LIFS

LIFELINE STATUS

INDICATES:

The status, certification details and effective date of the update for Lifeline service.

DATE:

8/9/2012

BILLING:

CRIS

APPLICATIONS:

Billing, Tracking Requirements

SECTION - POSITION

EXAMPLES

IDENT - LH

ILIFS|REC; IVR; DOC; 06022012; 6876;
      12301945;P; MED; BC; IDT 08092012;
      SHORE MED; E; TOM LEE; KIM HALE

BILL - LH

ILIFS|REC 2-11-12 CUSTOMER HAS BEEN
      RE-CERTIFIED FOR LIFELINE SERVICE

FID RULES/CONSTRAINTS:
  1. Section: IDENT  Position: LH
    The absence of an action code infers the presence of an "I" (IN) action code.  The I action code is optional on the service order.

SECTION - POSITION

APPEARANCE

MODE

MIN

MAX

IDENT - LH

Required

Alphanumeric

57

181

Element: 1

Certification Type

Appearance

Mode

Min

Max

Series

Range

Required

Alphabetic

3

3

No

No

Code Set:
CodeMeaning
ESTEstablish
RECRecertification

Element: 2

Certification Method

Appearance

Mode

Min

Max

Series

Range

Required

Alphabetic

3

3

No

No

Code Set:
CodeMeaning
APPApplication
VERVerbal
IVRInteractive Voice Recognition

Element: 3

Verification Method

Appearance

Mode

Min

Max

Series

Range

Required

Alphabetic

3

3

No

No

Code Set:
CodeMeaning
DOCDocumentation
SDBState Data Base
FDBFederal Data Base
STPStamp
ISRIVR Self Recertification
VSRVerbal Self Recertification

Element: 4

Month - Numeric (Verification Date)

Appearance

Mode

Min

Max

Series

Range

Required

Numeric

1

2

No

No

Data Parameters:
1-12
01-12

Element: 5

Day of Month (Verification Date)

Appearance

Mode

Min

Max

Series

Range

Required

Numeric

1

2

No

No

Data Parameters:
1-31
01-31

Element: 6

Year of Century (Verification Date)

Appearance

Mode

Min

Max

Series

Range

Optional

Numeric

2

2

No

No

Data Parameters:
00-99

Element: 7

Calendar Year (Verification Date)

Appearance

Mode

Min

Max

Series

Range

Optional

Numeric

4

4

No

No

Data Parameters:

0000-9999

Element: 8

Lifeline Identification Number

Appearance

Mode

Min

Max

Series

Range

Optional

Alphanumeric

3

12

No

No

Data Parameters:

Data characteristics are locally developed.

Element: 9

Month - Numeric (Date of Birth)

Appearance

Mode

Min

Max

Series

Range

Required

Numeric

1

2

No

No

Data Parameters:

1-12

01-12

Element: 10

Day of Month (Date of Birth)

Appearance

Mode

Min

Max

Series

Range

Required

Numeric

1

2

No

No

Data Parameters:
1-31
01-31

Element: 11

Year of Century (Date of Birth)

Appearance

Mode

Min

Max

Series

Range

Optional

Numeric

2

2

No

No

Data Parameters:
00-99

Element: 12

Calendar Year (Date of Birth)

Appearance

Mode

Min

Max

Series

Range

Optional

Numeric

4

4

No

No

Data Parameters:
0000-9999

Element: 13

Address Occupancy

Appearance

Mode

Min

Max

Series

Range

Required

Alphabetic

1

1

No

No

Code Set:
CodeMeaning
PPermanent
TTemporary

Element: 14

Program Code

Appearance

Mode

Min

Max

Series

Range

Required

Alphabetic

3

3

No

No

Data Parameters:

Data characteristics are locally developed.

Element: 15

Type of Document

Appearance

Mode

Min

Max

Series

Range

Required

Alphabetic

2

2

No

No

Code Set:
CodeMeaning
ALAward Letter
BCBenefit Card
ISIncome Statement
OSOther Benefit
VOVoucher

Element: 16

Date of Document

Appearance

Mode

Min

Max

Series

Range

Required

Alphabetic

3

3

No

No

Code Set:
CodeMeaning
EDTExpiration Date
IDTIssue Date
ISTIncome Statement Date
IYRIncome Statement Year
LDTAward Letter
NDTNo Date
OSDOther Benefit Statement
VDTVoucher Date

Element: 17

Month - Numeric (Document Date)

Appearance

Mode

Min

Max

Series

Range

Required

Numeric

1

2

No

No

Data Parameters:
1-12
01-12

Element: 18

Day of Month (Document Date)

Appearance

Mode

Min

Max

Series

Range

Required

Numeric

1

2

No

No

Data Parameters:
1-31
01-31

Element: 19

Year of Century (Document Date)

Appearance

Mode

Min

Max

Series

Range

Optional

Numeric

2

2

No

No

Data Parameters:
00-99

Element: 20

Calendar Year (Document Date)

Appearance

Mode

Min

Max

Series

Range

Optional

Numeric

4

4

No

No

Data Parameters:

0000-9999

Element: 21

Agency Name

Appearance

Mode

Min

Max

Series

Range

Optional

Alphanumeric

1

50

No

No

Symbols:

Apostrophe, Hyphen, Space

Element: 22

Receipt Method

Appearance

Mode

Min

Max

Series

Range

Required

Alphabetic

1

1

No

No

Code Set:
CodeMeaning
EElectronic
FFax
MMail

Element: 23

Beneficiary Name

Appearance

Mode

Min

Max

Series

Range

Optional

Alphanumeric

1

25

No

No

Symbols:

Apostrophe, Hyphen, Space

Element: 24

Verifier/Employee Name

Appearance

Mode

Min

Max

Series

Range

Required

Alphanumeric

1

25

No

No

Symbols:

Apostrophe, Hyphen, Space

No.

