The Medicare Buy-In Input Detail window displays the details of the N-FOCUS request for information from CMS. The window is opened when an input line is highlighted on the Medicare Buy-In List window and the open icon is selected.
This window if for inquiry only.
How Do I:
View Medicare Buy-In Input Detail
Case Person Group Box:
Information is this box is from the N-FOCUS person data.
Name: This field displays the name of the Program Case Person .
Person Number: This field displays the N-FOCUS Agency Related Person number assigned to this person.
SSN: This field displays the Social Security Number for this person.
Sex: This field displays the person's gender code.
Birth Date: This field displays the person's birth date
Medicare Buy-In Input Group Box:
This group box displays the data sent to CMS from N-FOCUS.
Transaction Box:
This box displays the kind of transaction requested and the code number for the transaction.
Effective Date: This field displays the date the transaction type is effective.
End Date: This field displays the date the transaction type ends.
Processing Date: This field displays the date the transaction is submitted.
Medicare Claims Number: This field displays the person's Medicare Claim Number.
Eligibility Category: This field displays the eligibility reason code showing why the person is eligible for Part B Medicare.
State Input Data Box:
This box displays the person information sent to CMS.
Last Name: This field displays the person's last name.
First Name: This field displays the person;s first name.
MI: This field displays the person's middle initial if they have one.
SSN: This field displays the person's social security number.
Sex: This field displays the person's gender code.
Birth Date: This field displays the person's birth date.
(01-2008)
NFO3P61H(1)