The search results table is displayed if your search finds multiple matches.
| Field | Description |
|---|---|
|
If more than one match is found, this table is displayed. To view a match, click the appropriate row. None of these fields can be edited. |
|
| LOB |
The unique code that identifies the line of business, a high-level payer, or funding source such as Medicaid. |
| FCN |
The financial control number (FCN) assigned to the financial document. The FCN consists of the date it was created, the media source (how it was received), and a document number. Format: YYYYMMDDMNNNNN |
| Financial Reason Code |
The financial reason code associated with this receipt at the time the receipt was created. Examples: 023, 029, 036 |
| Payee/Payer Type |
The type of financial entity that can make payments and/or receive payments. Examples: Provider, Member, Carrier |
| 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. |
| Established Date |
The date that the receipt was created. Format: MM/DD/YYYY |
| Original Amount |
The original amount of the receipt. Format: Displayed as currency with $ symbol left of the value and two digits to the right of the decimal. Input can be up to seven digits before the decimal and two digits after the decimal. Input Format: 9999999.99 Display Format: $9999999.99 |
| Balance Amount |
The current balance amount of the receipt transaction. |
| Void Date |
The date the information was voided. If the information has been voided, none of the information can be changed. |
Version as of 5/16/14.
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