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Provider Notice Issued 04/11/2019
Date: April 11, 2019
To: Long Term Care Facilities - Nursing Facilities (NF), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID), Medically Complex for the Developmentally Disabled Facilities (MC/DD), Supportive Living Program (SLP) Providers, and Specialized Mental Health Rehabilitation Facilities (SMHRF)
Re: Patient Credit File Download through the Medical Electronic Data Interchange (MEDI) System
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Registered Medical Electronic Data Interchange (MEDI) users can access the Patient Credit File for their facilities by following the MEDI IEC Download link, and choosing a file and a directory to designate where the downloaded file is distributed in the user’s system. The user must go to the designated location and choose a program to open the file. WordPad is recommended. To access and download the Patient Credit File follow these steps:
1. Login to MEDI
2. Select Internet Electronic Claims (IEC)
3. Select Download File(s)
4. Choose the “Entity” from the drop down box
5. Select the file you wish to down load from the “Available Files” listed
6. Enter a “Local Directory Location” (a folder created on your computer or network) to accept the downloaded file
7. Click “Download Files” button
8. Go to your designated directory location
9. Open the downloaded file (recommended program is WordPad)
The Patient Credit file contains recipient specific information for facility residents enrolled in managed care plans at the time the file is generated by Healthcare and Family Services. This is the same information that is available to each Managed Care Organization (MCO) plan. Currently this information is updated monthly on the sixth of each month. Programming is in development to add an indicator for Provisional Eligibility and to make the file available on a weekly basis.
The file layout of the Patient Credit file is provided below. All patient credit segments from the previous 36 months are available on this file for each individual. Below the file layout are two tables which detail the codes that will be populated in the MCO Project Code and the MCO Plan Type Code.
|
Patient Credit File Layout |
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|
Data Element |
Description/Rules |
Data Type |
Data Length |
Starting Position |
Ending Position |
|
Recipient Identification Number |
Recipient ID Number |
Varchar |
9 |
1 |
9 |
|
Recipient Last Name |
Clients Last Name |
Varchar |
14 |
10 |
23 |
|
Recipient First Name |
Clients First Name |
Varchar |
9 |
24 |
32 |
|
Long Term Care Provider Number |
LTC Facility ID |
Varchar |
12 |
33 |
44 |
|
Hospice Provider Number |
Hospice Provider Number |
Varchar |
12 |
45 |
56 |
|
Patient Credit Begin Julian Date |
Patient Credit Effective Date CCYYDDD |
Date |
7 |
57 |
63 |
|
Patient Credit End Julian Date |
Patient Credit End Date CCYYDDD |
Date |
7 |
64 |
70 |
|
Patient Credit Amount |
Patient Credit Amount 0000000.00 |
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