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Data Matching Issues
Summary
Q & A
- Type of DMI: Annual Income, CIT/IMM
- NGD / CU review
- Status of DMI: Open, Expired, Resolved
- Next Steps: Submit Docs, HICS, Appeal
DMI vs SVI Please don't confuse with SEP Verification
Documentation, Documentation,Documentation
Appeal
Resources
Refer to "Case Resolution Data Matching Issue" in the HI CW SOP pgs 92 - 96
Appeal submitted - SCW access EACMS for status
Data Matching Issues - Requested Documentation
Preventing DMIs
Include SSN for all household members
Update annual household income
CIT/IMM documentation include identification numbers
DMIs
Types of DMIs
Inconsistencies
- Annual Income
- Citizenship / Immigration
- SSN
- Employer Sponsored Coverage
- AI / AN
Status of DMI
- Open - Running
- Expired
- Resolved
Review CU and NGD
NGD: OBE, NLE, OPEN
CU: Resolved, Expired
Next Step
Open/ Running - Submit documentation, HICS to Serco
Expired - Consumer to file an Appeal
Exception: CIT/IMM
Resolved - Sufficient documentation
EX SEP with prospective enrollment
Citizenship Immigration enrollment retroed to avoid gap in coverage.