PART III RECONCILIATION
Year / employer / subscriber internal reference:
Plan / funding / applicable reporting arrangement:
Scope reviewer and source:

PERSON HISTORY
Internal person reference | Subscriber relationship | Start | End | Source | Retroactive update

MONTH MATRIX
Person | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | Source

CHECKS
[ ] Individual identity matched to source
[ ] Multiple transactions consolidated without losing dates
[ ] Coverage for at least one day reviewed by month
[ ] All-year box agrees with all twelve months
[ ] Family employment and enrollment relationships reviewed
[ ] Missing identity information routed under field-specific instructions
[ ] Prepared output includes all reviewed people and continuation rows

FICTIONAL CONTROL
Riley 12 months / spouse 8 / child 8 = 28 person-months

DIFFERENCES
Person / month / prepared value / source value / resolution:
Approved output / reviewer / date: