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.

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.

Indicator to display voided (inactive) spans. Select to display both active and inactive spans. Leave blank to display only active spans.

To access the appropriate Member Maintenance page, on the action bar, click Maintenance. You must have the proper security permission to edit a member's information.

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.

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

Examples: Medicaid, SPED, Voc Rehab

The date the member was born.

Format: MM/DD/YYYY

Example: 05/23/1935

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.

Indicates whether the member information is omitted from the archive process.

Examples: Yes, No

Indicates whether the member's Medical Service Questionnaires (MSQs) are stopped for this member.

Examples: Yes, No

Indicates the member is involved in an appeal.

Links to the Member Search page, allowing you to search for appeals.

Indicates the member has at least one claim that has been filed.

Links to Claims Inquiry page, allowing you to search for claims.

Indicates the member is enrolled in at least one benefit plan.

Links to the Enrollment Span Maintenance page.

Indicates the member has a long term care span active.

Links to the Long Term Care Span Maintenance page.

Indicates the member has third-party liability insurance.

Links to the Member Summary page, with Medicare and third-party liability information displayed.

Indicates the member has a Medicare span active.

Links to the Member Summary page, with Medicare and third-party liability information displayed.

Indicates the member is involved in a recovery case.

Links to the Search TPL Recovery page, allowing you to search for recovery cases.

Indicates the member has at least one referral.

Links to the Referral page, allowing you to search for referrals.

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.

The type of case address.

Examples: R-Residential, M-Mailing

The name of the city of the case address.

The county code and county name of the case address.

The type of phone number for the case.

Examples: W-Work, H-Home, M-Message

The beginning date for the member representative who is being displayed.

The ending date for the member representative who is being displayed. If the date is 12/31/9999, the information is current.

The type of member representative.

Example: A-Protective Payee

The name of the member representative.

The organization name that serves as the member's member representative.

Example: Office of Public Guardian

To view details, in the Confidentiality table, click the appropriate row.

Indicator to display voided (inactive) spans. Select to display both active and inactive spans. Leave blank to display only active spans.

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.

The confidentiality code for the member.

Example: GCS - Good Cause

To access the appropriate Member Maintenance page, on the action bar, click Maintenance. You must have the proper security permission to edit a member's information.

This panel also displays Suspected Duplicate IDs and Physical County Code information.

The member's primary spoken language.

Example: EN-English

The member's marital status.

Examples: Single, Married, Divorced

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

The member's ethnic code representing the ethnic origin.

The member's race. Multiple boxes may be selected for the races that apply to the member.

Examples: White, Asian

The day the member died.

Indicator to display voided (inactive) spans. Select to display both active and inactive spans. Leave blank to display only active spans.

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.

The unique code for the type of member identification number.

Examples: Medicaid, SPED, Voc Rehab

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.

The source of the suspected duplicate transaction.

Examples: VISION and the Technical Eligibility Computer System (TECS) systems, User Entered

Indicator to display voided (inactive) spans. Select to display both active and inactive spans. Leave blank to display only active spans.

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.

The beginning date when the county became legally liable for this member.

Indicator to display voided (inactive) spans. Select to display both active and inactive spans. Leave blank to display only active spans.

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.

The member's type of housing/living arrangement for the individual.

Examples: Out-of-state placement or residential care facility.

To view details, in the Eligibility Spans table, click the appropriate row.

To access the appropriate Member Maintenance page, on the action bar, click Maintenance. You must have the proper security permission to edit a member's information.

Indicator to display voided (inactive) spans. Select to display both active and inactive spans. Leave blank to display only active spans.

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.

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

The coverage category of the member as it relates to the Category of Eligibility.

Examples: Categorically Needy, Medically Needy

Indicates if member is eligible for the Expanded SCHIP (State Children’s Health Insurance Program).

Indicates if the individual is non-U.S. citizen or national who has not passed the green card test or the substantial presence test and is only entitled to emergency services.

Indicates if the member has satisfied the copay for Healthy Steps (ND's SCHIP).

Indicates if the member is currently receiving benefits as part of the Temporary Assistance for Needy Families program.

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

Examples: Medicaid, SPED, Voc Rehab

The source of the member's ID.

Examples: EN (Enterprise), MM (Medicaid Modernization Act)

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.

