Transfer Page

You use the Transfer page to transfer receivables.

The Transfer page contains the following panels:

Transfer From Fields

Field	Description
These fields are view-only.
Line of Business	The unique code that identifies the line of business, a high-level payer, or funding source such as Medicaid.
Payee/Payer Type	The type of financial entity that can make payments and/or receive payments. Examples: Provider, Member, Carrier
Payee/Payer ID Type Code	The code associated with the type of payee/payer. Defaults: If the Payee/Payer Type is Provider, then the Payee/Payer ID Type Code is Medicaid. If the Payee/Payer Type is Member, then the Payee/Payer ID Type Code is Medicaid ID. If the Payee/Payer Type is Carrier, then the Payee/Payer ID Type is Carrier ID.
Payee/Payer ID	Unique identifier of the payee/payer.
Payee/Payer Name	The name of the payee/payer. Dependent upon the Payee/Payer Type Code and Payee/Payer ID on file in ND MMIS.
System Payee/Payer ID	Unique identifier in ND MMIS that represents the payee/payer ID.
FCN	The financial control number (FCN) assigned to an account receivable. The FCN consists of the date it was created, the media source (how it was received), and a document number. Format: YYYYMMDDMNNNNN Links to appropriate Accounts Receivable page for the receivable.
A/R Letter Sent	The account receivable letter aging status.
Financial Reason Code	The code indicating why the transaction was added.
Established Date	The date that the original account receivable was created.
Related FT TCN	The transaction control number (TCN) of the claim's financial transaction (FT) that is created during claims processing to reflect the receivable. Links to the Claims Inquiry page for the claim associated with the control number, if you have access.
Original A/R Amount	The amount of the original account receivable. Format: Displayed as currency with $ symbol left of the value and two digits to the right of the decimal. Display Example: $9999999.99
Member ID Type	The type of Alternate ID being used as the Member ID. Examples: Medicaid, SPED, Voc Rehab
Adjusted A/R Amount	Sum of the revised account receivable amount, revised interest, revised penalty, and revised fees.
Established on behalf of Member ID	The Member ID of the member on whose behalf this financial action was created.
Balance Amount	The current balance amount of the account receivable transaction.
Member Name	The name of person associated with the member ID.
Interest	The amount of interest accruals on the account receivable. An interest charge is imposed on the remaining balance when the account receivable is not exempted from interest charges.
Penalty	The amount of penalty accrued on the account receivable. A penalty charge is imposed when payment has not been received on time. This occurs when the account receivable is not exempt from penalties.
Fees	The amount of fees accrued on the account receivable. A fee charge is imposed for handling of the accounts receivable. This occurs when the account receivable is not exempt from being charged fees.

Field

Description

These fields are view-only.

Line of Business

The unique code that identifies the line of business, a high-level payer, or funding source such as Medicaid.

Payee/Payer Type

The type of financial entity that can make payments and/or receive payments.

Examples: Provider, Member, Carrier

Payee/Payer ID Type Code

The code associated with the type of payee/payer.

Defaults: If the Payee/Payer Type is Provider, then the Payee/Payer ID Type Code is Medicaid. If the Payee/Payer Type is Member, then the Payee/Payer ID Type Code is Medicaid ID. If the Payee/Payer Type is Carrier, then the Payee/Payer ID Type is Carrier ID.

Payee/Payer ID

Unique identifier of the payee/payer.

Payee/Payer Name

The name of the payee/payer. Dependent upon the Payee/Payer Type Code and Payee/Payer ID on file in ND MMIS.

System Payee/Payer ID

Unique identifier in ND MMIS that represents the payee/payer ID.

FCN

The financial control number (FCN) assigned to an account receivable. The FCN consists of the date it was created, the media source (how it was received), and a document number.

Format: YYYYMMDDMNNNNN

Links to appropriate Accounts Receivable page for the receivable.

A/R Letter Sent

The account receivable letter aging status.

