Document 6504274

B
Bridges SOLQ
S
Report Job Aid
H
How to Fiind RSDI and Med
dicare Infformation
n in the B
Bridges SO
OLQ Rep
port
T
The followin
ng screensh
hot lists the
e key fields on the RSD
DI and Med
dicare sections of the B
Bridges
S
SOLQ Repo
ort. Each fie
eld on the screenshot
s
has a corre
esponding definition/list of codess in the
a
appendix to
o help you understand
u
the informa
ation conta
ained in thatt field
2
1
8
7
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
Page 1
Updated 5
5/11/2011
B
Bridges SOLQ
S
Report Job Aid
H
How to Fiind SSI In
nformatio
on in the Bridges S
SOLQ Re
eport
T
The followin
ng screensh
hots list the
e key fields on SSI secction of the Bridges SO
OLQ Reporrt. Each
ffield on the screenshot has a corrresponding definition/llist of codess in the app
pendix to he
elp you
u
understand the informa
ation conta
ained in thatt field
12
2
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
Page 2
Updated 5
5/11/2011
B
Bridges SOLQ
S
Report Job Aid
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
Page 3
Updated 5/11/2011
B
Bridges SOLQ
S
Report Job Aid
F
Field Name
e
Available
A
Codes/Defi
C
initions
A
Address
The
T residence
e address of tthe recipient
A
Alien Date off Residency
The
T date the alien’s
a
reside nce began.
Indicates if eligible/ineligib
ble individual is in special a
alien status.
A
Alien Indicato
or Code
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
1
No stattus alleged
2
Valid status alleged , but not provven – N13 beiing processed
d
A
Proven
n U.S. born, U
U.S. Citizen
B
Alleged
d U.S. born, U
U.S. Citizen
C
U.S. Citizen born ou
utside the U.S
S. (includes naturalized
citizens
s)
D
Alleged
d U.S. Citizen
n. Continuouss residence since 01/01/19
972.
E
Citizenship/alien sta
atus not prove
en; case denied for reason
ns
other citizenship/alie
c
en status
F
Refuge
ee status – Se
ections 207 o
or 203 (A)(7) o
of the INA
G
Parole status – Secttion 212(d) off the INA
H
Silva vs
s. Levi Alien
I
Indochinese refugee
e (obsolete)
J
Deferre
ed action
K
Alien la
awfully admittted to the U.S
S. for permane
ent residence
e
L
Asylum
m status, Secttion 208 of the
e INA
M
Reside
ent of the Nortthern Mariana
a Islands (obssolete)
N
y and citizensship verified b
by NUMIDENT
T interface (C
Code
Identity
was pre
eviously B)
P
2 alien (presu
umably lawfully admitted fo
or
Pre-January 1, 1972
nent residencce)
perman
Q
Alleged
d U.S. born, U
U.S. citizen (a
allegation corrroborated with a
U.S. place of birth s hown on NUM
MIDENT)
R
Legal temporary ressident – statuss granted as a result of the
e
Immigrration Reform
m and Control Act of 1986
S
Legal permanent
p
ressident – statu
us granted as a result of th
he
Immigrration Reform
m and Control Act of 1986
T
Alien granted volunttary departure
e
U
Unknow
wn
V
System
ms override ap
pplied followin
ng interface e
edit (obsolete)
W
Alien granted stay o
of deportation
X
Cuban//Haitian entra
ant
Y
Legaliz
zed agricultura
ral worker purrsuant to the IImmigration
Reform
m and Control Act of 1986
Z
Alien on
o whose beh alf an immediate relative p
petition has been
approv
ved
*
Unread
dable transmission
Page 4
Updated 5
5/11/2011
B
Bridges SOLQ
S
Report Job Aid
F
Field Name
e
Available
A
Codes/Defi
C
initions
Level of appe
eal.
A
Appeal Code
e
A
Appeals Date
e
A
Ap
ppeals Counccil Review
C
Co
ourt Case
H
He
earing
O
Cla
ass Action
R
Re
econsideration
n
The
T date of th
he appeal.
Decision rend
dered on an a
appeal.
A
Appeals Decision Code
A
Appeals Decision Date
A
Application Date
D
C
Claim Numbe
er for Unearn
ned
Income
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
AD
Dis
smissed/aban
ndoned
FA
Fa
avorable/SSA appealed (co
ourt case onlyy)
FC
Fu
ully/partially fa
avorable (converted record
ds only)
FF
Fu
ully favorable
FN
Fa
avorable/SSA not appealed
d (court case only)
OT
Clo
osed: Other
PF
Pa
artially favorab
ble
T1
Dis
smissed: Claiimant deceassed
UA
Un
nfavorable/ap
ppealed by reccipient (court case only)
UF
Un
nfavorable
UN
Un
nfavorable/no
ot appealed byy recipient (co
ourt case onlyy)
WC
Dis
smissed/withd
drawn
1D
Dis
smissed: can not be appea
aled
2D
Dis
smissed: filed
d by improperr requestor
3D
Dis
smissed: file prematurely
4D
Dis
smissed: file late without g
good cause
The
T date the appeals
a
decission was rend
dered.
The
T date the claimant
c
filed the applicatio
on for SSI benefits, the da
ate the
claimant
c
is de
eemed to have
e filed the app
plication. Con
nversion case
es may
display
d
a date
e prior to 01/0
01/1974. A seccond or subsequent effecttive
application
a
wo
ould result in tthe creation o
of new SSR(ss) with a
corresponding
c
g application d
date.
Claim
C
or identtification num ber under wh
hich each type
e of unearned
d income
is
s being receiv
ved.
Page 5
Updated 5
5/11/2011
B
Bridges SOLQ
S
Report Job Aid
F
Field Name
e
Available
A
Codes/Defi
C
initions
Identifies the
e representativve payee’s sttatus as to leg
gal guardiansship
and/or the co
ompetency off the of the reccipient.
C
Competency Code
C
Country of Origin
O
A
Re
ecipient is com
mpetent, and payee is the legal guardia
an
B
Re
ecipient is com
mpetent and tthere is no leg
gal guardian
C
Re
ecipient is com
mpetent and tthe legal guarrdian is some
eone
oth
her than the p
payee
D
Re
ecipient is com
mpetent and tthe payee is tthe legal guarrdian
E
Re
ecipient is inco
ompetent and
d there is no llegal guardian
n
F
Re
ecipient is inco
ompetent and
d the legal gu
uardian is
someone other than the payyee
L
Pa
ayee is a finan
ncial institutio
on with whom the recipient has
entered into a liiving trust agrreement
N
Th
here is no lega
al guardian
O
So
omeone otherr than the payyee is the lega
al guardian
Y
Pa
ayee is the leg
gal guardian
Codes
C
corresp
ponding to tho
ose listed in tthe Federal In
nformation
Processing
P
Sttandards (FIP
PS) publication 10-2
Indicates who
o has physica
al custody of the recipient.