This field cannot be changed after it is saved the first time.

The type of cancer associated with the Women's Way COE code.

To view liability/responsibility details, in the Recipient Liability/Responsibility table, click the appropriate row. Liability/Responsibility Member Information and Medical Bills details are then displayed.

To access the appropriate Member Maintenance page, on the action bar, click Maintenance. You must have the proper security permission to edit a member's information.

Indicator to display voided (inactive) spans. Select to display both active and inactive spans. Leave blank to display only active spans.

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.

The ending date for the member's liability amount in this span. If the date is 12/31/9999, the information is current.

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.

The number of liability units associated with the dollar amount that is displayed.

The type of liability unit associated with the dollar amount that is displayed.

Examples: DD, ECI, ABD or IHS

Indicates if all claims (except for mass adjustment ) for members belonging to this recipient liability unit are suspended.

The member original liability dollar amount.

The dollar applied amount to the member's liability balance.

These fields display when viewing Recipient Liability/Responsibility details. To view details, in the Liability/Responsibility Member Information table, click the appropriate row.

Indicator to display voided (inactive) spans. Select to display both active and inactive spans. Leave blank to display only active spans.

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.

The beginning date for the member's inclusion in this liability unit span.

The ending date for the member's inclusion in this liability unit span. If the date is 12/31/9999, the information is current.

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.

The number of liability units associated with the dollar amount that is displayed.

The unique, individual identifier that came from the external source system which supplied the Category of Eligibility information displayed in this span. This unique identifier is stored as an ND MMIS Alternate ID Number; it may be the same number or a different number as the Member ID Number displayed at the top of the Member Summary page.

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

Examples: Medicaid, SPED, Voc Rehab

Indicator to display voided (inactive) spans. Select to display both active and inactive spans. Leave blank to display only active spans.

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.

The transaction control number (TCN) is a unique number assigned by the ND MMIS to each claim.

The unique, individual identifier that came from the external source system which supplied the Category of Eligibility information displayed in this span. This unique identifier is stored as an ND MMIS Alternate ID Number; it may be the same number or a different number as the Member ID Number displayed at the top of the Member Summary page.

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

Examples: Medicaid, SPED, Voc Rehab

Unique identifier used for a provider of healthcare services.

Format: Up to 15 alphanumeric characters

Unique code that indicates the type of provider ID entered.

Examples: DEA, NPI, SSN/EIN

The name of the provider.

The dollar amount charged on the claim.

The dollar applied amount to the member's liability balance.

To view details, in the Designation of RL Turned Off table, click the appropriate row.

To access the appropriate Member Maintenance page, on the action bar, click Maintenance. You must have the proper security permission to edit a member's information.

Indicator to display voided (inactive) spans. Select to display both active and inactive spans. Leave blank to display only active spans.

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.

The descriptive name of the line of business.

The date the member's recipient liability responsibility began for this span.

The date the member's recipient liability responsibility ended for this span. If the date is 12/31/9999, the information is current.

Indicates if recipient liability information should be processed on claims for this member.

A pregnant woman is considered to be eligible for Medicaid as of the last day of pregnancy when she is eligible with no recipient liability, or if there is a recipient liability, when the full recipient liability is incurred as of the last day of pregnancy. To view details, in the 60 Free Days of Information table, click the appropriate row.

To access the appropriate Member Maintenance page, on the action bar, click Maintenance. You must have the proper security permission to edit a member's information.

Indicator to display voided (inactive) spans. Select to display both active and inactive spans. Leave blank to display only active spans.

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.

The date the member starts the 60 day period to receive information for free.

The date the member's 60 day free period ends (the end of month in which the 60th day falls).

To view details, in the SPED Recipient Responsibility Information table, click the appropriate row.

To access the appropriate Member Maintenance page, on the action bar, click Maintenance. You must have the proper security permission to edit a member's information.

Indicator to display voided (inactive) spans. Select to display both active and inactive spans. Leave blank to display only active spans.

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.

The date the member is designated a Special Payments for the Elderly and Disabled (SPED) recipient.

The date the member's SPED designation ends.

The percentage of the billed claim amount that a Special Payments for the Elderly and Disabled (SPED) recipient is responsible for paying.

Indicator to display voided (inactive) spans. Select to display both active and inactive spans. Leave blank to display only active spans.

