Information in Diamond doesn agree with information displayed by EEI. Why and what needs to be done to correct it?
A. There are countless reasons as to why it is different. Usually it is because changes in Diamond are restricted to changing the latest eligibility span electronically and therefore the span that needs to be changed cannot be changed during member maintenance. It could also be because the date of birth in Diamond doesn’t agree with the date of birth on the MEDELIG file. Changes will not post from the MEDELIG file (which is the information displayed by the EEI) into Diamond if the Medicaid ID and date of birth on both files aren’t the same. If it is not the most recent span, all changes must be made manually (generally by board personnel). This includes changing the line of business portion of the plan (MCD/NON), making sure if the plan is changed to MCD, and placing the Medicaid ID number in the Userdef1 field. (3-2000) Q. I/We have information from Medifax (or any other third party source) that this client has a Medicaid number or Medicaid card, etc. but why doesn’t it show any eligi
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