C
Custody Cod
de
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
AGY
So
ocial Agency
CHD
Na
atural, adoptivve, or step-ch
hild (as payee
e for parent)
ESP
Es
ssential Perso
on is payee
FDM
Fe
ederal mental institution
FDO
Fe
ederal non-me
ental institutio
on
FIN
Fin
nancial institu
ution
FTH
Na
atural or adop
ptive father
GPR
Grrandparent
INP
Le
egally incompe
etent, but no representativve payee
MTH
Na
atural or adop
ptive mother
NPM
No
onprofit menta
al institution
NPO
No
onprofit non-m
mental instituttion
OFF
Pu
ublic Official
OTH
Other
PRM
Pro
oprietary men
ntal institution
n
PRO
Pro
oprietary non
n-mental instittution
PYE
Pa
ayee has custtody
REL
Other relative (iincludes in-law
ws)
RPD
Th
he representa tive payee is being develo
oped
SEL
Liv
ving by self
SFT
Ste
epfather
SLM
Sta
ate/Local men
ntal institution
n
SLO
Sta
ate/Local non
n-mental instittution
SMT
Ste
epmother
Page 6
Updated 5
5/11/2011
B
Bridges SOLQ
S
Report Job Aid
F
Field Name
e
Available
A
Codes/Defi
C
initions
SPO
Sp
pouse
C
Current Pay Status
S
Effecttive Date
The
T effective date
d
of the la
ast change to the Payment Status Code
e.
D
Date of Birth
Date
D
of birth of
o the recipien
nt.
D
Date of Curre
ent Entitleme
ent
Date
D
of entitle
ement to bene
efits for the cu
urrent period of entitlement.
D
Date of Death
h
Actual
A
date off death of the recipient, if a
available. If no
ot available, this will
be
b either the first
f
of the mo
onth a checke
ed is returned, or the date tthe
returned
r
chec
ck is processe
ed.
D
Date of Eligib
bility
Month
M
and year of the appllication date, final onset da
ate, or attainm
ment of
age
a 65 (which
hever is later) .
D
Date of Initial Entitlementt
Date
D
when be
eneficiary wass originally en
ntitled on this record
Source of the
e death notice
e.
D
Date of Death
h Source Code
0
Initialized value
e
1
SS
SA DO notifica
ation or manu
ual adjustmen
nt
2
Ele
ectronic death
h registration notification
3
MB
BR notificatio n
4
Tre
easury return
ned check nottification
5
Re
eturned checkk from Treasu
ury with no de
eath date show
wn.
(Death date fiel d will show date of transacction.)
6
Sta
ate notificatio
on
D
Date of Susp
pension or
T
Termination
Date
D
the even
nt causing the
e suspension or termination
n occurred.
D
Date of WTPY
Y Response
The
T date the response
r
wass formatted byy the SSA.
D
Deferred Pay
yment Date
Reflects
R
the month
m
and yea
ar the first or next paymen
nt can be mad
de.
Indicates if benefits are di rect deposite
ed to a bank a
account.
D
Direct Depos
sit Indicator
C
Ch
hecking
E
Ele
ectronic Bene
efits Transfer
S
Sa
avings
Blank
No
one
D
Disability On
nset Date
First
F
date of onset
o
of the diisability.
D
District Office Code
The
T servicing SSA office co
ode.
The Beneficiary Identificattion Code (BIIC) associated
d with the dua
al
entitlement number.
n
D
Dual Entitlem
ment BIC
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
&
Co
ombined A an
nd B beneficia
ary in the sam
me payment
A
Primary Wage E
Earner, Retire
ed or disabled
d
B
Wiife, age 62 orr over, first cla
aimant
B1
Hu
usband, age 6
62 or over, firsst claimant
B2
Wiife, under 65 with a child in
n her care, first claimant
Page 7
Updated 5
5/11/2011
B
Bridges SOLQ
S
Report Job Aid
F
Field Name
e
Dual Entitle
ement BIC
(continued))
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
Available
A
Codes/Defi
C
initions
B3
Sa
ame as B, 2nd
d claimant
B4
Sa
ame as B1, 2n
nd claimant
B5
Sa
ame as B2, 2n
nd claimant
B6
Div
vorced wife, a
age 62 or ove
er, first claima
ant
B7
Sa
ame as B2, 3rrd claimant
B8
Sa
ame as B, 3rd
d claimant
B9
Sa
ame as B6, 2n
nd claimant
BA
Sa
ame as B, 4th
h claimant
BD
Sa
ame as B, 5th
h claimant
BG
Sa
ame as B1, 3rrd claimant
BH
Sa
ame as B1, 4tth claimant
BJ
Sa
ame as B1, 5tth claimant
BK
Sa
ame as B2, 4tth claimant
BL
Sa
ame as B2, 5tth claimant
BN
Sa
ame as B6, 3rrd claimant
BP
Sa
ame as B6, 4tth claimant
BQ
Sa
ame as B6, 5tth claimant
BR
Div
vorced husba
and, first claim
mant
BT
Div
vorced husba
and, 2nd claim
mant
BY
Yo
oung husband
d with a child in his care, first claimant
BW
Yo
oung husband
d, 2nd claimant
C1-C9
Ch
hild (includes minor, studen
nt, or disabled
d)
CA-CK
Te
enth through ttwentieth child
d (minor, stud
dent, or disab
bled)
D
Wiidow (age 60 or over, first claimant)
D1
Wiidower (age 6
60 or over, firsst claimant)
D2
2nd widow (age
e 60 or over, 2
2nd claimant))
D3
2nd widower (a
age 60 or overr), 2nd claima
ant)
D4
Wiidow, remarrie
ed after attain
ning age 60
D5
Wiidower, rema rried after atta
aining age 60
0
D6
Su
urviving divorcced wife (age
e 60 or over, ffirst claimant)
D7
Sa
ame as D6 - 2
2nd claimant
D8
Sa
ame as D - 3rd
d claimant
D9
Sa
ame as D4 - 2
2nd claimant
DA
Sa
ame as D4 -3rrd claimant
DD
Sa
ame as D - 4th
h claimant
DC
Su
urviving divorcced husband - First claima
ant
DG
Sa
ame as D - 5th
h claimant
DH
Sa
ame as D1 - 3
3rd claimant
DJ
Sa
ame as D1 - 4
4th claimant
DK
Sa
ame as D1 - 5
5th claimant
DL
Sa
ame as D4 - 4
4th claimant
Page 8
Updated 5
5/11/2011
B
Bridges SOLQ
S
Report Job Aid
F
Field Name
e
Dual Entitle
ement BIC
(continued))
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
Available
A
Codes/Defi
C
initions
DM
Sa
ame as DC - 2
2nd claimant
DN
Sa
ame as D4 - 5
5th claimant
DP
Sa
ame as D5 - 2
2nd claimant
DQ
Sa
ame as D5 - 3
3rd claimant
