(the plus sign) beside a panel to open the panel. Click 
(the minus sign) to close the panel. You use the Member Details page to add or edit basic member information such as name, living arrangement, and gender.
The Member Details page contains the following panels:
You can open or close certain panels. Click (the plus sign) beside a panel to open the panel. Click (the minus sign) to close the panel.
| 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 |
|---|---|
| If Name, Social Security Number, Date of Birth, Date of Death, Gender, or Ethnic Code fields are edited, ND MMIS saves the information as Previous Info before updating the page with the new information. | |
| 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. |
| Member ID Type |
The type of Alternate ID being used as the Member ID. Examples: Medicaid, SPED, Voc Rehab |
| Omit from Archive |
Indicates whether the member information should be omitted from the archive process. A selected check box is Yes; an unselected check box is No. |
| Stop MSQs |
Indicates whether the member's Medical Service Questionnaires (MSQs) should be stopped for this member. A selected check box is Yes; an unselected check box is No |
| VIP |
Indicates whether the member has VIP (very important person) status. A selected check box is Yes; an unselected check box is No |
| Correspondence Medium | The preferred method of contacting this member. |
| Last Name |
The member's last name. Format: 35 Characters Examples: Stone, Smith, Jones, Apple |
| First Name |
The member's first name. Format: 25 Characters Examples: John, Mary |
| MI |
The member's middle initial. Format: 1 Character Examples: H, K, M |
| Suffix |
The member's suffix appearing at the end of a person's last name. A suffix is often used when several relatives have the same name. Format: XXXX Examples: I, II, III, Jr., Sr. |
| Gender | The gender of the member (usually male or female) matching the search criteria. In some cases, the gender may also be unknown. |
| Date of Birth |
The date the member was born; the member's date of birth. Format: MM/DD/YYYY Example: 05/23/1935 |
| 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. Format: NNN-NN-NNNN or NNNNNNNNN Example: 123-45-6789 Note: If this field is all zeros, it displays as blank. |
| Primary Language |
The member's primary spoken language. Example: EN-English |
| Marital Status |
The member's marital status. Examples: Single, Married, Divorced |
| Citizenship Status |
Indicates if the member is a United States citizen. If not, this field displays the legal status of an alien individual. Examples: Citizen, Refugee, Asylee |
| Ethnic Code | The member's ethnic code representing the ethnic origin. |
| Race Info |
The member's race. There are six checkboxes, each representing a specific race code. Multiple boxes may be selected for the races that apply to the member. Examples: White, Asian |
| Date of Death |
The day the member died. |
| Email Address | The member's e-mail address. |
| Field | Description |
|---|---|
| To add disqualifying transfer information, click Add Disqualifying Transfer Information. To edit, in the Disqualifying Transfer Information table, click the appropriate row. | |
| LOB | The descriptive name of the line of business. |
| Transfer Type |
The type of asset transferred prior to receiving medical benefits in order to qualify for those benefits. |
| Transfer Begin Date | The beginning date for the period in which claims will not be paid because of this asset transfer. |
| Transfer End Date | The ending date for the period in which claims will not be paid. |
| Transfer Amount |
The dollar amount which shows the value of the transferred assets. The amount is maintained manually and is not updated by the system. |
| Last Update Date |
The last date the information was updated. This date is automatically displayed by the system. |
| Field | Description |
|---|---|
| To add living arrangement information, click Add Living Arrangement. To edit, in the Living Arrangement table, click the appropriate row. | |
| Show Voids |
Indicator to display voided (inactive) spans. Select to display both active and inactive spans. Leave blank to display only active spans. |
| Void |
In the table, an X indicates the span was voided. When viewing details, indicates whether the span is active (No) or inactive (Yes). If inactive, the span is ignored when processing. |
| LOB | The descriptive name of the line of business. |
| Begin Date | The beginning date for this living arrangement. |
| End Date | The ending date for this living arrangement. |
| Living Arrangement Code |
The member's type of housing/living arrangement for the individual. Examples: Out-of-state placement or residential care facility. |
| Facility Code | Indicates state or county facility. Only applies with the living arrangement code is IP. |
| County Number | Indicates the county number. Only applies when the Facility Code is county. |
| Last Update Date |
The last date the information was updated. This date is automatically displayed by the system. |
| Field | Description |
|---|---|
| To add a confidentiality code, click Add Confidentiality Code. To edit, confidentiality codes, click the appropriate row. | |
| Show Voids |
Indicator to display voided (inactive) spans. Select to display both active and inactive spans. Leave blank to display only active spans. |
| Void |
In the table, an X indicates the span was voided. If the span has been voided, none of the information can be changed. When editing, indicates whether the span is active (No) or inactive (Yes). If inactive, the span is ignored when processing. |
| Begin Date | The date when the confidentiality span began. |
| End Date | The date when the confidentiality span ended. If this date is 12/31/9999, then the Confidentiality Code is current. |
| Confidentiality Code |
The reason for the confidentiality status. Example: GCS - Good Cause |
| Last Update Date |
The last date the information was updated. This date is automatically displayed by the system. |
| Field | Description |
|---|---|
| To add a suspected duplicate ID, click Add Suspected Duplicate ID. To edit, in the table, click the appropriate row. | |
| Show Voids |
Indicator to display voided (inactive) spans. Select to display both active and inactive spans. Leave blank to display only active spans. |
| Void |
In the table, an X indicates the span was voided. If the span has been voided, none of the information can be changed. When editing, indicates whether the span is active (No) or inactive (Yes). If inactive, the span is ignored when processing. |
| Suspect Duplicate ID | The identification number of the member who is considered a suspected duplicate of the member for whom the member details are being displayed. |
| ID Type |
The unique code for the type of member identification number. Examples: Medicaid, SPED, Voc Rehab |
| Suspect Dup Reason Code |
The suspected duplicate reason code. This code indicates why the two members are suspected of being duplicates. Examples: Last Name, First Name, Gender and DOB are the same |
| Suspect Dup Transaction Code |
The source of suspected duplicate transaction. Examples: VISION and the Technical Eligibility Computer System (TECS) systems, User Entered |
| Last Update Date |
The last date the information was updated. This date is automatically displayed by the system. |
| Field | Description |
|---|---|
| To add the code for the county in which the member physically lives, click Add Physical County Code. To edit, in the Physical County Code table, click the appropriate row. | |
| Show Voids |
Indicator to display voided (inactive) spans. Select to display both active and inactive spans. Leave blank to display only active spans. |
| Void |
In the table, an X indicates the span was voided. If the span has been voided, none of the information can be changed. When editing, indicates whether the span is active (No) or inactive (Yes). If inactive, the span is ignored when processing. |
| LOB |
The descriptive name of the line of business. |
| Begin Date |
The beginning date when the county became legally liable for this member. |
| End Date | The ending date the county was no longer legally liable for this member. If the date is 12/31/9999, then the displayed County Code is currently legally liable for the member. |
| Physical County Code | The county code and name where the member physically lives. |
| Last Update Date |
The last date the information was updated. This date is automatically displayed by the system. |
Version as of 5/16/14.
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