of MICHIGAN (MI) 834 Layout (Outbound) Connector
Parent path for the field Fields that must be mapped
N1SponsorName

Sponsor Name – N102

Sponsor Name – N104

EMPINSMembers > EMPINSMemberLevelDetailWODOD

DEPINSMembers > DEPINSMemberLevelDetail

COBRAQUALIFYINGEVENTCODEWODOD

EMPINSMembers > EMPREFMemberPolicyNumber

DEPINSMembers > DEPREFMemberPolicyNumber

REF-1L-ReferenceIdentification

EMPINSMembers > EMPREFMemberIdentificationNumber17

DEPINSMembers > DEPREFMemberIdentificationNumber17

REF-17-ReferenceIdentification

EMPINSMembers > EMPREFMemberIdentificationNumberDX

DEPINSMembers > DEPREFMemberIdentificationNumberDX

REFDX-ReferenceIdentification

EMPINSMembers > EMPNM1MemberName

DEPINSMembers > DEPNM1MemberNameWithIDCode

MemberName - NM106NamePrefix

MemberName - NM107NameSuffix

EMPINSMembers > EMPHDHealthCoverage > EMPHDHealthCoverageInfo

DEPINSMembers > DEPHDHealthCoverage > DEPHDHealthCoverageInfo

HD- MaintenanceReasonCode

HD- InsuranceLineCode

HD- PlanCoverageDescription