Description
This page allows you to enter expense evidence.
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Page Flow Diagram
Click the diagram to manipulate and zoom. Traverse the diagram using Click-and-Drag motions. Fullscreen
Fields
Medical Expenses
LabelTypeDescriptionMandatory
NameCONCERN_ROLE_NAMEName of household member incurring the medical expense. Note that you can access the member's person home page by clicking on the member's name.No
TypeIS_MEDICAL_EXPENSE_TYPEMedical expense type, e.g. dental care.No
FrequencyFREQUENCY_CODE_STATICMedical expense frequency, e.g. monthly.No
AmountFORMATTED_MONEYMedical expense amount. No
Action
LabelTypeDescriptionMandatory
Shelter Expenses
LabelTypeDescriptionMandatory
NameCONCERN_ROLE_NAMEName of household member incurring the medical expense. Note that you can access the member's person home page by clicking on the member's name.No
TypeIS_SHELTER_EXPENSE_TYPEMedical expense type, e.g. dental care.No
FrequencyFREQUENCY_CODE_STATICMedical expense frequency, e.g. monthly.No
AmountFORMATTED_MONEYMedical expense amount. No
Action
LabelTypeDescriptionMandatory
Dependent Care Expenses
LabelTypeDescriptionMandatory
NameCONCERN_ROLE_NAMEName of household member incurring the medical expense. Note that you can access the member's person home page by clicking on the member's name.No
DependentCONCERN_ROLE_NAMEDependent household member's name. Note that you can view the dependent's person home page by clicking on the dependent's name.No
FrequencyFREQUENCY_CODE_STATICMedical expense frequency, e.g. monthly.No
AmountFORMATTED_MONEYMedical expense amount. No
Action
LabelTypeDescriptionMandatory
Links and Actions
Page Level Actions
LabelDescription
AssistanceThis button provides a link to the Emergency Assistance Evidence page. From here, you can modify the emergency assistance needs of the household.
BenefitsThis button provides a link to the list of household benefit evidence. From this list, you can view, add, and modify household benefit details.
EditClick the Edit link on the appropriate row to modify the medical expense record.
EditClick the Edit link on the appropriate row to modify the medical expense record.
EditClick the Edit link on the appropriate row to modify the medical expense record.
EligibilityThis button checks the household's potential eligibility for income support.
ExpenseThis button provides a link to the list of the following: medical, shelter, and dependent care expenses. From each list, you can view, add, and modify the relevant details.
HomeThis button provides a link to income support screening case home page for the household.
IncomeThis button provides a link to the list of household income evidence. From this list, you can view, add, and modify household income details.
MedicaidThis button provides a link to the list of household medicaid evidence. From this list, you can view, add, and modify household medicaid details.
MembersThis button provides a link to the list of household members. From this list, you can view, add, and modify household member details.
New Dependent Care ExpensePress the New Dependent Care Expense button to create a new dependent care expense evidence record.
New Medical ExpensePress the New Medical Expense button to create a new medical expense evidence record.
New Shelter ExpensePress the New Shelter Expense button to create a new shelter expense evidence record.
RelationshipsThis button provides a link to the list of household relationships. From this list, you can add, modify, or delete household relationship details.
ResourceThis button provides a link to the list of household resource evidence. From this list, you can view, add, and modify household resource details.
ViewClick the View link on the appropriate row to view the medical expense record.
ViewClick the View link on the appropriate row to view the medical expense record.
ViewClick the View link on the appropriate row to view the medical expense record.
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
System configuration error - Unable to retrieve system user details from the database. Please contact your system administrator.LinkNo
The login ID %1s does not map to a user name.LinkNo
When page is submitted
None
Related Entities
Technical Information