Monthly File. The Department will provide an 834 Monthly Membership File for each PCO on the next to the last Saturday of each month. The file contains the Eligibility Period, PCO coverage, and other Beneficiary demographic information. The PCO must reconcile this membership file against its internal membership information and notify the Department of any discrepancies found within the data on the file within thirty (30) Business Days, in order to resolve problems. Beneficiaries without an indication of prospective coverage will not be the responsibility of the PCO unless a subsequent 834 Daily Membership File indicates otherwise. Beneficiaries with an indication of future month coverage will not be the responsibility of the PCO if an 834 Daily Membership File received by the PCO prior to the beginning of the future month indicates otherwise.
Appears in 2 contracts
Sources: Grant Agreement, Private Coverage Organization Agreement