DR
Sa
ame as D5 - 4
4th claimant
DS
Sa
ame as DC - 3
3rd claimant
DT
Sa
ame as D5 - 5
5th claimant
DV
Sa
ame as D6 - 3
3rd claimant
DW
Sa
ame as D6 - 4
4th claimant
DX
Su
urviving divorcced husband – 4th claiman
nt
DY
Sa
ame as D6 - 5
5th claimant
DZ
Sa
ame as DC - 5
5th claimant
E
Mo
other (Widowe
ed) - First cla
aimant
E1
Mo
other (Divorce
ed wife) - Firsst claimant
E2
2nd Mother (Wiidowed) - 2nd
d claimant
E3
2nd Mother (Divvorced wife) - 2nd claiman
nt
E4
Fa
ather (Widowe
ed) - First claiimant
E5
Fa
ather (Divorce
ed Husband) - First claiman
nt
E6
2nd Father (wid
dowed) - 2nd claimant
E7
3rd
d mother (wid
dowed) - 3rd cclaimant
E8
4th
h mother (wid
dowed) - 4th cclaimant
E9
Sa
ame as E5 - 2
2nd claimant
EA
Sa
ame as E - 5th
h claimant
EB
Sa
ame as E1 - 3
3rd claimant
EC
Sa
ame as E1 - 4
4th claimant
ED
Sa
ame as E1 - 5
5th claimant
EF
Sa
ame as E4 - 3
3rd claimant
EG
Sa
ame as E4 - 4
4th claimant
EH
Sa
ame as E4 - 5
5th claimant
EJ
Sa
ame as E5 - 3
3rd claimant
EK
Sa
ame as E5 - 4
4th claimant
EM
Sa
ame as E5 - 5
5th claimant
F1
Fa
ather (aged de
ependent) - F
First claimant
F2
Mo
other (aged d ependent) - F
First claimant
F3
Ste
epfather (age
ed dependentt)
F4
Ste
epmother (ag
ged dependen
nt)
F5
Ad
dopting fatherr (aged depen
ndent)
F6
Ad
dopting mothe
er (aged depe
endent)
F7
Fa
ather (alleged ) - 2nd claima
ant
F8
Mo
other (alleged
d) - 2nd claimant
J1
Primary PROUT
TY entitled to
o deemed HIB
B - Less than 3
Page 9
Updated 5
5/11/2011
B
Bridges SOLQ
S
Report Job Aid
F
Field Name
e
Available
A
Codes/Defi
C
initions
quarters covera
age
Dual Entitle
ement BIC
(continued))
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
J2
Primary PROUT
TY entitled to
o deemed HIB
B - Less than 2
quarters covera
age
J3
Primary PROUT
TY not entitle
ed to deemed HIB - Less th
han
3 quarters
q
cove
erage
J4
Primary PROUT
TY not entitle
ed to deemed HIB - Over 2
quarters covera
age
K1
PR
ROUTY entitle
ed to deemed
d HIB - Less tthan 3 quarterrs
coverage
K2
PR
ROUTY entitle
ed to deemed
d HIB - Over 2 quarters
coverage
K3
PR
ROUTY not en
ntitled to deemed HIB - Le
ess than 3
quarters covera
age
K4
PR
ROUTY not en
ntitled to deemed HIB - Ovver 2 quarterss
coverage
K5
Sa
ame as K1 - 2
2nd claimant
K6
Sa
ame as K2 - 2
2nd claimant
K7
Sa
ame as K3 - 2
2nd claimant
K8
Sa
ame as K4 - 2
2nd claimant
K9
Sa
ame as K1 - 3
3rd claimant
KA
Sa
ame as K2 - 3
3rd claimant
KB
Sa
ame as K3 - 3
3rd claimant
KC
Sa
ame as K4 - 3
3rd claimant
KD
Sa
ame as K1 - 4
4th claimant
KE
Sa
ame as K2 - 4
4th claimant
KF
Sa
ame as K3 - 4
4th claimant
KG
Sa
ame as K4 - 4
4th claimant
KH
Sa
ame as K1 - 5
5th claimant
KJ
Sa
ame as K2 - 5
5th claimant
KL
Sa
ame as K3 - 5
5th claimant
KM
Sa
ame as K4 - 5
5th claimant
M
Ind
dividual enrol led for Part B (SMIB) bene
efits but not
entitled to eithe
er a monthly b
benefit or Partt A (HIB) Un
ninsured
M1
Ind
dividual enrol led for Part B benefits, me
eets requirements
forr Part A but do
oes not elect to file for Parrt A benefits Un
ninsured Indivvidual
O
Co
ombined A an
nd B beneficia
ary in the sam
me payment
T
Primary beneficciary not entitlled to title II o
or railroad
mo
onthly benefitts (at time of ffiling). Also re
enal disease o
only
be
eneficiary.
TA
Fe
ederal wage e
earner (Mediccare Qualified Governmentt
Em
mployee (MQG
GE) primary b
beneficiary
TB
MQ
QGE aged sp
pouse (1st claiimant)
TC
MQ
QGE childhoo
od disability b
benefits (CDB
B) (1st claiman
nt)
Page 10
Updated 5
5/11/2011
B
Bridges SOLQ
S
Report Job Aid
F
Field Name
e
Available
A
Codes/Defi
C
initions
TD
MQ
QGE aged wi dow(er) (1st cclaimant)
TE
MQ
QGE young w
widow(er) (1st claimant)
TF
MQ
QGE parent ((male)
TW
Dis
sabled widow
w or widower
T2 - T9
Mu
ultiple eligible
e children
TG, TH,
MQ
QGE Multiple eligible living
g spouses
TJ, TK
TL, TM,
TN, TP
Dual Entitle
ement BIC
(continued))
MQ
QGE Multiple eligible wido
ows
TQ, TR,
MQ
QGE Multiple eligible pare nts
TS
TX, TY,
TZ
MQ
QGE Multiple disabled wid
dows
T2-T9
MQ
QGE Multiple CDB claiman
nts
W
Dis
sabled widow
w - First claima
ant
W1
Dis
sabled widow
wer - First claimant
W2
Dis
sabled widow
w - 2nd claima
ant
W3
Dis
sabled widow
wer - 2nd claim
mant
W4
Dis
sabled widow
w - 3rd claimant
W5
Dis
sabled widow
wer - 3rd claim
mant
W6
Dis
sabled survivving (divorced
d) wife - First cclaimant
W7
Dis
sabled survivving (divorced
d) wife - 2nd cclaimant
W8
Dis
sabled survivving (divorced
d) wife - 3rd cllaimant
W9
Sa
ame as W - 4tth claimant
WB
Sa
ame as W1 - 4
4th claimant
WC
Sa
ame as W6 - 4
4th claimant
WF
Sa
ame as W - 5tth claimant
WG
Sa
ame as W1 - 5
5th claimant
WJ
Sa
ame as W6 - 5
5th claimant
WR
Dis
sabled survivving Divorced Husband - First claimant
WT
Sa
ame as WR - 2nd claimantt
D
Dual Entitlem
ment Numberr
Other
O
Claim Account
A
Numb
ber on which entitlement e
exists
E
Entry#
Auto-numbere
A
ed record entrry number forr benefit row.
Identifies the
e eligibility for Federal SSI payment in th
he current mo
onth.
F
Federal Eligib
bility Code
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
E
Eligible
N
No
ot eligible
Blank
No
ot applicable
Page 11
Updated 5
5/11/2011
B
Bridges SOLQ
S
Report Job Aid
F
Field Name
e
Available
A
Codes/Defi
C
initions
Indicates the
e type of Fede
eral living arra
angement (forr the current
month) of the
e recipient forr Title XVI purrposes.
