Section Ins 4006.02 - Subscriber and Member Identification Data Elements(a) Carriers and third-party administrators shall: (1) Provide a unique identification number for each member and subscriber included in the submitted files; and(2) Maintain that unique identifier for each member and subscriber for the entire period of coverage for that individual by that carrier or third-party administrator.(b) Subscriber and member identifiers shall be: (1) Consistent across all files that contain information about the subscriber or member;(2) Matched across the member eligibility, medical claims, pharmacy, and dental files, as well as behavioral health claims, as applicable, even where the claims are processed by a subcontractor such as a pharmacy benefits manager; and(3) Consistent with the technical specifications in Ins 4009.02.N.H. Admin. Code § Ins 4006.02
Derived From Volume XXXV Number 32, Filed August 13, 2015, Proposed by #10877, Effective 7/10/2015, Expires7/10/2025.Amended by Volume XL Number 50, Filed December 10, 2020, Proposed by #13136, Effective 11/24/2020, Expires 11/24/2030