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Age
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The age of the member when they received the service displays.
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Claim Status
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The claim status of the record in the Wisconsin Medicaid interChange system displays as one of the following values: PAID, DENIED, or SUSPENDED.
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Clear
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Click on Clear to remove all information from the fields.
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Date of Birth
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Member's Date of Birth is Displayed in the format MM/DD/CCYY
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Date of Birth
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Member's Date of Birth is Displayed in the format MM/DD/CCYY
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Date of service
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The Date of Service for the record displays in the format MM/DD/YYYY.
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First Name
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Enter the member's first name.
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First Name
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The member's first name is displayed.
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Last HealthCheck Dental Screening
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The date of the member's last HealthCheck dental screening displays in the format MM/DD/CCYY.
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Last HealthCheck Medical Screening
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The date of the member's last HealthCheck medical screening displays in the format MM/DD/CCYY.
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Last Name
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The member's last name is displayed.
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Last Name
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Enter the member's last name.
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Member ID
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Enter the member identification number. In lieu of the ID number (if not known), you may enter the member's social security number in the appropriate location.
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Member ID
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The member's identification number is displayed.
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Search
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Click Search to locate the member's HealthCheck records based on the information you have entered.
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Social Security Number
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Enter the member's social security number. In lieu of the social security number (if not known), you may enter the member's Medicaid identification number in the appropriate location.
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