F
Federal Livin
ng Arrangement Code
(Current Mon
nth)
G
Given Name//M.I./Surname
A
Ow
wn household
d
B
An
nother’s house
ehold
C
Pa
arent’s househ
hold (child ca
ases only)
D
Tittle XVI instituttion
Blank
Ind
dividual is livin
ng in a non-T
Title XVI institu
ution, living
arrrangement ch
hange in prog
gress, or outsiide the U.S.
*
Initial claims su rface edit
The
T given firstt, middle initia
al, and surnam
me of the reccipient.
Y
He
ead of househ
hold
N
No
ot head of hou
usehold
R
Me
ember of a co
ouple for whicch the disabilitty determinattion
is or
o was pendin
ng (obsolete))
S
Me
ember of a co
ouple that is (o
or was) paid as an individu
ual
wh
hile disability w
was being de
etermined for the other
me
ember of the ccouple (obsolete)
U
Ide
entifies month
h included in tthe computattion of (and offfset
of)) underpayme
ent to one me
ember of eligib
ble couple
against overpayyment to the o
other
H
Head of Hous
sehold Indica
ator
Input Claim Acct#
A
The
T claim num
mber for the a
account on wh
hich the recip
pient is receiving
benefits.
b
May indicate the a
account numb
ber of an eligible relative.
Input Surnam
me/Middle
Initial/Given Name
N
The
T legal nam
me of the recip
pient.
Input DOB
The
T date of birth input by th
he State.
Input Sex
The
T gender in
nput by the Sttate.
Input SSN
The
T Social Se
ecurity Numbe
er input by the
e State.
Ledger Account File code
e. Reflects the
e Master Bene
eficiary Record
(MBR) payment status forr this beneficia
ary.
L
LAF Code
(Payment Sta
atus)
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
A
Withd
drawal for adjjustment
AA
Withd
drawal to spli t payments
AC
Corre
ection in bene
efit rate
AD
Adjus
sted for dual--entitlement
AE
Withd
drawn for reccomputation
AJ
Work
ker’s compenssation offset/public disability benefits
cancellation
AM
Withd
drawal from H
HIB-only statu
us; monthly benefits being
awarrded
AR
Withd
drawal from S or T to place
e in CP status
AS
Adjus
sted for simulltaneous entittlement
AW
Withd
drawn to impo
ose Worker’ss compensatio
on offset/public
disab
bility benefits
Page 12
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F
Field Name
e
LAF Code
(Payment Status)
(continued)
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
Available
A
Codes/Defi
C
initions
A(&)
Withd
drawn from s uspense or d
deferred status to be placed
d in
CP status
s
A(-)
Withd
drawn from C
CP status to b
be placed in suspense or
deferrred status
A0
Withd
drawn to adju
ust reduction ffactor
A1
Withd
drawn for reccomputation u
under Section 229 (noncontrributory milita
ary credits afte
er 1956)
A2
Withd
drawn for 196
65 or 1968 recomputation
A3
Withd
drawn for reccomputation u
under Sections 217 and 22
29
(non--contributory military creditts before and
d after 1956)
A4
Withd
drawn for disa
ability offset rrecomputation
n
A5
Withd
drawn for reccomputation n
not separatelyy defined
A6
Withd
drawn to reca
alculate PIA to
o include disa
ability freeze
A7
Withd
drawn for reccomputation u
under Section 217 (noncontrributory milita
ary credits beffore 1957)
A8
Reco
ord transferred
d from OIO to
o another pro
ogram service
e
cente
er. This code
e is no longer valid since im
mplementation
n of
natio
onal MBR.
A9
Withd
drawn for adj ustment actio
on not separa
ately defined
B
Abate
ement status
C
Curre
ent payment sstatus (excep
pt railroad payyment)
CP
Curre
ent Payment Status
CA
Claim
m has been ad
djudicated; E
Entitlement is a future date..
D
Deferred paymentt status
DP
Deferred because
e of receipt off public assistance
DW
Deferred because
e of worker's ccompensation
n/public disab
bility
bene
efit offset
D1
Deferred because
e of foreign wo
ork test
D2
Deferred because
e of annual re tirement test
D3
Deferred as an au
uxiliary becau
use the primarry beneficiaryy is
LAF--D2
D4
Deferred because
e no child-in-ccare
D5
Deferred as an au
uxiliary becau
use the primarry beneficiaryy is
in LA
AF-D1
D6
Deferred to recove
er overpayme
ents not sepa
arately defined
d
D9
Misce
ellaneous defferment
E
Curre
ent payment ccertified to the
e RRB
F
Adva
anced Filing fo
or Current Pa
ayment throug
gh RRB
J
Adva
ance File Currrent Pay Case
e
K
Adva
anced Filing fo
or Deferred P
Payment
L
Adva
anced Filing fo
or Conditiona
al Payment
N
Disalllowed claim
ND
Disab
bility claim de
enied
P
Delay
yed claim; ad
djudication pe
ending
Page 13
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S
Report Job Aid
F
Field Name
e
L
LAF Code
((Payment Sta
atus)
((continued)
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
Available
A
Codes/Defi
C
initions
PB
Delay
yed claim; be
enefits due bu
ut not paid
PT
Claim
m terminated from delayed
d status
(PF,
PH,
PJ,
PK,
PL,
PM,
PP,
PW,
P0,
P1,
P2,
P3,
P4,
P5,
P6,
P7,
P8,
P9)
Used
d with delayed
d claims: the beneficiary iss to be placed
d in
S pay
yment status upon final ad
djudication. Th
he low order
posittion has the s ame meaning
g as the corre
esponding low
w
orderr of payment status S.
R
Kill Credit
C
Sx
Cond
ditional/Suspe
ended Statuse
es
S0
Determination of ccontinuing dissability is pending
S1
Bene
eficiary engag
ged in work ou
utside the U.S
S.
