EXPRESS SCRIPTS 834 Layout (Outbound) Connector

Dayforce Integration Studio Administrator Guide

Version
R2025.2.1
ft:lastEdition
2025-12-01
EXPRESS SCRIPTS 834 Layout (Outbound) Connector
EXPRESS SCRIPTS 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

COBRAQUALIFYINGEVENTCODEWODOD

Studentstatus

YesNoconditionOrResponsecode

EMPINSMembers > EMPREFMemberPolicyNumber

DEPINSMembers > DEPREFMemberPolicyNumber

REF1L – Referenceidentification

EMPINSMembers > EMPREFMemberIdentificationNumber17

DEPINSMembers > DEPREFMemberIdentificationNumber17

REF17 – Referenceidentification

EMPINSMembers > EMPREFMemberIdentificationNumberZZ

DEPINSMembers > DEPREFMemberIdentificationNumberZZ

REFZZ – Referenceidentification

EMPINSMembers > EMPNM1MemberName

DEPINSMembers > DEPNM1MemberNameWithIDCode

MemberName - NM106NamePrefix

MemberName - NM107NameSuffix

EMPINSMembers > EMPHDHealthCoverage > EMPHDHealthCoverageInfo

DEPINSMembers > DEPHDHealthCoverage > DEPHDHealthCoverageInfo

HD- MaintenanceReasonCode

HD- InsuranceLineCode

HD- PlanCoverageDescription

EMPINSMembers > EMPHDHealthCoverage > EMPREFHealthCoveragePolicyNumber

DEPINSMembers > DEPHDHealthCoverage > DEPREFHealthCoveragePolicyNumber

HD-REF-1L- ReferenceIdentification