DELTA DENTAL (AR, IN, MI, NM, OH, OK, TN) 834 Layout (Outbound) Connector

Dayforce Integration Studio Administrator Guide

Version
R2025.1.0
DELTA DENTAL (AR, IN, MI, NM, OH, OK, TN) 834 Layout (Outbound) Connector
DELTA DENTAL (AR, IN, MI, NM, OH, OK, TN) 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

MedicalPlancode

COBRAQUALIFYINGEVENTCODEWODOD

EmploymentStatusCode

EMPINSMembers > EMPREFMemberPolicyNumber

DEPINSMembers > DEPREFMemberPolicyNumber

REF1L – Referenceidentification

EMPINSMembers > EMPREFMemberIdentificationNumberDX

DEPINSMembers > DEPREFMemberIdentificationNumberDX

REFDX – Referenceidentification

EMPINSMembers > EMPREFMemberIdentificationNumber17

DEPINSMembers > DEPREFMemberIdentificationNumber17

REF17 – Referenceidentification

EMPINSMembers > EMPNM1MemberName

DEPINSMembers > DEPNM1MemberNameWithIDCode

MemberName - NM106NamePrefix

MemberName - NM107NameSuffix

EMPINSMembers > EMPHDHealthCoverage > EMPHDHealthCoverageInfo

DEPINSMembers > DEPHDHealthCoverage > DEPHDHealthCoverageInfo

HD- MaintenanceReasonCode

HD- InsuranceLineCode

HD- PlanCoverageDescription