| | | | | # Transactions in the file | | | | | | |
|---|
| 1 | Scenario 1 | FAM | ZEUS-INT-TEST-1.1
| FFM-FL-One-Add.I834.edi
| 1 | ADD | NA | No | 52323FL0406335
| Florida FFM Trading Partner
| Add transaction for a family of 2. The total responsibility amount is zero. So the enrollment span is effectuated and the paid through date is set to 12/31/2020 |
| 2 | ZEUS-INT-TEST-1.2
| peterson-financial-change.edi | 1 | CHANGE | Yes | No | 52323FL0406335
| Florida FFM Trading Partner
| Financial Change effective 5/1/2020. The total responsibility amount is updated to $10, hence the paid through date is reset from 12/31/2020 to 4/30/2020 After the transaction is processed, a payment of $10 is made, which updates the PTD to 5/31/2020 |
| 3 | ZEUS-INT-TEST-1.3
| peterson-financial-change-2.edi | 1 | CHANGE | Yes | No | 52323FL0406335
| Florida FFM Trading Partner
| Financial Change effective 5/1/2020 which cancels the premium span created in the prior test case |
| 4 | Scenario 2 | FAM | ZEUS-INT-TEST-2.1
| mccall-family.edi
| 1 | ADD | NA | No | 52323FL0406336
| Florida FFM Trading Partner
| Add transaction with only primary subscriber (McCall)
|
| 5 | ZEUS-INT-TEST-2.2
| mccall-nfc.edi
| 1 | CHANGE | No | NA | 52323FL0406336
| Florida FFM Trading Partner
| Non Financial Change Transaction for McCall family
|
| 6 | Scenario 3 | FAM | ZEUS-INT-TEST-3.1
| reyes-family.edi | 1 | ADD | NA | Yes | 52323FL0406335
| Florida FFM Trading Partner
| ADD transaction with multiple financials (i.e. premium spans)
|
| 7 | Scenario 4 | DEP | ZEUS-INT-TEST-4.1
| weber-family.edi | 1 | ADD | NA | Yes | 52323FL0406335
| Florida FFM Trading Partner
| ADD transaction with dependent only coverage for first dependent Add transaction with dependent only coverage for two dependents Add transaction with dependent only coverage for last dependent
|
| 8 | Scenario 5 | DEP | ZEUS-INT-TEST-5.1
| miles-family.edi | 1 | ADD | NA | Yes | 52323FL0406336
| Florida FFM Trading Partner
| Add transaction with coverage for primary subscriber and spouse Add transaction with dependent only coverage for first dependent Add transaction with dependent only coverage for last two dependents
|
| 9 | Scenario 6 | DEP | ZEUS-INT-TEST-6.1
| levine-family.edi | 1 | ADD | NA | Yes | 52323FL0406336
| Florida FFM Trading Partner
| ADD transaction with dependent only coverage for first dependent
|
| 10 | | ZEUS-INT-TEST-6.2
| levine-dep-2-add.edi | 1 | ADD | NA | Yes | 52323FL0406335
| Florida FFM Trading Partner
| ADD transaction with dependent only coverage for second dependent
|
| 11 | Scenario 7 | DEP | ZEUS-INT-TEST-7.1
| leon-family.edi | 1 | ADD | NA | Yes | 52323FL0406336
| Florida FFM Trading Partner
| ADD transaction with dependent only coverage for spouse and one child
|
| 12 | Scenario 8 | DEP | ZEUS-INT-TEST-8.1
| potts-family.edi | 1 | ADD | NA | Yes | 52323FL0406336
| Florida FFM Trading Partner
| ADD transaction with dependent only coverage for spouse and two children
|
| 13 | Scenario 9 | DEP | ZEUS-INT-TEST-9.1
| dean-family.edi | 1 | ADD | NA | Yes | 52323FL0406336
| Florida FFM Trading Partner
| ADD transaction with dependent only coverage for spouse and three children
|
| 14 | Scenario 10 | DEP | ZEUS-INT-TEST-10.1
| snow-family.edi | 1 | ADD | NA | Yes | 52323FL0406336
| Florida FFM Trading Partner
| ADD transaction with dependent only coverage for spouse and four children. Four premium spans, CSR Variant changes in span 3 and 4
|
| 15 | Scenario 11 | DEP | ZEUS-INT-TEST-11.1
| kline-family.edi | 1 | ADD | NA | Yes | 23455MA0535264
| Massachusetts FFM Trading Partner
| ADD transaction with dependent only coverage for first dependent
|
| 16 | Scenario 12 | DEP | ZEUS-INT-TEST-12.1
| shah-family.edi | 1 | ADD | NA | Yes | 23455MA0535264
| Massachusetts FFM Trading Partner
| ADD transaction with dependent only coverage for spouse and one child
|
| 17 | Scenario 13 | DEP | ZEUS-INT-TEST-13.1
| gates-family.edi | 1 | ADD | NA | Yes | 23455MA0535265
| Massachusetts FFM Trading Partner
| ADD transaction with dependent only coverage for spouse and two children
|
| 18 | Scenario 14 | DEP | ZEUS-INT-TEST-14.1
| costa-family.edi | 1 | ADD | NA | Yes | 23455MA0535265
| Massachusetts FFM Trading Partner
| ADD transaction with dependent only coverage for spouse and three children
|
| 19 | Scenario 15 | DEP | ZEUS-INT-TEST-15.1
| mills-family.edi | 1 | ADD | NA | Yes | 23455MA0535265
| Massachusetts FFM Trading Partner
| ADD transaction with dependent only coverage for spouse and four children. Four premium spans, CSR Variant changes in span 3 and 4
|
| 20 | Scenario 16 | DEP | ZEUS-INT-TEST-16.1
| burch-family.edi | 1 | ADD | NA | Yes | 52323FL0406335
| Florida FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber and spouse Subsequent dependent only ADDs
|
| 21 | Scenario 17 | DEP | ZEUS-INT-TEST-17.1
| odom-family.edi | 1 | ADD | NA | Yes | 52323FL0406336
| Florida FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber, spouse and one child Subsequent dependent only ADDs
|
| 22 | Scenario 18 | DEP | ZEUS-INT-TEST-18.1
| ware-family | 1 | ADD | NA | Yes | 52323FL0406335
| Florida FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber, spouse and two children Subsequent dependent only ADDs
|
| 23 | Scenario 19 | DEP | ZEUS-INT-TEST-19.1
| peck-family.edi | 1 | ADD | NA | Yes | 52323FL0406336
| Florida FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber, spouse and three children Subsequent dependent only ADDs
|
| 24 | Scenario 20 | DEP | ZEUS-INT-TEST-20.1
| chase-family.edi | 1 | ADD | NA | Yes | 52323FL0406335
| Florida FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber, spouse and four children Subsequent dependent only ADDs
|
| 25 | Scenario 21 | DEP | ZEUS-INT-TEST-21.1
| holder-family | 1 | ADD | NA | Yes | 23455MA0535265
| Massachusetts FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber and spouse Subsequent dependent only ADDs
|
| 26 | Scenario 22 | DEP | ZEUS-INT-TEST-22.1
| bean-family.edi | 1 | ADD | NA | Yes | 23455MA0535264
| Massachusetts FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber, spouse and one child Subsequent dependent only ADDs
|
| 27 | Scenario 23 | DEP | | wall-family.edi | 1 | ADD | NA | Yes | | Massachusetts FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber, spouse and two children Subsequent dependent only ADDs
|
| 28 | Scenario 24 | DEP | ZEUS-INT-TEST-24.1
| acosta-family.edi | 1 | ADD | NA | Yes | 23455MA0535264
| Massachusetts FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber, spouse and three children Subsequent dependent only ADDs
|
| 29 | Scenario 25 | DEP | ZEUS-INT-TEST-25.1
| myers-family.edi | 1 | ADD | NA | Yes | 23455MA0535265
| Massachusetts FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber, spouse and four children Subsequent dependent only ADDs
|
| 30 | Scenario 26 | FAM | ZEUS-INT-TEST-26.1
| golden-family.edi | 1 | ADD | NA | Yes | 52323FL0406335
| Florida FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber and spouse
|
| 31 | Scenario 27 | FAM | ZEUS-INT-TEST-27.1
| wells-family.edi | 1 | ADD | NA | Yes | 52323FL0406336
| Florida FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber, spouse and one child
|
| 32 | Scenario 28 | FAM | ZEUS-INT-TEST-28.1
