Scenario 2.5

Account State in MMS

Member Details

Member Code

Member Name

Relationship Type

 

Member Code

Member Name

Relationship Type

 

1001

John Doe

Self

 

1002

Jane Doe

Spouse

 

1003

Mary Doe

Child

 

1004

Christy Doe

Child

 

1005

Timmy Doe

Child

 

Enrollment Span

Enrollment Span Code

Start Date

End Date

Plan Id

Group Policy Id

Enrollment Span Code

Start Date

End Date

Plan Id

Group Policy Id

2001

1/1/2023

12/31/2023

77842FL342531601

54350283

2002

1/1/2023

12/31/2023

77842FL342541601

54350284

2003

1/1/2023

12/31/2023

77842FL342551601

54350285

Premium Span

Premium Span Code

Start Date

End Date

CSR Variance

Total Premium

Total Responsibility Amount

APTC Amount

Premium Span Code

Start Date

End Date

CSR Variance

Total Premium

Total Responsibility Amount

APTC Amount

3001

1/1/2023

12/31/2023

01

200

200

0

3002

1/1/2023

12/31/2023

01

150

150

0

3003

1/1/2023

12/31/2023

01

100

75

25

Member Premium Mapping

Premium Span Code

Member Span Code

Premium Span Code

Member Span Code

3001

1001

3001

1002

3002

1003

3002

1004

3003

1005