S2
Bene
eficiary is worrking in the U..S. and expeccts to earn in
excess of annual allowable limit
S3
Auxiliary’s benefitss withheld be
ecause of S2 status if prima
ary
bene
eficiary
S4
Failure to have ch
hild in care
S5
Auxiliary’s benefitss withheld du
ue to S1 status of primary
bene
eficiary
S6
Chec
ck was return ed – correct a
address being
g developed
S7
Disab
bled beneficia
ary suspende
ed due to refusal of vocatio
onal
rehab
bilitation; imp
prisoned; exte
ended trial wo
ork period
S8
Susp
pended while payee is bein
ng determined
d
S9
Susp
pended for rea
ason not sepa
arately define
ed
SB
Bene
efits due but n
not paid (less than $1.00)
SD
Tech
hnical Dual En
ntitlement – b
beneficiary is e
entitled on
anoth
her claim or d
disability family maximum p
provision hass
reduc
ced the MBA to zero
SF
Prouty beneficiaryy fails to meett residency re
equirement
SH
Prouty beneficiaryy receiving go
overnment pension
SJ
Alien
n suspension
SK
Bene
eficiary has be
een deported
d
SL
Bene
eficiary reside
es in a countryy to which checks cannot b
be
sent
SM
Bene
eficiary refuse
ed cash beneffits (entitled to
o HI-SMI onlyy)
Page 14
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F
Field Name
e
LAF Code
(Payment Status)
(continued)
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
Available
A
Codes/Defi
C
initions
SP
Prouty beneficiaryy receiving pu
ublic assistancce
SS
Post--secondary sttudent summer suspension
SW
Work
ker's compenssation/public disability ben
nefit offset
Tx
Term
minated Statusses
TA
Adva
ance filing cla im terminated
d before matu
urity
TB
Moth
her, father term
minated beca
ause the bene
eficiary is entitled
to dis
sabled widow
w(er)’s benefitss
TC
Disab
bled widow atttained age o
of 62 and is no
ot entitled as an
aged
d widow
TJ
Adva
anced filed cla
aim terminate
ed after maturrity
TL
Term
mination of posst-secondaryy student
TP
Term
minated becau
use of change
e in type of be
enefit or post-entitlement action
TX
DIB attained
a
age 6
65 (also used
d for auxiliary beneficiariess)
T&
The claim
c
was witthdrawn
T-
Conv
verted from diisability benefits to retirem
ment benefits u
upon
reach
hing age 65
T0
Bene
efits are paya ble by some o
other agencyy
T1
Term
minated to do death of bene
eficiary
T2
Auxiliary terminate
ed due to dea
ath of the prim
mary
T3
Term
minated due to
o divorce, ma
arriage, or rem
marriage of the
bene
eficiary
T4
Child
d attained age
e 18 or 22 and
d is not disab
bled; mother/
fathe
er terminated because last child attained
d age 18
T5
Bene
eficiary entitle
ed to other benefits equal o
or larger
T6
Child
d beneficiary iis no longer a
attending scho
ool on full-tim
me
basis
s and is betwe
een ages 18 a
and 22, or a d
disabled child
d is
no lo
onger under a disability. Te
ermination off a mother/fath
her
beca
ause of death or marriage o
of the last rem
maining child
entitled to receive
e benefits
T7
Child
d terminated b
because of ad
doption, moth
her/father
termiinated becausse last entitle
ed child adoptted
T8
Prima
ary beneficiarry no longer d
disabled; or th
he last disable
ed
child no longer dissabled
T9
Term
minated for rea
ason not sepa
arate defined
U
Activ
ve Uninsured Status
W
Withd
drawal before
e entitlement
Xx
Adjus
sted/Suspend
ded/Terminate
ed/Un-insured statuses
X0
Claim
m transferred to RRB
X1
Bene
eficiary died
X5
Entitlled to other b
benefits
X7
HIB/S
SMIB termina
ated
X8
Paye
ee is being de
eveloped
X9
Term
minated for rea
ason not sepa
arately define
ed
Page 15
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F
Field Name
e
LAF Code
(Payment Sttatus)
(continued)
L
Living Arrang
gement Code
e–
O
Optional Statte Suppleme
ent
M
Mandatory Eligibility Cod
de
Available
A
Codes/Defi
C
initions
XD
Withd
drawn for adj ustment
XF
Entitllement transfferred to another program service cente
er
XK
Depo
ortation
XR
Withd
drawn from S
SMIB
Indicates the type
t
of Federral living arran
ngement for the recipient in
n those
States
S
that ha
ave elected Fe
ederal administration of their optional S
State
supplement.
s
Code
C
Z will ap
ppear in this ffield where the recipient is not eligible fo
or, or
waives,
w
option
nal suppleme ntation.
Refer
R
to Regio
onal Office de
efinitions of S
State Supplem
ment Codes fo
or other
possibilities.
p
Identifies elig
gibility for man
ndatory State
e Supplementtation Paymen
nt in
the current month.
m
E
Eligible
N
No
ot eligible
Blank
No
ot applicable
Indicates the
e marital statu
us of the recip
pient at the tim
me the record is
established.
M
Marital Status
s
M
Medicaid Effe
ective Date
1
Ma
arried and livi ng with spousse (ceremonial marriage,
common law ma
arriage, or de
e facto marria
age)
3
Sin
ngle, widowed
d, or divorced
d
4
Ma
arried and sep
parated
Date
D
of the mo
ost current pe
eriod of eligib
bility or referra
al for Medicaid
d (see
Medicaid
M
Eligiibility Code).
Indicates the
e individual’s M
Medicaid elig ibility status.
M
Medicaid Elig
gibility Code
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
A
Re
efused third p
party liability a
assignment – referred to Sttate,
Fe
ederal determ ination not po
ossible
B
De
eeming waive
ed: child unde
er a State hom
me care plan
C
Fe
ederally admin
nistered Mediicaid coverag
ge should be
continued regarrdless of paym
ment status ccode
D
Dis
sabled adult cchild
E
Eligible per Statte determinattion (obsolete
e)
G
Go
oldberg-Kelly payment con
ntinuation
I
Ine
eligible per Sttate determination (obsolete)
P
Drrug addiction a
and/or alcoho
olism
Q
Me
edicaid qualifyying trusts ma
ay exist
R
Re
eferred to Sta te for redeterrmination (163
34 States),
Fe
ederal determ ination not po
ossible
S
Sta
ate determina
ation – not SS
SA responsibiility
W
Wiidow(er)
Y
Eligible for Med
dicaid (1634 S
States)
Blank
No
ot applicable
Page 16
Updated 5
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F
Field Name
e
Available
A
Codes/Defi
C
initions
Indicates if Medicare
M
data
a is present orr not.
M
Medicare Ind
dicator
M
Monthly Amo
ount
M
Monthly Benefit Credited
d Amount
M
Monthly Benefit Credited
d Date
Y
Me
edicare data iis present
N
Me
edicare data iis not presentt
The
T Federal amount
a
receivved for the gro
oss monthly S
SSI payment..
The
T monthly Title
T
II benefitt due after anyy appropriate
e dollar rounding
(considering a deductible o
of SMI premiu
um) but prior tto the actual
collection
c
of any
a obligation of the benefiiciary (includin
ng SMI premium).
Payment
P
data
a credited date
e. The MBC a
amount is paiid in the montth after
this date.
Indicates the payment
p
statu
us of the Mon
nthly Benefit C
Credited Amo
ount.
M
Monthly Benefit Credited
d Type
C
Be
enefits paid
N
Be
enefits not paiid
E
Be
enefits not paiid, due to dela
ayed/pending
g or suspense
e
Blank
Be
enefits not paiid
N
Net Monthly Benefit If Payable
Benefit
B
payab
ble after deducction of benefficiary obligattions (like SM
MIB,
overpayment,
o
child support
rt, etc.)
N
Number of Cross-Referen
nce
A
Account Num
mber (XRAN)) Entries
Indicates num
mber of a crosss-referenced account
N
Number of Liines of Addre
ess
The
T number of
o address line
es present. C
Can be up to 6 lines.