Element Combination

Series

Separator

1.

1 ; SP 2 ; SP 3 ; SP 4  5  6 ; SP 8 ; SP 9  10  11 ; 13 ; SP 14 ; SP 15 ; SP 16 SP 17  18  19 ; SP 21 ; SP 22 ; SP 23 ; SP 24

No

2.

1 ; SP 2 ; SP 3 ; SP 4  5  6 ; SP 8 ; SP 9  10  11 ; 13 ; SP 14 ; SP 15 ; SP 16 SP 17  18  19 ; SP 21 ; SP 22 ; SP 24

No

3.

1 ; SP 2 ; SP 3 ; SP 4  5  6 ; SP 8 ; SP 9  10  11 ; 13 ; SP 14 ; SP 15 ; SP 16 SP 17  18  19 ; SP 22 ; SP 23 ; SP 24

No

4.

1 ; SP 2 ; SP 3 ; SP 4  5  6 ; SP 8 ; SP 9  10  11 ; 13 ; SP 14 ; SP 15 ; SP 16 SP 17  18  19 ; SP 22 ; SP 24

No

5.

1 ; SP 2 ; SP 3 ; SP 4  5  7 ; SP 8 ; SP 9  10  12 ; 13 ; SP 14 ; SP 15 ; SP 16 SP 17  18  20 ; SP 21 ; SP 22 ; SP 23 ; SP 24

No

6.

1 ; SP 2 ; SP 3 ; SP 4  5  7 ; SP 8 ; SP 9  10  12 ; 13 ; SP 14 ; SP 15 ; SP 16 SP 17  18  20 ; SP 21 ; SP 22 ; SP 24

No

7.

1 ; SP 2 ; SP 3 ; SP 4  5  7 ; SP 8 ; SP 9  10  12 ; 13 ; SP 14 ; SP 15 ; SP 16 SP 17  18  20 ; SP 22 ; SP 23 ; SP 24

No

8.

1 ; SP 2 ; SP 3 ; SP 4  5  7 ; SP 8 ; SP 9  10  12 ; 13 ; SP 14 ; SP 15 ; SP 16 SP 17  18  20 ; SP 22 ; SP 24

No


SECTION - POSITION

APPEARANCE

MODE

MIN

MAX

BILL - LH

Required

Alphanumeric

10

65

Element: 1

Lifeline Action

Appearance

Mode

Min

Max

Series

Range

Required

Alphabetic

3

3

No

No

Code Set:
CodeMeaning
ESTEstablished
RECRe-certified
REMRemoved
OTHOther

Element: 2

Month - Numeric

Appearance

Mode

Min

Max

Series

Range

Required

Numeric

1

2

No

No

Data Parameters:
1-12
01-12

Element: 3

Day of Month

Appearance

Mode

Min

Max

Series

Range

Required

Numeric

1

2

No

No

Data Parameters:
1-31
01-31

Element: 4

Year of Century

Appearance

Mode

Min

Max

Series

Range

Optional

Numeric

2

2

No

No

Data Parameters:
00-99

Element: 5

Calendar Year

Appearance

Mode

Min

Max

Series

Range

Optional

Numeric

4

4

No

No

Data Parameters:
0000-9999

Element: 6

Lifeline Additional Details

Appearance

Mode

Min

Max

Series

Range

Optional

Alphanumeric

1

50

No

No

Symbols:

Ampersand, Apostrophe, Asterisk, Colon, Comma, Dollar Sign, Hyphen, Left Double Quote, Left Single Quote, Number Sign, Percent Sign, Period, Plus Sign, Right Double Quote, Right Single Quote, Space

No.

Element Combination

Series

Separator

1.

1 SP 2 - 3 - 4

No

2.

1 SP 2 - 3 - 4 SP 6

No

3.

1 SP 2 - 3 - 5

No

4.

1 SP 2 - 3 - 5 SP 6

No


ORDER TYPE/ACTION CODE/FID RELATIONSHIPS

Order Section - Position: IDENT - LH

 

Order Type

N

T

F

D

C

R

X

P

A

Presence

O

O

O

O

O

O

O

O

O

Action Codes

I

I

I,O

I,O

I,O

I,O

I

I

I

CRIS

CABS

Data Retention

Yes

No

Printed on CSR

Yes

No

Order Section - Position: BILL - LH

 

Order Type

N

T

F

D

C

R

X

P

A

Presence

O

O

O

O

O

O

P

P

P

Action Codes

I

I

O

I, O

I, O

I, O

-

-

-

CRIS

CABS

Data Retention

Yes

No

Printed on CSR

Yes

No


Note: Please refer to BR-751-000-150 for a complete description of a FID specification and its structure.



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