Details |
Label | Type | Description | Mandatory |
System Record Status | ISP_STATUS_CODE | Status of the Spend Down details record, i.e. superseded. | No |
Spend Down Amount | CURAM_AMOUNT | Total Spend Down amount required to be met for the Spend Down period. | No |
Outstanding Amount | CURAM_AMOUNT | Outstanding Spend Down amount. | No |
Period Start Date | CURAM_DATE | Start date of the Spend Down period. | No |
Period End Date | CURAM_DATE | End date of the Spend Down period. | No |
Product Delivery Status | CASE_STATUS_CODE | Current status of the Spend Down product delivery, i.e. open, active, closed, etc. | No |
Spend Down Status | ISP_SPENDDOWN_STATUS_CODE | This status indicates whether or not the Spend Down is applied or not applied in the Spend Down period. | No |
Spend Down Met | CURAM_INDICATOR | This field indicates whether or not the Spend Down amount has been met in the current period. | No |
Reason Spend Down Not Met | ISP_SPENDDOWN_REASON_CODE | Reason that Spend Down could not be met in the period, e.g. client declined, client moved out of state. This field is populated when the Spend Down status is applied and the Spend Down is not Met. | No |
Coverage Start Date | CURAM_DATE | Date on which the outstanding Spend Down amount has been reduced to zero. The primary client receives coverage from this date until the end of the Spend Down period. | No |
|
Applied Expenses |
Label | Type | Description | Mandatory |
Order | ISP_ORDER_OF_USE | The system determined suggested order for use towards Spend Down. The system will sort the pay-ins with the oldest first. | No |
Client | CONCERN_ROLE_NAME | Name and social security number of the household member for whom this pay-in applies. | No |
Type | EVD_MEDICAL_EXPENSE_TYPE | Medical expense type, e.g., "x-ray". | No |
Classified | ISP_SPENDDOWN_MED_EXP_CLASS_TYPE_CODE | Classification of the medical expense, e.g. "deductible", "incurred". | No |
Client Obligation | CURAM_AMOUNT | The amount of the pay-in for which the household member has the responsibility (obligation) to pay. | No |
Available | CURAM_AMOUNT | The amount available to apply towards Spend Down is displayed for each pay-in in the list of pay-ins. This amount is the client obligation less any amounts previously applied in this or other Spend Down periods. | No |
Applied | CURAM_AMOUNT | The monetary amount which has already been applied towards the Spend Down for each pay-in in the list of pay-ins. | No |
|
Action |
Label | Type | Description | Mandatory |
|
Applied Pay-Ins |
Label | Type | Description | Mandatory |
Order | ISP_ORDER_OF_USE | The system determined suggested order for use towards Spend Down. The system will sort the pay-ins with the oldest first. | No |
Client | CONCERN_ROLE_NAME | Name and social security number of the household member for whom this pay-in applies. | No |
Payment Method | METHOD_OF_RECEIPT_CODE | Method that the household member used to make the payment to the organization in respect of the pay-in amount, e.g. "cash", "check". | No |
Total Payment | CURAM_AMOUNT | Total amount of the pay-in the household member made. | No |
Available | CURAM_AMOUNT | The amount available to apply towards Spend Down is displayed for each pay-in in the list of pay-ins. This amount is the client obligation less any amounts previously applied in this or other Spend Down periods. | No |
Applied | CURAM_AMOUNT | The monetary amount which has already been applied towards the Spend Down for each pay-in in the list of pay-ins. | No |
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Action |
Label | Type | Description | Mandatory |
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