CMS Demographic Detail

WINDOW OVERVIEW:

The CMS Demographic window displays the beneficiaries demographic information such as claim number , name claim number, and address as it appears on the CMS system.

The window opens when the Demographic button is selected on the CMS List window.

See also:

CMS Overview

FIELD DESCRIPTIONS:

Record Received: This field displays the Month/Day/Year that this record was received from CMS.

Record Month/Year: This field displays the eligibility Month and Year for which the client was found to be a dual eligible Medicaid and Medicare client.

CMS File Group Box:

Claim Number: This field displays the Medicare claim number.  If the entitlement is through the Railroad Board this will be a "converted' claim number and may not match the claim number from Railroad correspondence or the Medicare card.

Name: This field displays the name of the person used on CMS records.

Sex: This field displays the person's gender code used on CMS records.

SSN: This field displays the person's Social Security Claim Number used on CMS records.

Date of Birth: This field displays the person's date of birth used on CMS records.

Date of Death: This field displays the person's date of death used on CMS records.

Mailing Address Box:

This box displays the address CMS is using for the mailing address for the person.

Residence Address Box:

This box displays the address CMS is using for the person's residence address if this address is different than the mailing address.

ACTION BUTTON:

Select the OK button to return to the CMS List window.

(02-2007)