A difference is detected, An error code identifies the type of exception: 1 Same plan code, collections bill amount. – 2 Different plan code, collections = bill – amount. 3 Different plan code, collections bill – amount. 4 On BES, not on CIPPS. – 5 On CIPPS, not on BES. – A payroll record is identified The exception will print on the U107 with a group for which there is not a number of ‘blank’. matching BES record within the same provider code, Summarizes the total healthcare costs in BES, the premiums collected in U108, Monthly Healthcare CIPPS, the Credit Due Agency, and the Charge to Agency (Automated Reconciliation Healthcare ATA). A separate report is generated for each Summary group number combination. Premiums Due are itemized by plan code. Lists the eligibility information in BES by provider and number. This U110, BES Premium report is a BES bill that supports the BES premiums due amount on the U108 Listing Summary. It may be used to determine an coverage in BES. Do employee’s not submit the U110 to DOA with the Healthcare Reconciliation unless it is required to document an exception. Lists all employees with invalid plan or provider codes in BES or CIPPS. U111, Invalid Healthcare Transactions on this report have not been included in the automated Plan/Provider reconciliation. Therefore, agencies must review each exception listed and Codes take corrective action. Reconciliation Procedures Healthcare Use this worksheet to document any adjustments required to change the Adjustments amounts identified in the automated reconciliation. Examples include Worksheet retroactive adjustments (which require an additional premium due or a reduction in premiums due) and coverage termination (which require a reduction in premiums due). Obtain copies and/or Excel spreadsheets of the Adjustments Worksheet from the DOA website (www.doa.virginia.gov).
A difference is detected, An error code identifies the type of exception: 1 – Same plan code, collections bill amount. 2 – Different plan code, collections = bill amount. 3 – Different plan code, collections bill amount. 4 – On BES, not on CIPPS. 5 – On CIPPS, not on BES. A payroll record is identified for which there is not a matching BES record within the same provider code, The exception will print on the U107 with a group number of ‘blank’. U108, Monthly Healthcare Reconciliation Summary Summarizes the total healthcare costs in BES, the premiums collected in CIPPS, the Credit Due Agency, and the Charge to Agency (Automated Healthcare ATA). A separate report is generated for each number combination. Premiums Due are itemized by plan code. U110, BES Premium Listing Lists the eligibility information in BES by provider and group number. This report is a BES bill that supports the BES premiums due amount on the U108 Summary. It may be used to determine an employee’s coverage in BES. Do not submit the U110 to DOA with the Healthcare Reconciliation unless it is required to document an exception. U111, Invalid Healthcare Plan/Provider Codes Lists all employees with invalid plan or provider codes in BES or CIPPS. Transactions on this report have not been included in the automated reconciliation. Therefore, agencies must review each exception listed and take corrective action. Reconciliation Procedures Healthcare Adjustments Worksheet Use this worksheet to document any adjustments required to change the amounts identified in the automated reconciliation. Examples include retroactive adjustments (which require an additional premium due or a reduction in premiums due) and coverage termination (which require a reduction in premiums due). Obtain copies and/or Excel spreadsheets of the Adjustments Worksheet from the DOA website (www.doa.virginia.gov).
50430.docx