Financial Reason Code

The code indicating why the transaction was added.

Established Date

The date that the original account receivable was created.

Related FT TCN

The transaction control number (TCN) of the claim's financial transaction (FT) that is created during claims processing to reflect the receivable.

Links to the Claims Inquiry page for the claim associated with the control number, if you have access.

Original A/R Amount

The amount of the original account receivable.

Format: Displayed as currency with $ symbol left of the value and two digits to the right of the decimal.

Display Example: $9999999.99

Member ID Type

The type of Alternate ID being used as the Member ID.

Examples: Medicaid, SPED, Voc Rehab

Adjusted A/R Amount

Sum of the revised account receivable amount, revised interest, revised penalty, and revised fees.

Established on behalf of Member ID

The Member ID of the member on whose behalf this financial action was created.

Balance Amount

The current balance amount of the account receivable transaction.

Member Name

The name of person associated with the member ID.

Interest

The amount of interest accruals on the account receivable. An interest charge is imposed on the remaining balance when the account receivable is not exempted from interest charges.

Penalty

The amount of penalty accrued on the account receivable. A penalty charge is imposed when payment has not been received on time. This occurs when the account receivable is not exempt from penalties.

Fees

The amount of fees accrued on the account receivable. A fee charge is imposed for handling of the accounts receivable. This occurs when the account receivable is not exempt from being charged fees.

Transfer To Fields

Field	Description
FCN	The transaction control number of the financial claim created for the reversal.
Related FT TCN	The transaction control number (TCN) of the claim's financial transaction (FT) that is created during claims processing to reflect the receivable. Links to the Claims Inquiry page for the claim associated with the control number, if you have access.
Line of Business	The unique code that identifies the line of business, a high-level payer, or funding source such as Medicaid.
Payee/Payer Type	The type of financial entity that can make payments and/or receive payments. Examples: Provider, Member, Carrier
Payee/Payer ID Type Code	The code associated with the type of payee/payer. Defaults: If the Payee/Payer Type is Provider, then the Payee/Payer ID Type Code is Medicaid. If the Payee/Payer Type is Member, then the Payee/Payer ID Type Code is Medicaid ID. If the Payee/Payer Type is Carrier, then the Payee/Payer ID Type is Carrier ID.
Payee/Payer ID	Unique identifier of the payee/payer.
When adding a payout, to verify that the ID exists in ND MMIS, click Validate. If it does, the payee/payer name and system ID is displayed.
Payee/Payer Name	The name of the payee/payer. Dependent upon the Payee/Payer Type Code and Payee/Payer ID on file in ND MMIS.
System Payee/Payer ID	Unique identifier in ND MMIS that represents the payee/payer ID.
A/R Letter Sent	The account receivable letter aging status.
Established Date	The date that the new account receivable was created.
Activity Type	Unique code representing a logical grouping for financial reason codes.
Original A/R Amount	The amount of the original account receivable. Format: Displayed as currency with $ symbol left of the value and two digits to the right of the decimal. Display Example: $9999999.99
Financial Reason Code	The reason code indicating why the accounts receivable was transferred.
Adjusted A/R Amount	Sum of the revised account receivable amount, revised interest, revised penalty, and revised fees.
Member ID Type	The type of Alternate ID being used as the Member ID. Examples: Medicaid, SPED, Voc Rehab
Balance Amount	The current balance amount of the account receivable transaction.
Established on behalf of Member ID	The Member ID of the member on whose behalf this financial action was created.
Interest	The amount of interest accruals on the account receivable. An interest charge is imposed on the remaining balance when the account receivable is not exempted from interest charges.
Member Name	The name of person associated with the member ID.
Penalty	The amount of penalty accrued on the account receivable. A penalty charge is imposed when payment has not been received on time. This occurs when the account receivable is not exempt from penalties.
Fees	The amount of fees accrued on the account receivable. A fee charge is imposed for handling of the accounts receivable. This occurs when the account receivable is not exempt from being charged fees.