Eligibility Quick View Page

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You can view a summary of all eligibility spans in place for a member during a particular date range by using the Eligibility Quick View page.

The Eligibility Quick View page contains the following panels:

Field	Description
To limit the information displayed on this page based on the information you enter in these fields, complete at least one of the fields and click Filter.
From Date	The beginning date in your filter. If entered, this field filters the data displayed on the current page. ND MMIS displays any dated span that overlaps the Search From and To Dates by at least one day.
To Date	The ending date in your filter. If entered, this field filters the data displayed on the current page. ND MMIS displays any dated span that overlaps the Search From and To Dates by at least one day.
LOB	The line of business. This field filters the information displayed on the current page based on which LOB you choose. ND MMIS displays any span of data whose LOB matches the one entered in this field. Example: MED-Medicaid

Field	Description
Eligibility Quick View From/To	Indicates the date spans that are displayed on this page. Only those date spans that overlap by at least one day with the From and To Dates are displayed.

Field	Description
These fields display the most current personal information in ND MMIS.
Name	The member's name.
Member ID	The member's unique, individual identifier in ND MMIS. ND MMIS captures many different identifiers (known as "alternate IDs") for a member and selects one (known as the Member ID) which is used on all displays, reports, correspondence, etc. Examples: 12345678901 if Member ID type is Medicaid, 123456789 if Member ID type is SSN.
ID Type	The type of Alternate ID being used as the Member ID. Examples: Medicaid, SPED, Voc Rehab
Social Security Number	The Social Security number of the selected member. A nine-digit number assigned by Federal government, usually assigned at the time of birth and used for tax purposes. Note: If this field is all zeros, it displays as blank.
Date of Birth	The date the member was born. Format: MM/DD/YYYY
Date of Death	The date the member passed away. This field displays as blank until a current date of death has been entered.

Field	Description
These fields provide a quick overview indication of what other information the ND MMIS has for this member. If a span exists with Begin and End Dates overlapping the From and To Dates, a checkmark is displayed.
Appeal	Indicates the member is involved in an appeal. Links to the Member Search page, allowing you to search for appeals.
Claim	Indicates the member has at least one claim that has been filed. Links to Claims Inquiry page, allowing you to search for claims.
Enrollment	Indicates the member is enrolled in at least one benefit plan. Links to the Enrollment Span Maintenance page.
Long Term Care	Indicates the member has a long term care span active. Links to the Long Term Care Span Maintenance page.
Other Insurance	Indicates the member has third-party liability insurance. Links to the Member Summary page, with Medicare and third-party liability information displayed.
Medicare	Indicates the member has a Medicare span active. Links to the Member Summary page, with Medicare and third-party liability information displayed.
Recovery Case	Indicates the member is involved in a recovery case. Links to the Search TPL Recovery page, allowing you to search for recovery cases.
Referral	Indicates the member has at least one referral. Links to the Referral page, allowing you to search for referrals.
Service Authorization	Indicates the member has at least one service authorization. Links to the Service Authorization page, allowing you to search for service authorizations.

Field	Description
LOB	The descriptive name of the line of business.
Begin Date	The date the member's eligibility began for the Category of Eligibility in this span.
End Date	The date the member's eligibility ended for the Category of Eligibility in this span. If this date is 12/31/9999, then the Category of Eligibility span is active and current.
Category of Eligibility	The member's Category of Eligibility. This field combines the VISION and the Technical Eligibility Computer System (TECS) systems program and sub-program codes to define the category code for the assistance program. Examples: Healthy Steps, Qualified Medicare Beneficiary - Aged, Children With Disabilities
Case Number	The unique (within a LOB) identifier number created by the external source system. It is used to associate all the individual members together into a group who are applying for public assistance. There may be one or more individuals associated together in a case.
Case Head	The first and last name of the person in charge of the member's case.
Last Update Date	The last date the information was updated. This date is automatically displayed by the system.

Field	Description
LOB	The descriptive name of the line of business.
Begin Date	The date when the member was enrolled in this benefit plan.
End Date	The date when the member is no longer enrolled in this benefit plan.
Plan ID	The member's benefit plan identification number.
Plan Description	The description of the member's benefit plan.
Organization Name	The member's benefit plan organization name, if applicable. Note: This field is only applicable for a managed care benefit plan and is based on the plan ID.
Last Update Date	The last date the information was updated. This date is automatically displayed by the system.

Field	Description
LOB	The descriptive name of the line of business.
Begin Date	The beginning date the member was assigned to this primary care provider.
Open Enrollment/PCP End Date	The ending date when the member was no longer assigned to this primary care provider.
Plan ID	The member's benefit plan identification number.
Provider ID	The unique identifier for the primary care provider assigned to the member.
Provider Name	The name of the provider serving as the member's primary care provider.
Last Update Date	The last date the information was updated. This date is automatically displayed by the system.

Field	Description
All indicators in the Other General Information fields are set to Yes if a span exists with Begin and End Dates overlapping the From and To Dates. Otherwise, the indicators are set to No.
TPL	Indicates whether the member has third-party liability insurance.
Long Term Care	Indicates whether the member is in a long term care facility.
On Review	Indicates whether the member is on review.
Benefit/Service Limits	Indicates whether the member has benefit or service limits in place with the benefit plan.
Recipient Liability	Indicates whether the member is required to pay a liability amount.

Version as of 5/16/14.