1. (a) Carriers and third-party administrators shall:

   1. (1) Provide a unique identification number for each member and subscriber included in the submitted files; and
   2. (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.

2. (b) Subscriber and member identifiers shall be:

   1. (1) Consistent across all files that contain information about the subscriber or member;
   2. (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. (3) Consistent with the technical specifications in Ins 4009.02.

Source. #10877, eff 7-10-15; ss by #13136 eff 11-24-20