O
Onset Date of
o
D
Disability/Blindness
O
Other Name
O
Other Primarry Insurance Amount
The
T date of disability onsett alleged by th
he applicant is retained on
n the
SSR
S
during th
he period in w
which the case
e is awaiting m
medical
determination
d
, or in the casse of medical denial. After a final
disability/blind
d
dness allowan
nce, the date of onset disp
played will be either:
 Date of
o disability o nset establish
hed for Title II purposes in
concu
urrence with T
Title XVI allow
wances
 Date of
o onset esta blished for Title XVI mediccal only allowa
ances.
This date
d
will be no
o earlier than the effective month of the
e SSI
applic
cation unless information in
n the medicall file supportss an
earlier onset.
Another
A
name
e used by the recipient.
Reflects
R
the controlling Prim
mary Insurance Amount (P
PIA) for paym
ment on
the claim. Can
n be an avera
age month wa
age or special minimum.
Describes wh
ho pays third party Health Insurance premiums.
Civil
Fe
ederal Civil Se
ervices
PRITP
Private Third Pa
arty
RRB
Ra
ailroad Retirem
ment Board
Self
he recipient pa
ays his or herr own premium
m. If the recip
pient
Th
is also
a
receiving
g RSDI beneffits, the premiium is withheld
fro
om the gross a
amount of tha
at benefit.
010650
A state
s
is purch
hasing Health Insurance co
overage throu
ugh
a Buy-In
B
agreem
ment. If the sttate is Michigan, the numb
ber
23
30 will appearr. Other State Codes are lissted in the LO
OR
Ma
anual ED-030
0, p. 14-15.
P
Part A/B Buy
y-In Code
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
Page 17
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F
Field Name
e
Available
A
Codes/Defi
C
initions
P
Part A/B Buy
y-In Indicatorr
Indicates if the
ere is a third p
party code for Part A/B. W
Will be YES, NO, or
Blank
B
if no info
ormation on ffile.
P
Part A/B Buy
y-In Start Datte
Effective
E
startt date of Mediicare Part A o
or B buy-in eliigibility
P
Part A/B Buy
y-In Stop Date
Effective
E
stop date of Medi care Part A o
or B buy-in eligibility
P
Part A/B Indicator
Indicates whe
ether Part A o r B data is pre
esent. Will dissplay YES or NO.
Indicates if th
here is Part B
B/SMI coverag
ge.
Part A/B Opttion Code
C
No
o (cessation o
of disability)
D
No
o (Part A/B co
overage denie
ed)
F
No
o (invalid enro
ollment termin
nated)
G
Ye
es (good causse)
N
No
o (Puerto Rica
an beneficiaryy not entitled;; also
dually/technicallly entitled beneficiary not entitled to SM
MI)
P
Ra
ailroad Board has jurisdiction
R
No
o (refused Pa rt A/B covera
age)
S
No
o (no longer re
enal disease provision)
T
No
o (Part A/B te rminated for n
non-paymentt of premiumss)
W
No
o (withdrawal from coverag
ge)
Y
Ye
es (has Part A
A/B coverage))
P
Part A/B Prem
mium
Supplemental
S
premium am
mount collectib
ble.
P
Part A/B Starrt Date
The
T first montth of Medicare
e Part A or Pa
art B coverag
ge
P
Part A/B Stop
p Date
The
T first montth of Medicare
e Part A or Pa
art B non-covverage
P
Payee Mailing Address
The
T mailing ad
ddress that w
will appear on the SSI checck and other ssystemsgenerated
g
corrrespondence
e to this indivi dual and his/her representtative
payee.
p
P
Payee Name
Reflects
R
the to
otal number o
of lines neede
ed to display tthe full payee
e name
and
a mailing ad
ddress. Up to
o 6 lines poss ible.
P
Payee Zip Co
ode
The
T 5-digit zip
p code require
ed as part of tthe payee’s a
address.
P
Payee Zip Co
ode + 4
The
T Zip-Code
e +4 portion off the payee’s address (if present).
P
Payment Datte
Reflects
R
the date of payme
ent of the SSI Gross Payab
ble Amount.
Indicates the
e type of paym
ment and if it w
was returned.
P
Payment Flag
g1
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
0
No payment made
e
1
Recu
urring paymen
nt
2
Retro
oactive payme
ent
3
Supp
plemental payyment dated tthe first of the
e month
4
One--time paymen
nt
5
Reco
overy (advancce payment o
or overpaymen
nt)
Page 18
Updated 5
5/11/2011
B
Bridges SOLQ
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F
Field Name
e
Payment Fllag 1
(continued))
Available
A
Codes/Defi
C
initions
6
Recu
urring paymen
nt (Type 1) on
n which a request for
substitute paymen
nt has been ssent to Treasu
ury
7
Retro
oactive payme
ent (Type 2) o
on which a re
equest for
substitute paymen
nt has been ssent to Treasu
ury
8
Supp
plemental payyment (Type 3
3) on which a request for
substitute paymen
nt has been ssent to Treasu
ury
A
Recu
urring paymen
nt returned byy SSA Districtt Office and
Treas
sury
J
Recu
urring paymen
nt returned byy SSA Districtt Office only
I
Regu
ular payment returned by T
Treasury onlyy
B
Retro
oactive payme
ent returned by SSA Distriict Office and
Treas
sury
K
Retro
oactive payme
ent returned by District Off
ffice only
S
Retro
oactive payme
ent returned by Treasury o
only
C
Supp
plemental payyment returne
ed by District Office and
Treas
sury
L
Supp
plemental payyment returne
ed by District Office only
T
Supp
plemental payyment returne
ed by Treasurry only
D
One Time Payme nt returned byy SSA Districct Office and
Treas
sury
M
One Time Payme nt returned byy SSA Districct Office only
U
One Time Payme nt returned byy Treasury on
nly
V
Reco
overy voided
Indicates the
e type of paym
ment or quarte
er of paymentt or collection
n.
P
Payment Flag
g2
P
Payment Stattus Code (Cu
urrent)
0-9
or
A-D
Quarrter of retroacctive or advan
nce payment ccollection with
h
code
es 2, 5, or V frrom Paymentt Flag 1
E
Totall of Payment Flag 1 Type 2
2, Retroactive
e Payment
F
Force
ed payment
N
Force
ed payment n
not applicable
e. If Payment Flag 1 is 5 orr V,
the overpayment
o
ccollection cam
me from the m
monthly checkk.
S
Force
ed stop paym
ment
T
Force
ed terminatio n
U
Used
d in conjunctio
on with a 4 in Payment Fla
ag 1. Indicatess the
amou
unt of a One T
Time Paymen
nt for a speciffic quarter.
The
T most currrent SSI Paym
ment Status ccode.
A three-posittion alphanum
meric code. Th
he first positio
on reflects the
e
status of the SSI/State Su
upplement payyment. The ssecond and th
hird
positions reflect the reaso
ons for the sta
atus.
P
Payment Stattus Code
NOTE: The follow
wing descriptio
ons, “C” throu
ugh “T” apply to
the first position o
of the code.
