MEDS File Values - Cal-PM
|
Field Name |
Required |
Source Field |
Logic |
|---|---|---|---|
|
MEDSID |
Y |
Subscriber MEDS ID |
If blank, MEDS ID is calculated based on client social security number, or alternate social security number. |
|
MEDSuniqueid |
Y |
Effective date of Medi-Cal eligibility |
Subscriber Eligibility / Benefit Date (2100C-DTP). |
|
Aid Code |
Y |
Aid Code |
Message Text (2110C-MSG). |
|
Eligibility Code |
Y |
Eligibility Code |
|
|
Date Of Birth |
|
Date Of Birth |
Client date of birth on file. |
|
Sex |
|
Sex |
Client sex on file. |
|
Ethnic Code |
|
Ethnic Origin |
Client ethnic origin on file. |
|
Beneficiary Name (generated by Avatar) |
|
Subscriber Name |
|
|
Beneficiary Surname |
|
Subscriber Name |
Client last name. |
|
Beneficiary First Name |
|
Subscriber Name |
Client first name. |
|
Beneficiary Middle Initial |
|
|
|
|
Beneficiary Street Address Line 1 |
|
Subscriber's Address - Street Line 1 |
|
|
Beneficiary Street Address Line 2 |
|
Subscriber's Address - Street Line 2 |
|
|
Beneficiary State |
|
Subscriber's Address - State |
|
|
Beneficiary Zip Code |
|
Subscriber's Address - Zip |
|
|
Option ID |
|
|
PATIENT500 is used if the MEDS records was created in the Financial Eligibility form. TABLE270200 if the MEDS record was created in the Real Time Inquiry (270) Request form. BILLING27002 if the MEDS record was created in the Eligibility Response (271) form. |