PriorCoverageMonths| Description |
| Contains details relavent to compliance with provisions under the U.S. Health Insurance Portability and Accountability Act of 1996 (HIPAA). Reports the number of prior months during which the person had medical coverage. HIPAA Title I limits restrictions that a group health plan can place on benefits for preexisting conditions. Group health plans may refuse to provide benefits relating to preexisting conditions for a period of 12 months after enrollment in the plan or 18 months in the case of late enrollment. However, individuals may reduce this exclusion period if they had group health plan coverage or health insurance prior to enrolling in the plan. Title I allows individuals to reduce the exclusion period by the amount of time that they had "creditable coverage" prior to enrolling in the plan and after any "significant breaks" in coverage. |
| Type : HIPAAType |
| Definition |
| Contain information relevant to compliance under the U.S. Health Insurance Portability (Defined in file USEnrollment.xsd , or a file it imports) |
| Elements | |||
| PriorCoverageMonths | |||
| UserArea | Allows the implementer to extend the base HR-XML specification. This is done by defining the additional information in XML Schema and referencing the new schema in the xml instance document throught the use of namespaces. Once this is done the additional information defined there can be carried in the BOD XML instance document. Allows the implementer to extend the base HR-XML specification. This is done by defining the additional information in XML Schema and referencing the new schema in the xml instance document throught the use of namespaces. Once this is done the additional information defined there can be carried in the BOD XML instance document. | ||
| Attributes | |||
| Attribute Group : EffectiveDateAttributeGroup | |||
| validFrom | This is formatted representation of a date, which may be specified as a date, date/time, year, or year/month. | ||
| validTo | This is formatted representation of a date, which may be specified as a date, date/time, year, or year/month. | ||
| Parents |
| \AcknowledgeUSEnrollment\DataArea\USEnrollment\SubscriberDetails\SubscriberDependent
\AcknowledgeUSEnrollment\DataArea\USEnrollment\SubscriberDetails |