| mann-family | 1 | ADD | NA | Yes | 52323FL0406335
| Florida FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber, spouse and two children
|
| 33 | Scenario 29 | FAM | ZEUS-INT-TEST-29.1
| nolan-family.edi | 1 | ADD | NA | Yes | 52323FL0406336
| Florida FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber, spouse and three children
|
| 34 | Scenario 30 | FAM | ZEUS-INT-TEST-30.1
| wise-family.edi | 1 | ADD | NA | Yes | 52323FL0406335
| Florida FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber, spouse and four children
|
| 35 | Scenario 31 | FAM | ZEUS-INT-TEST-31.1
| hays-family.edi | 1 | ADD | NA | Yes | 23455MA0535264
| Massachusetts FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber and spouse
|
| 36 | Scenario 32 | FAM | ZEUS-INT-TEST-32.1
| shaw-family.edi | 1 | ADD | NA | Yes | 23455MA0535265
| Massachusetts FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber, spouse and one child
|
| 37 | Scenario 33 | FAM | ZEUS-INT-TEST-33.1
| cortez-family.edi | 1 | ADD | NA | Yes | 23455MA0535264
| Massachusetts FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber, spouse and two children
|
| 38 | Scenario 34 | FAM | ZEUS-INT-TEST-34.1
| mullen-family.edi | 1 | ADD | NA | Yes | 23455MA0535265
| Massachusetts FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber, spouse and three children
|
| 39 | Scenario 35 | FAM | ZEUS-INT-TEST-35.1
| barber-family.edi | 1 | ADD | NA | Yes | 23455MA0535264
| Massachusetts FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber, spouse and four children
|
| 40 | Scenario 36 | | | combs-family.edi | 1 | ADD | NA | No | FAM | Florida FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber and spouse
|
| 41 | Scenario 37 | | | oliver-family.edi | 1 | ADD | NA | Yes | FAM | Florida FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber, spouse and one child
|
| 42 | Scenario 38 | | | rivas-family | 1 | ADD | NA | No | FAM | Florida FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber, spouse and two children
|
| 43 | Scenario 39 | FAM | ZEUS-INT-TEST-39.1
| bruce-family.edi | 1 | ADD | NA | Yes | 52323FL0406335
| Florida FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber, spouse and three children
|
| 44 | Scenario 40 | DEP (This was intended to be FAM - Change it when you come to this scenario) | ZEUS-INT-TEST-40.1
| ho-family.edi | 1 | ADD | NA | No | 52323FL0406336
| Florida FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber, spouse and four children.
|
| 45 | Scenario 41 | | | mack-family.edi | 1 | ADD | NA | No | FAM | Massachusetts FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber and spouse
|
| 46 | Scenario 42 | | | parker-family.edi | 1 | ADD | NA | Yes | FAM | Massachusetts FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber, spouse and one child
|
| 47 | Scenario 43 | | | berry-family.edi | 1 | ADD | NA | No | FAM | Massachusetts FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber, spouse and two children
|
| 48 | Scenario 44 | FAM | ZEUS-INT-TEST-44.1
| flores-family.edi | 1 | ADD | NA | Yes | 23455MA0535264
| Massachusetts FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber, spouse and three children
|
| 49 | Scenario 45 | FAM | ZEUS-INT-TEST-45.1
| yang-family.edi | 1 | ADD | NA | No | 23455MA0535265
| Massachusetts FFM Trading Partner
| ADD Transaction with Enrollments for primary subscriber, spouse and four children
|
| 50 | Scenario 46 | FAM | ZEUS-INT-TEST-46.1
| kirby-family.edi | 1 | ADD | NA | No | 52323FL0406336
| Florida FFM Trading Partner
| ADD Transaction with only primary subscriber
|
