P:EVD_viewMedicalExpenseEvidence

Page: Medical Expense

Description

This page allows you to view a Medical Expense evidence record.

Page Preview

Page Flow Diagram

Click the diagram to manipulate and zoom. Traverse the diagram using Click-and-Drag motions.	Fullscreen

Fields

Label	Type	Description	Mandatory
Updated On	CURAM_DATETIME	The date on which the last update was made to the evidence.	No
Effective Date of Change	CURAM_DATE	Date which the evidence becomes effective	No
Approval Requested	CURAM_INDICATOR	Approval Requested	No
Amount	CURAM_AMOUNT	Medical expense amount incurred by the household member.	No
Frequency	EVD_MEDICAL_EXPENSE_FREQ	Frequency indicating how often the amount is paid from the drop-down list of frequencies, e.g., "bi-weekly" or "monthly". Your system administrator can add a new frequency via the Code Tables page (see "Code Tables" in the Cúram Administration Guide).	No
Last Payment Date	CURAM_DATE	Date on which the last medical expense payment is made.	No
Medical Expense Type	EVD_MEDICAL_EXPENSE_TYPE	Medical expense type that is incurred by the household member from the drop-down list of medical expenses, e.g, "dental care", "prescription drugs", or "cost of prescribed equipment". Your system administrator can add a new medical expense type via the Code Tables page (see "Code Tables" in the Cúram Administration Guide).	No
Start Date	CURAM_DATE	The Date on which the medical expense begins.	No
End Date	CURAM_DATE	The Date on which the medical expense ends.	No
Written Off Amount	CURAM_AMOUNT	Amount that the medical provider has written off for a member who is elderly or disabled.	No
Reimbursement Type	EVD_EXPENSE_REIMBURSEMENT_TYPE	Reimbursement type for medical expenses that are reimbursed from the drop-down list of reimbursement types, e.g., "federal assistance program", "insurance company", "state assistance program". Your system administrator can add a new reimbursement type via the Code Tables page (see "Code Tables" in the Cúram Administration Guide).	No
Reimbursed Amount	CURAM_AMOUNT	Amount reimbursed to the household member for the medical expense. The system subtracts this amount from the medical expense amount to determine the actual medical expense value.	No

Updated By
Label	Type	Description	Mandatory
Updated By	USER_NAME		No

Approval Status
Label	Type	Description	Mandatory
Approval Status	APPROVAL_REQUEST_STATUS_CODE		No

Medical Expense Details
Label	Type	Description	Mandatory
Household Member	FULL_NAME	Household member to whom the medical expense evidence applies from the drop-down list of household members. Note that the system displays the primary alternative ID of each of the members displayed on the drop-down list. In the US, the primary alternative ID is the social security number (SSN).	No

Medical Service Provider Details
Label	Type	Description	Mandatory
Medical Service Provider Participant	FULL_NAME	If the medical provider is a case participant, you can select the provider from the drop-down list of case participants. The system automatically creates an additional case participant role of "medical service supplier".	No

Comments
Label	Type	Description	Mandatory
Comments	COMMENTS		No

Links and Actions

None

In Page Navigation
Label	Description
[View History]	Click the View History link to view the update history for the evidence.
[View History]	Click the View History link to view the update history for the evidence.
Income Allocation
Medical Expense
Medical Expense Payment
Spend Down Medical Expense	Press the SpendDown Medical Expense in-page navigation button to view the spend down medical expense workspace associated with the medical expense evidence record. From the spend down medical expense evidence workspace, you can create, edit and delete spend down medical expense evidence records.

Messages

When page is loaded
Message	Message Catalog	Configurable	Configurable Validation Reference ID
An Exception occurred as the timeout has been reached and the transaction has been rolled back.	Link	No
No security implementation is supported for this transaction type. Please contact an Administrator.	Link	No

When page is submitted
None

Related Entities

When page is loaded
CaseParticipantRole
ConcernRole
EvidenceDescriptor
Person
ProspectPerson
Representative

When page is submitted
None

Technical Information

Page ID	EVD_viewMedicalExpenseEvidence
Location	C:\Users\david\dev\src\esystems-inc\Curam_V8_IS\webclient\components\ISProduct\Evidence\Expense\Medical\EVD_viewMedicalExpenseEvidence.uim
Page Load Interface	EVDEvidenceMaintenance.readMedicalExpenseEvidence
Page Submit Interface
Linked From Pages	Income Allocation (EVD_listIncomeAllocationEvidenceForMedicalExpense), Spend Down Medical Expense Evidence Workspace (EVD_listISPSpendDownMedicalExpenseProductEvidenceForMedicalExpense), Income Allocation (EVD_listMedicalExpensePaymentEvidenceForMedicalExpense), Medical Expense (EVD_viewMedicalExpenseEvidence), View Medical Expense Evidence (EVD_viewMedicalExpenseEvidenceCH)