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B. ELIGIBILITY MANAGEMENT SERVICES <br /> Service Comments <br /> Standard ID Card production and issuance. United has assumed the addition of Customer's logo in an <br /> acceptable format to the ID card. <br /> Alternative member ID numbers generated by United <br /> (not based on SSN). <br /> Electronic Eli ibili Processing <br /> Electronic Enrollment processing: <br /> • Each submission to be a single consolidated file. <br /> Separate eligibility submissions for COBRA. <br /> • Initial load of primary physician data(when applicable) <br /> to be supplied electronically with ongoing changes <br /> submitted via Employer eServicessM Web site. <br /> Submission format: <br /> • UnitedHealth Group Standard 3005 Format;HIPAA <br /> 834 Compliant Format;or HR-XML format. <br /> • Single data source required <br /> Submission frequency: <br /> • Changes file daily in combination with a full population <br /> file on a monthly schedule. <br /> Or <br /> • Changes file weekly or bi-weekly in combination with a <br /> full population file on a monthly or quarterly schedule. <br /> Or <br /> • Full file weekly or bi-weekly. <br /> Transmission method: <br /> • FTP with United's approved encryption or direct connect. <br /> C. UNDERWRITING AND FINANCIAL SERVICES <br /> Service Comments <br /> Overall program accounting(year-end reconciliation). <br /> Claim projections. <br /> Annual Projection of cost impact for benefit design <br /> changes. <br /> Annual Projection of conventional premium equivalent <br /> rates._ <br /> Annual Reserve estimates. <br /> Annual government filings of 1099 reports to the IRS <br /> regarding payments made to physicians and other health care <br /> professionals. <br /> Provide required data necessary to enable Customer to <br /> file Form 5500. <br /> D. ESERVICES® CUSTOMER REPORTING SERVICES <br /> Service Comments <br /> An online customer reporting system including up to five <br /> customer IDs. _ <br /> Reporting Access Levels: Customer's access level is based upon its election. <br /> • Standard—Basic report package of"subscription" <br /> financial and utilization information produced on a pre- <br /> Expanded Level reports are available to customers with Select <br /> scheduled basis. Level reporting on an ad hoc basis for an additional charge per <br /> • Select—In addition to the Standard features,interactive report. <br /> access to eCR tools allowing the user to customize report <br /> parameters to facilitate detailed views of the data. <br /> Includes a broad array of membership and utilization <br /> reports. <br /> • Expanded—In addition to the Select features,allows the <br /> user greater ad-hoc and customizable capabilities to <br /> obtain detailed performance information_. _ <br /> Non-standard or ad hoc reports Fees are determined on a report-specific basis <br /> 17 <br />