C
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
Indicates the recip
pient is eligiblle for SSI/State Supplemen
nt
paym
ments
Page 19
Updated 5
5/11/2011
B
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F
Field Name
e
Available
A
Codes/Defi
C
initions
E
Indicates eligibilityy for Federal a
and/or State benefits base
ed
on th
he eligibility co
omputation, b
but no payment is due base
ed
on th
he payment co
omputation
H
Indicates a case in
n "hold" statu
us, final disposition is pend
ding
M
Indicates a case iss under manu
ual control. C
Case is known
n as
"force
ed payment" although payyment may no
ot be involved
d
N
Indicates the appl icant is not e ligible for SSII/State
Supp
plement paym
ments or that a previously e
eligible recipie
ent
is no longer eligib le
P
Provisional, possi ble reinstatem
ment (obsolette)
S
Indicates recipientt may still be eligible for SS
SI/State
Supp
plement paym
ments, but payyment is being withheld
T
Indicates SSI/Statte Supplemen
nt eligibility is terminated
Spec
cific Codes
Payment Status Code
(continued)
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
C01
Curre
ent Pay
E01
Eligib
ble for Federa
al and/or Statte benefits based on eligibility
comp
putation, but n
no payment iss due based o
on payment
comp
putation
E02
First month of elig
gibility – perso
on is not due payment in th
his
montth
H10
Living
g arrangemen
nt change in process
H20
Marittal status cha
ange in processs
H30
Reso
ource change
e in process
H40
Stude
ent status cha
ange in proce
ess
H50
Head
d of househol d change in p
process
H60
Hold pending rece
eipt of date off death
H70
Hold pending tran
nsmission of o
one-time paym
ment data
H80
Early
y input, appliccation has bee
en made
H90
Syste
ems limitation
n involved. District Office m
must manuallyy
comp
puter and inpu
ut payment amounts.
M01
Force
e Payment – client may be
e in payment or non-payme
ent
status. See SSI G
Gross Payable
e Amount field
d for eligibilityy
amou
unt. These fie
elds will conta
ain zeros if in non-paymentt
status.
N01
Non--pay. Client’s countable inccome exceeds the Title XV
VI
paym
ment amount a
and their Statte’s payment standard.
N02
Non--pay. Client iss inmate of pu
ublic institution
n.
N03
Non--pay. Client iss outside U.S..
N04
Non--pay. Client’s non-excludab
ble resourcess exceed Title
e XVI
limita
ations.
N05
Non--pay. Unable tto determine if eligibility exxists.
N06
Non--pay. Client fa
ailed to file forr other benefits.
N07
Non--pay. Cessatio
on of client’s disability.
N08
Non--pay. Cessatio
on of client’s blindness.
N09
Non--pay. Client re
efused vocatio
onal rehabilita
ation without
Page 20
Updated 5
5/11/2011
B
Bridges SOLQ
S
Report Job Aid
F
Field Name
e
Available
A
Codes/Defi
C
initions
good
d cause.
Payment Status Code
(continued)
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
N10
Non--pay. Client re
efused treatm
ment for drug a
addiction.
N11
Non--pay. Client re
efused treatm
ment for alcoho
olism.
N12
Non--pay. Client vo
oluntarily with
hdrew from prrogram.
N13
Non--pay. Not a cittizen or eligib
ble alien.
N14
Non--pay. Aged cla
aim denied fo
or age.
N15
Non--pay. Blind cla
aim denied. A
Applicant not b
blind.
N16
Non--pay. Disabilitty claim denie
ed. Applicant not disabled.
N17
Non--pay. Failure tto pursue claiim by applicant.
N19
Non--pay. Client ha
as voluntarilyy terminated p
participation in
n the
SSI program.
p
N20
Non--pay. Client fa
ails to furnish a required re
eport.
N22
Non--pay - Inmate of a penal insstitution
N23
Non--pay - Not a U
U.S. resident
N24
Non--pay - Convictted of felony o
of fraudulently
misre
epresenting re
esidence in tw
wo or more S
States (Effectivve
Through 11/99) N on-pay - Adm
ministrative S
Sanctions penalty
impo
osed because
e claimant hass provided false or mislead
ding
state
ements to obta
ain benefits. ((Effective 12/99 until prese
ent)
N25
Non--pay - Claima nt is fleeing to
o avoid prose
ecution for, orr
custo
ody or confine
ement after co
onviction for, a crime which is
a felo
ony (or in New
w Jersey a hig
gh misdemea
anor) under th
he
laws of the place ffrom which he
e/she flees, o
or is violating a
condition of proba
ation or parole
e imposed under Federal o
or
State
e law.
N27
Non--pay. Disabilitty terminated due to substa
antial gainful
activity.
N30
Non--pay. Slight im
mpairment – m
medical consideration alon
ne,
no visual impairm ent.
N31
Non--pay. Capacityy for substanttial gainful acctivity – custom
mary
past work, no visu
ual impairmen
nt.
N32
Non--pay. Capacityy for substanttial gainful acctivity – other
work
k, no visual im
mpairment.
N33
Non--pay. Engagin
ng in substanttial gainful acctivity despite
impa
airment, no vissual impairme
ent.
N34
Non--pay. Impairm
ment is no long
ger severe at time of
adjud
dication and d
did not last 12
2 months, no visual
impa
airment.
N35
Non--pay. Impairm
ment is severe
e at time of ad
djudication bu
ut not
expe
ected to last 1 2 months, no
o visual impairrment.
N36
Non--pay. Insufficie
ent or no med
dical data furn
nished, no vissual
impa
airment.
N37
Non--pay. Failure o
or refusal to ssubmit consulltative
exam
mination, no vvisual impairm
ment.
N38
Non--pay. Applican
nt does not w
want to continu
ue developme
ent
of cla
aim, no visuall impairment.
N39
Non--pay. Applican
nt willfully failss to follow pre
escribed
Page 21
Updated 5
5/11/2011
B
Bridges SOLQ
S
Report Job Aid
F
Field Name
e
Available
A
Codes/Defi
C
initions
treatm
ment, no visu
ual impairmen
nt.
Payment Sta
atus Code
(continued)
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
N40
Non--pay. Impairm
ment(s) does n
not meet or eq
qual listing
(disa
abled child und
der 18 only), no visual imp
pairment.
N41
Non--pay. Slight im
mpairment – m
medical condiition alone, visual
impa
airment.
N42
Non--pay. Capacityy for substanttial gainful acctivity – custom
mary
past work, visual iimpairment.
N43
Non--pay. Capacityy for substanttial gainful acctivity – other
work
k, visual impaiirment.
N44
Non--pay. Engagin
ng in substanttial gainful acctivity despite
impa
airment, visua
al impairment.
N45
Non--pay. Impairm
ment no longer severe at tim
me of
adjud
dication and d
did not last 12
2 months, visu
ual impairmen
nt.
N46
Non--pay. Impairm
ment is severe
e at time of ad
djudication bu
ut not
expe
ected to last 1 2 months, vissual impairme
ent.
N47
Insuffficient, or no medical evide
ence furnishe
ed, visual
impa
airment.
N48
Non--pay. Failure o
or refusal to ssubmit to consultative
exam
mination, visua
al impairmentt.
N49
Non--pay. Applicattion does not want to continue developm
ment
of cla
aim, visual im
mpairment.
