Description
This page allows you to view a Spend Down Medical Expense evidence record.
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Fields
LabelTypeDescriptionMandatory
Updated OnCURAM_DATETIMEThe date on which the last update was made to the evidence.No
Received DateCURAM_DATEThe date on which the evidence was received.No
Effective Date of ChangeCURAM_DATEDate which the evidence becomes effectiveNo
Change ReasonEVIDENCE_CHANGE_REASONThe reason for the evidence change.No
Approval RequestedCURAM_INDICATORApproval RequestedNo
StatusEVIDENCE_DESCRIPTOR_STATUSThe Status of the evidence.No
Approval Status
LabelTypeDescriptionMandatory
Approval StatusAPPROVAL_REQUEST_STATUS_CODENo
Updated By
LabelTypeDescriptionMandatory
Updated ByUSER_NAMENo
Person in Receipt of Service Details
LabelTypeDescriptionMandatory
Person in Receipt of ServiceFULL_NAMEThis field allows you to search for the person in receipt of service from the list of registered case participants. The system automatically creates a case participant role of type "person in receipt of service".No
Additional Expense Details for Spend Down
LabelTypeDescriptionMandatory
Client Obligated AmountCURAM_AMOUNTThe amount of the Medical Expense for which the client has the responsibility (obligation) to pay.No
Living at HomeCURAM_INDICATORIf the person in receipt of service is living at home with the person who has the responsibility for payment of the expense, select the Living at Home selection box.No
Amount Used For Spend DownCURAM_AMOUNTThe monetary amount of the expense which has already been used towards Spend Down. If none of the expense has been used for SpendDown, this field is blank.No
HMOCURAM_INDICATORIf the household member has an HMO, select the HMO selection box.No
Expense Payment StatusISP_SPENDDOWN_MED_EXP_PAY_STATUS_CODEThe payment status of the expense is "paid", "part paid", or "unpaid".No
Medically NecessaryCURAM_INDICATORIf the expense is considered to be medically necessary, select the Medically Necessary selection box.No
TPLCURAM_INDICATORIf there is a Third Party liability associated with the expense, select the TPL selection box.No
Covered By Medical AssistanceCURAM_INDICATORIf the expense is considered to be covered by Medical Assistance, select the Covered By Medical Assistance selection box.No
State ProvidedCURAM_INDICATORIf the expense is considered to be State provided, select the State Provided selection box.No
Expense ClassificationISP_SPENDDOWN_MED_EXP_CLASS_TYPE_CODEThe expense is classified as either Incurred or Deductible. If left blank, the classification will be determined automatically by system.No
HoldCURAM_INDICATORIf the client has requested to hold the expense from use until further notification, select the Hold selection box.No
Comments
LabelTypeDescriptionMandatory
CommentsCOMMENTSNo
Links and Actions
None
Messages
When page is loaded
MessageMessage CatalogConfigurableConfigurable Validation Reference ID
An Exception occurred as the timeout has been reached and the transaction has been rolled back.LinkNo
No security implementation is supported for this transaction type. Please contact an Administrator.LinkNo
When page is submitted
None
Related Entities
Technical Information
Page IDISP_viewISPSpendDownMedicalExpenseProductEvidenceSnapshot
LocationC:\Users\david\dev\src\esystems-inc\Curam_V8_IS\webclient\components\ISProduct\Generated\Product\Evidence\ISPSpendDownMedicalExpense\ISP_viewISPSpendDownMedicalExpenseProductEvidenceSnapshot.uim
Page Load InterfaceISPEvidenceMaintenance.readISPSpendDownMedicalExpenseEvidence
Page Submit Interface
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