| 51 | ZEUS-INT-TEST-46.2
| kirby-new-add-2024.edi | 1 | ADD | NA | No | 52323FL0406336
| Florida FFM Trading Partner
| |
| 52 | ZEUS-INT-TEST-46.2
| kirby-cancel-5-1-2024-span.edi | 1 | CANCEL | NA | No | 52323FL0406336
| Florida FFM Trading Partner
| |
| 53 | Scenario 47 | FAM | ZEUS-INT-TEST-47.1
| brown-family.edi | 1 | ADD | NA | No | 52323FL0406336
| Florida FFM Trading Partner
| ADD Transaction with only primary subscriber
|
| 54 | ZEUS-INT-TEST-47.2
| brown-fc-2024.edi | 1 | CHANGE | NA | No | 52323FL0406336
| Florida FFM Trading Partner
| Financial change effective 5/1/2024 |
| 55 | ZEUS-INT-TEST-47.3
| brown-term-2024-span.edi | 1 | TERM | NA | No | 52323FL0406336
| Florida FFM Trading Partner
| Term enrollment span effective 4/30/2024 |
| 56 | ZEUS-INT-TEST-47.4
| brown-reinstate-2024-span.edi | 1 | REINSTATEMENT | NA | No | 52323FL0406336
| Florida FFM Trading Partner
| Reinstating the 2024 enrollment span |
| 57 | Scenario 48 | | | walls-family.edi | 1 | ADD | NA | No | FAM | Florida FFM Trading Partner
| ADD Transaction with only primary subscriber
|
| 58 | Scenario 49 | | | moyer-family.edi | 1 | ADD | NA | Yes | FAM | Massachusetts FFM Trading Partner
| ADD Transaction with only primary subscriber
|
| 59 | Scenario 50 | | | lynch-family | 1 | ADD | NA | Yes | FAM | Massachusetts FFM Trading Partner
| ADD Transaction with only primary subscriber
|
| 60 | Scenario 51 | | | bass-family.edi | 1 | ADD | NA | Yes | DEP | Florida FFM Trading Partner
| ADD Transaction (FAM) with only primary subscriber Subsequent dependent only ADDs
|
| 61 | Scenario 52 | | | barr-family.edi | 1 | ADD | NA | Yes | DEP | Florida FFM Trading Partner
| ADD Transaction (FAM) with only primary subscriber Subsequent dependent only ADDs
|
| 62 | Scenario 53 | | | larsen-family.edi | 1 | ADD | NA | No | DEP | | ADD Transaction (FAM) with only primary subscriber Subsequent dependent only ADDs
|
| 63 | Scenario 54 | | | sutton-family.edi | 1 | ADD | NA | No | DEP | | ADD Transaction (FAM) with only primary subscriber Subsequent dependent only ADDs
|
| 64 | Scenario 55 | | | garner-family.edi | 1 | ADD | NA | Yes | DEP | | ADD Transaction (FAM) with only primary subscriber Subsequent dependent only ADDs
|
| 65 | Scenario 56 | FAM | ZEUS-INT-TEST-56.1
| walz-family.edi | 1 | ADD | NA | Yes | 23455MA0535265
| Massachusetts FFM Trading Partner
| ADD Transaction (FAM) with only primary subscriber for 2023. The member will be in PREMEM status. Multiple payments will be made until the PTD is set to 12/31/2023 |
| 66 | ZEUS-INT-TEST-56.2
| walz-family-2024.edi | 1 | ADD | NA | Yes | 23455MA0535265
| Massachusetts FFM Trading Partner
| ADD Transaction (FAM) for 2024 is received, this will be auto enrolled with PTD of 12/31/2024 since the 2023 enrollment is in Enrolled status. Payments are made to the span but does not affect the PTD and CPTD. |
| 67 | ZEUS-INT-TEST-56.3
| walz-family-2023-term.edi | | | | | | | Cancel transaction that cancels the 2023 enrollment span. Since the 2023 enrollment span is canceled, the effectuation date, paid through date and the claim paid through date are removed from the enrollment span Since the 2024 enrollment span was set to ENROLLED status because 2023 was paid for, and that there are no payments made specific to the 2024 enrollment span, the status of this enrollment span will be set to PREMEMBER, the effectuation date, paid through date and the claim paid through date will be removed. After a payment is made, the status will be set back to ENROLLED and the effectuation date, paid through date and the claim paid through date will be populated. |