Problems with members’ coverage, eligibility, or demographic data
This feature is currently in limited rollout. Contact your account manager to learn more.
Issues are currently in beta and subject to change. During the beta period, issue creation is limited to EDI error reports.
An Issue is a record of a problem with a member’s coverage, eligibility, or demographic data. It is often raised by a carrier or partner and may require action in order to resolve.
Here’s an example of an Issue object in the Noyo API:
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{ "partner_id": "6f1b3f70-95db-4aef-9fde-7c3e10cac11b", "partner_type": "carrier", "issue_code": "0270", "issue_details": "Dependent not eligible per employee coverage level (tier). This error will occur when you report dependents who are not covered, according to the employee's members covered code (tier).", "created": 1747085625, "employee_id": "1d09d9a6-60fc-4147-ba3f-65004aff647d", "group_id": "7464dfc7-375b-4f8c-bc6f-ef5f89277fab", "id": "57ece5b7-1a40-4015-96d6-a5d952c7a3e8", "issue_key": "b161ed48ab8edcaa47f22c78af79c04d4649c0fecb5467905d45c98be24fc447", "last_seen": "2025-05-13T17:27:11.523459+00:00", "member_id": "1d09d9a6-60fc-4147-ba3f-65004aff647d", "member_type": "employee", "resolution_method": "auto", "resolved_at": "2025-05-13T17:27:11.523459+00:00", "status": "resolved",}
Issues are also automatically matched to employees and dependents in Noyo. When the issue source is a carrier-provided document that doesn’t use Noyo IDs or the custom_individual_id field, members are matched using their name, date of birth, and other identifying information like carrier-assigned ID or SSN.
Issues are automatically matched to previous issues to update or resolve them. If the same issue is found in a new upload or transmission, it will not be duplicated. If the issue is no longer found, it will be automatically resolved.
If an issue doesn’t need to be addressed, it can be dismissed. Dismissed issues are not visible by default in the app, but can still be returned by the API when not filtered.