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.

To view details, in the Enrollment Spans table, click the appropriate row.

To access the appropriate Member Maintenance page, on the action bar, click Maintenance. You must have the proper security permission to edit a member's information.

Indicator to display voided (inactive) spans. Select to display both active and inactive spans. Leave blank to display only active spans.

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.

The code for the type of benefit plan.

Examples: H-HMO, M-Managed Care, F-Fee for Service, C-Primary Care Case Management (PCCM)

Indicates whether a participant in the benefit plan is required to select a primary care provider (PCP) or not.

If the Benefit Plan Type Code field indicates managed care, the provider identifier of the managed care organization. Otherwise, it is blank.

If the Benefit Plan Type Code field indicates managed care, the type of provider identification used for the managed care organization. Otherwise, it is blank.

Indicates if this benefit plan limits the plan's liability for individual enrollees, by the State's agreement to pay for costs incurred by the plan that exceed a certain threshold amount.

The reason the member was enrolled into the displayed benefit plan ID.

Example: AUA-Auto Assignment

To view details, in the Primary Care Provider Spans table, click the appropriate row.

To access the appropriate Member Maintenance page, on the action bar, click Maintenance. You must have the proper security permission to edit a member's information.

Indicator to display voided (inactive) spans. Select to display both active and inactive spans. Leave blank to display only active spans.

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.

The provider ID of the PCP to which the member was assigned.

Unique code that indicates the type of provider ID entered.

Examples: DEA, NPI, SSN/EIN

The name of the provider serving as the member's PCP.

The provider classification. Based on the Level I Provider Type of the Taxonomy Code Set.

Examples: Dental, Pharmacy, Hospital, Vision, Physician

The reason the provider was assigned to the member as the member's PCP.

The code for the type of benefit plan.

Examples: H-HMO, M-Managed Care, F-Fee for Service, C-Primary Care Case Management (PCCM)

The reason a primary care physician is not assigned.

Examples: MedNec- Medical Necessity, NOPCP-No PCP Available

The date the exemption begins.

To view details, in the Long Term Care Spans table, click the appropriate row.

To access the appropriate Member Maintenance page, on the action bar, click Maintenance. You must have the proper security permission to edit a member's information.

Indicator to display voided (inactive) spans. Select to display both active and inactive spans. Leave blank to display only active spans.

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.

The type of long term care facility span that is stored in the ND MMIS.

Examples: Nursing Facility, State Hospital, Hospice

The ND MMIS provider ID assigned to the long term facility in which the member resides.

Unique code that indicates the type of provider ID entered.

Examples: DEA, NPI, SSN/EIN

The provider classification. Based on the Level I Provider Type of the Taxonomy Code Set.

Examples: Dental, Pharmacy, Hospital, Vision, Physician

To view Minimum Data Set (MDS) classification details of the member who has been a resident of a long term care facility, in the MDS Classification Code Span table, click the appropriate row.

Indicator to display voided (inactive) spans. Select to display both active and inactive spans. Leave blank to display only active spans.

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.

The ND MMIS provider ID assigned to the long term facility in which the member was residing at the time the Minimum Data Set (MDS) assessment was made.

Unique code that indicates the type of provider ID entered.

Examples: DEA, NPI, SSN/EIN

The Social Security number of the 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.

The MDS classification code calculated for the member based on the assessment data submitted by the provider.

An optional code that identifies if the member has been discharged from the long term care facility with no intention of returning.

To view details, in the Review Spans table, click the appropriate row.

To access the appropriate Member Maintenance page, on the action bar, click Maintenance. You must have the proper security permission to edit a member's information.

Indicator to display voided (inactive) spans. Select to display both active and inactive spans. Leave blank to display only active spans.

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.

The review type for the set of criteria set up for the member.

Examples: Lock-in, Lock-out, On Review

The reason for the review to be ended.

To display the associated TPL Policy page, in the TPL/Medicare Spans table, click the appropriate row. If you have the correct security, you can view or edit the associated TPL/Medicare information.

Indicator to display voided (inactive) spans. Select to display both active and inactive spans. Leave blank to display only active spans.

The third party policy/health insurance code number identifier that includes the member being covered. If this is a Medicare policy, then this field contains the HIC (Health Insurance Control) Number.