Health Insurance Oversight System (HIOS)
-
Upload
tyler-moses -
Category
Documents
-
view
34 -
download
5
description
Transcript of Health Insurance Oversight System (HIOS)
![Page 1: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/1.jpg)
Health Insurance Oversight System (HIOS)
Issuer Data Entry Form Updates
September 26, 2011
![Page 2: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/2.jpg)
Enhancements PurposeThe updates that have been made to the Issuer Data Entry Form are
necessary for the Rate Benefit Information System (RBIS) implementation in October.
In preparation for the RBIS Small Group market data collection period, the following elements must be collected in addition to normally submitted HIOS issuer data:
- Secondary backup data submission contact information (optional)
- Secondary backup data validation contact information (optional)
- Attestation user contact information (minimum of one is required)
- Product effective start date (required)
- Product effective end date (optional)
![Page 3: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/3.jpg)
Issuer Contact Information
The collection of the contact information for the various issuer roles has been consolidated into a chart. Existing contact information will be pre-populated into the new format for editing.
There are two new roles and space for a secondary backup contact for each existing issuer role. Although a secondary backup is not required, at least one of the attestation contacts must be complete. A user cannot have a data submission/validation role and an attestation role.
![Page 4: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/4.jpg)
Effective Start & End Dates
The issuer user will now be able to identify each product’s effective start date and end date.
- Effective Start Date is required- Effective End Date is optional
The database will not automatically process product status changes to “Closed” if the refresh date is past the “Effective End Date”. The issuer will be responsible for making these edits in the subsequent refresh window.
![Page 5: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/5.jpg)
HIOS XML Submission AvailableDevelopment is underway to allow users to submit issuer data via XML.
- XSD document will be available on HIOS download page
- October 3-7: HIOS Submission Window
- October 11-21: RBIS Submission Window
![Page 6: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/6.jpg)
Rate and Benefits Information System Training
September 16, 2011
6Confidential
![Page 7: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/7.jpg)
Agenda
• Introduction
• Login and Home screen
• Submission Materials
• Templates
• Upload and System Validations
• User Validations
• Attestations
• Helpdesk and Questions7Confidential
![Page 8: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/8.jpg)
What is RBIS
• The RBIS system collects rate and benefit information for display on Healthcare.gov
• Access to RBIS is through the HIOS home screen with your HIOS user account.
• RBIS operates much like HIOS. Submission, Validation and Attestation must be completed during the submission window.
Confidential 8
![Page 9: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/9.jpg)
Key Takeaways
• Use of RBIS is necessary for small group products to display on Healthcare.gov
• The RBIS process involves 3 actions: Successful Submission, User Validation and Attestation
• RBIS is significantly more automated and returns all errors in a submission.
• Finder Verify occurs during the window.
9Confidential
![Page 10: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/10.jpg)
Login
10Confidential
![Page 11: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/11.jpg)
Home
11Confidential
![Page 12: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/12.jpg)
Submission Materials
12Confidential
![Page 13: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/13.jpg)
Benefits Template
13Confidential
![Page 14: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/14.jpg)
Regions Template
14Confidential
![Page 15: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/15.jpg)
Product Availability Template
15Confidential
![Page 16: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/16.jpg)
Data Upload
16Confidential
![Page 17: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/17.jpg)
View Uploaded Files
17Confidential
![Page 18: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/18.jpg)
System Validations
Confidential 18
![Page 19: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/19.jpg)
System Validations: Successful
19Confidential
![Page 20: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/20.jpg)
System Validations: Errors
Confidential 20
![Page 21: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/21.jpg)
Validate Data pt. 1
21Confidential
![Page 22: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/22.jpg)
Validate Data pt. 2
22Confidential
![Page 23: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/23.jpg)
View Product Benefit Detail
23Confidential
![Page 24: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/24.jpg)
Validation Scenarios
24Confidential
![Page 25: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/25.jpg)
Resubmission
• Submission is at the issuer level and overwrites previously submitted data.
• Validation is at the product level and needs re-validation for each re-submission.
• Attestation only needs to be completed once per submission window.
25Confidential
![Page 26: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/26.jpg)
Attestation unavailable
26Confidential
![Page 27: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/27.jpg)
Attestation Available
27Confidential
![Page 28: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/28.jpg)
Attestation Complete
Confidential 28
![Page 29: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/29.jpg)
RBIS Technical Support
• The RBIS Helpdesk is available 8:30AM-7:30PM ET Mon-Fri.
• We are available via phone at 1-888-380-2107 or email at [email protected]
• Please get in touch if you need help or have any issues with RBIS.
29Confidential
![Page 30: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/30.jpg)
Recap
• You must: Submit, Validate and Attest.
• All actions must be completed during the submission window.
• You must submit to HIOS before submitting to RBIS and your RBIS users are your HIOS users.
• Attestation is not available until all issuers for an attester have submitted.
30Confidential
![Page 31: Health Insurance Oversight System (HIOS)](https://reader036.fdocuments.us/reader036/viewer/2022062422/56812e83550346895d94259e/html5/thumbnails/31.jpg)
Questions?
31Confidential