I need your help in one of the requirement. I am working on one non 834 Benfit file where we are sending Medical coverages in that.
Originally posted by Aman Gaur on March 26, 2026 at 8:02 AM.
Hello Community,
I need your help in one of the requirement. I am working on one non 834 Benfit file where we are sending Medical coverages in that.
In employee table for Plan coverage tier I have used below code and value is coming as well:
<Table Name="PlanOption_Tier" MinRows="0" MaxRows="1" ReportColumn="25" Enabled="Y">
<Columns>
<Column Name="Medical Tier Level Coverage" Value="plan_coveragelevel" Enabled="Y"/>
</Columns>
<MappingDefinitions>
<!-- Filter: only BCBS medical plans allowed into this PlanOption.
plan_coveragelevel is automatically pulled from whichever
plan record matches — so it will always be the medical tier. -->
<definition>
<criteriaset>
<criteria item="plan_xrefcode" op="in" opDataType="String">
<Value>COBRA_BCBS_OF_IL_BLUE_ADVANTAGE_HMO</Value>
<Value>COBRA_BCBS_OF_IL_BLUE_CHOICE_PPO</Value>
<Value>COBRA_BLUE_EDGE</Value>
<Value>COBRA_BCBSPPO1</Value>
<Value>BCBS_OF_IL_BLUE_ADVANTAGE_HMO</Value>
<Value>BCBS_OF_IL_BLUE_CHOICE_PPO</Value>
<Value>BCBS_OF_IL_BLUE_EDGE_HSA_PPO</Value>
<Value>BCBS_OF_IL_PPO_1</Value>
</criteria>
</criteriaset>
</definition>
</MappingDefinitions>
</Table>
Now for dependents as well I am using same code, but coverage is not pulling for Dependents. Any idea?
My output dummy example:
Contact Type, Firstname, Lastname, Medical plan name, medical tier
Subscriber,Aman, Gaur, BCBS OF IL, FAM_BCBS_OF_IL_PPO_1
Child, XYZ, ABC, blank, blank
Spouse, ABC, ASD, blank , blank
why is this happening?
