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Affordable Care Act Author: Charles Ornstein Last Updated: Dec 5, 2013 - 11:45:16 AM



HealthCare.gov’s Mysterious New Number: ‘834’

By Charles Ornstein
Dec 5, 2013 - 11:41:00 AM



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(HealthNewsDigest.com) - Now that the front-end of HealthCare.gov appears to be working properly, the media's focus is quickly shifting to the back-end systems that are supposed to provide insurance companies with accurate information about consumers enrolling in their plans.

The issue is an important one because if insurance companies get incorrect data, their future customers may not be enrolled properly and that could lead to headaches - or worse - come January when patients show up at doctors' offices or hospitals thinking they are insured but really aren't.

Sarah Kliff at The Washington Post has been flagging this issue for some time, writing in October how the "834" transactions that the government sends insurers each night could make or break the law. <script type="text/javascript" src="http://pixel.propublica.org/pixel.js" async="true"></script>

If people can't get into the Web site, then they simply have to come back later. But if they believe they've signed up for a plan but their 834 is a garbled mess - or, even worse, clear but wrong - it could mean chaos when they actually go to use their health insurance. For that reason, inside the health-care industry, the 834 problems are the glitch that is causing the most concern.

The problems appear to have persisted even as the website itself has gotten much easier to use for consumers. The Post reported earlier this week:

The errors cumulatively have affected roughly one-third of the people who have signed up for health plans since Oct. 1, according to two government and health-care industry officials. The White House disputed the figure but declined to provide its own.

The mistakes include failure to notify insurers about new customers, duplicate enrollments or cancellation notices for the same person, incorrect information about family members, and mistakes involving federal subsidies. The errors have been accumulating since HealthCare.gov opened two months ago, even as the Obama administration has been working to make it easier for consumers to sign up for coverage, the government and industry officials said.

Administration officials say the Post is wrong, but haven't been willing to provide correct figures.

The New York Times has similarly reported on the problems:

The issues are vexing and complex. Some insurers say they have been deluged with phone calls from people who believe they have signed up for a particular health plan, only to find that the company has no record of the enrollment. Others say information they received about new enrollees was inaccurate or incomplete, so they had to track down additional data - a laborious task that will not be feasible if data is missing for tens of thousands of consumers.

The Times has a graphic showing all the ways enrollment can go wrong.

Late yesterday, the Centers for Medicare and Medicaid Services and two insurance trade groups issued a statement saying they are working on the problem and pledged to report publicly on their progress.

But the issue has proved contentious, dominating daily media calls CMS is holding. Some tweets yesterday conveyed the frustration:

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