More complete information can be found in Section 7 of the Explanation of Coverage or Summary Plan Description.
If the employee meets any of the above conditions, they must make a written request for enrollment within thirty (30) days of the date of the event. Their coverage with HNE will be effective as of the date of the event.
Health New England has developed this Companion Guide as a support tool for our Trading Partners when submitting electronic HIPAA 5010 Membership Enrollment. Health New England accepts such enrollment in the format described in the ASC X12 Standards for Electronic Data Interchange Technical Report Type 3, ASC X12 834, version 005010. (We also may refer to this as the TR3, or “the Guide.”) Health New England will accept enrollment in the format consistent with form 005010X220A1, published in June 2010.All X12 Guides may be purchased from the Washington Publishing Company at http://www.wpc-edi.com.
If you are not filing your enrollment electronically and you would like more information, please contact your Employer Group’s Health New England Sales Representative.
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