NC DEPARTMENT OF HEALTH AND HUMAN SERVICES EIS MANUAL

ELIGIBILITY INFORMATION SYSTEM EIS 1104

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BENEFICIARY DATA EXCHANGE

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Eis 1104 - beneficiary data exchange (bendex)

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Eis 1104 - beneficiary data exchange (bendex)

REVISED 08/01/11 - CHANGE NO. 01-12

TABLE OF CONTENTS

PAGE NUMBER

I. General Information . . . . . . . . . . . . . . . . . 1

II. BENDEX Processing . . . . . . . . . . . . . . . . . . 1

III. BENDEX Information Sheet. . . . . . . . . . . . . . . 2

IV. Online Verification BENDEX. . . . . . . . . . . . . .15

V. Use of Forms. . . . . . . . . . . . . . . . . . . .. 30

VI. Message List. . . . . . . . . . . . . . . . . . . .. 31

VII. Definition Listing. . . . . . . . . . . . . . . . .. 46

VIII. SSA Systems Interface Identification Codes. . . . . .49

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