Delta Dental of Wisconsin (WI) 834 Layout (Outbound) Connector

Dayforce Integration Studio Administrator Guide

Version
R2025.1.0
Delta Dental of Wisconsin (WI) 834 Layout (Outbound) Connector
Delta Dental of Wisconsin (WI) 834 Layout (Outbound) Connector
Parent path for the field Fields that must be mapped
REFTransactionSetPolicyNumber

REF-38-ReferenceIdentification

EMPINSMembers > EMPNM1MemberName

DEPINSMembers > DEPNM1MemberNameWithIDCode

NamePrefix

NameSuffix

N1SponsorName

Sponsor Name

Sponsor Identification

EMPINSMembers > EMPINSMemberLevelDetailWithDOD/ EMPINSMemberLevelDetailWODOD

DEPINSMembers > DEPINSMemberLevelDetail

MedicarePlanCode

EMPINSMembers > EMPHDHealthCoverage > EMPHDHealthCoverageInfo

DEPINSMembers > DEPHDHealthCoverage > DEPHDHealthCoverageInfo

HD – MaintenanceReasonCode

HD – InsuranceLineCode

HD – PlanCoverageDescription

EMPINSMembers > EMPREFMemberIdentificationNumber17

DEPINSMembers > DEPREFMemberIdentificationNumber17

REF-17-ReferenceIdentification

EMPINSMembers > EMPREFMemberIdentificationNumber23

DEPINSMembers > DEPREFMemberIdentificationNumber23

REF-23-ReferenceIdentification

EMPINSMembers > EMPREFMemberIdentificationNumberDX

DEPINSMembers > DEPREFMemberIdentificationNumberDX

REF-DX-ReferenceIdentification

EMPINSMembers > EMPREFMemberPolicyNumber

DEPINSMembers > DEPREFMemberPolicyNumber

REF-1L-ReferenceIdentification

EMPINSMembers > EMPINSMemberLevelDetailWithDOD/ EMPINSMemberLevelDetailWODOD

DEPINSMembers > DEPINSMemberLevelDetail

COBRAQUALIFYINGEVENTCODE