N50
Non--pay. Applican
nt willfully failss to follow pre
escribed
treatm
ment, visual i mpairment.
N51
Non--pay. Impairm
ment(s) does n
not meet or eq
qual listing
(disa
abled child und
der 18 only), visual impairment.
N52
Non--pay. Deleted from State ro
olls before 12
2/73 payment..
N53
Non--pay. Deleted from State ro
olls after 12/7
73 payment.
N54
Non--pay. District O
Office unable
e to locate app
plicant.
P01
Susp
pended. Susp
pension of disability payme
ent due to
substantial gainfu l activity, prob
bability of rein
nstatement.
S04
Susp
pended. Syste
em is awaiting
g disability de
etermination
(systtem generated
d).
S05
Susp
pended. Subsstantial gainfu
ul activity decision pending.
S06
Susp
pended. Clien
nt address unkknown.
S07
Susp
pended. Returrn check for o
other than dea
ath, address,
paye
ee change, or death of payyee.
S08
Susp
pended. Reprresentative pa
ayee developm
ment pending
g.
S09
Susp
pended. Misce
ellaneous susspense code.
S10
Adjud
dicative Susp
pense (system
m generated)..
S20
Susp
pended. Poten
ntial rollback case or no disability made
e
prior to 07/73/
S21
Susp
pended The cclient is presu mptively disabled or blind and
has received
r
3 mo
onths of paym
ments.
S90
Susp
pended - PR1 change in prrocess becau
use SSR was
estab
blished underr the incorrectt SSN (this co
ondition is
extre
emely rare)
Page 22
Updated 5
5/11/2011
B
Bridges SOLQ
S
Report Job Aid
F
Field Name
e
Payment Sttatus Code
(continued)
P
Person’s Ow
wn SSN
Available
A
Codes/Defi
C
initions
S91
Susp
pended - PR1 change in prrocess becau
use SSR was
estab
blished underr the incorrectt SSN (this co
ondition is
extre
emely rare)
T01
Term
minated. Death
h of client.
T20
Term
minated. Rece
eived paymen
nt under 2 diffferent numberrs.
T22
Term
minated. Same
e definition ass code T20.
T30
Term
minated. Manu
ual terminatio
on (payment p
previously ma
ade).
Chan
nge in record composition requires term
mination of
existing record.
T31
Term
minated. Syste
em generated
d termination (payment
previously made)..
T32
Term
minated – Auto
omated syste
ems terminatio
on of a paid
recorrd that has exxceeded certa
ain size limitation
T33
Term
minated – Man
nual terminatiion (through M
MSSICS)
T50
Term
minated. Manu
ual terminatio
on (no previou
us payment
made
e).
T51
Term
minated. Syste
em generated
d termination (no previous
paym
ment made).
Social
S
Securitty Number of the recipient..
Method provided by recipiient for valida
ating age
P
Proof of Age
A
Alleged
B
Birrth/Baptismal
C
Co
onvincing evid
dence
F
Fo
ormerly establlished by SSA
A
N
No
ot proven
P
Pro
oven
Q
Query Dt
Q
Es
stablished oth
her than B or C
The
T date and time when th
he report was requested.
R
Race Code
Indicates the race
r
of the re
ecipient (if app
plicable).
R
Record Estab
blishment Da
ate
Indicates the date
d
of estab lishment of th
he recipient’s SSI record.
R
Rep Payee In
ndicator
Y – there is a representativve
N – there is no
ot a represen
ntative
The
T date the current
c
payee
e was selecte
ed for the indivvidual and/or spouse.
R
Rep Payee Selection Date
e
R
Residence Address
Address
A
wherre the recipien
nt lives, if diffe
erent from the
e mailing add
dress.
Otherwise,
O
fie
eld will be blan
nk.
R
Residence Ziip Code
Zip
Z Code for the
t address w
where the reciipient lives, if different from
m the
mailing
m
addres
ss. Otherwise
e, field will be
e blank.
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
Page 23
Updated 5
5/11/2011
B
Bridges SOLQ
S
Report Job Aid
F
Field Name
e
Available
A
Codes/Defi
C
initions
Indicates if th
he recipient o
owns a house.
R
Resource Co
ode – House
A
Po
ossession of a home – prin
nciple place of residence. N
Not
to be disposed of.
F
Un
nverified (obso
olete)
J
Po
ossession of a home – prin
nciple place of residence. T
To
be
e disposed of.
S
Eq
quity in properrty.
T
Ho
ome and equi ty in propertyy.
Z
No
one
Blank
No
ot determined
d.
*
Initial claims exxception
Indicates if th
he recipient h as insurance. If so, indicattes if the recip
pient
must dispose
e of the insura
ance.
R
Resource Co
ode – Insuran
nce
C
Fa
ace value und
der $1500
H
Un
nverified reso urce
L
Ag
greement to d
dispose
O
Un
nder/over limitt
Z
No
one
Blank
No
ot determined
d
Indicates if th
he recipient o
owns other ressources. If so
o, indicates if tthe
recipient mus
st dispose of those resourcces.
R
Resource Co
ode – Other
E
Ov
ver limit
N
Ag
greement to d
dispose
Z
No
one
Blank
No
ot determined
d
Indicates if th
he recipient o
owns income-producing pro
operty. If so,
indicates if th
he recipient m
must dispose o
of that properrty.
R
Resource Co
ode – Propertty
D
Inc
come produciing property
M
Ag
greement to d
dispose
O
Un
nder/over limitt
Z
No
one
Blank
No
ot determined
d
Indicates if th
he recipient o
owns a vehicle
e. If so, indica
ates if recipien
nt
must dispose
e of the vehic le.
R
Resource Co
ode – Vehicle
e
R
RSDI Claim Account
A
#
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
B
Ve
ehicle either o
over or under limit
K
Ag
greement to d
dispose
G
Un
nverified reso urce
Z
No
one
Blank
No
ot determined
d
The
T Claim Acc
count Numbe
er (CAN) and Beneficiary Id
dentification C
Code
(BIC) under which
w
a Title III claim exists.. The CAN po
ortion of the claim
number
n
is the SSN of the w
wage earner o
on whose reccord benefits a
are
being
b
paid.
Page 24
Updated 5
5/11/2011
B
Bridges SOLQ
S
Report Job Aid
F
Field Name
e
Available
A
Codes/Defi
C
initions
Indicates if th
he recipient iss receiving RS
SDI benefits
R
RSDI Status
Blank
SS
SA is unable tto verify the e
existence of th
he record, or tthe
req
quest was forr Prisoner datta.
C
SS
SA indicates tthat there is a record, but itt could not be
e
loc
cated by SVE
ES
D
SS
SA indicates tthat there is a record but th
here is a nam
me or
da
ate of birth disscrepancy bettween SSA’s record and th
he
Sta
ate’s record.
Y
An
n RSDI record
d exists
N
An
n RSDI record
d does not exxist.
S
Schedule Current Payme
ent
A
Amount
Amount
A
certified in the Sch
hedule Payme
ent action for the current o
operating
month
m
as show
wn in the Sch
hedule Payme
ent Date field. The check is
actually
a
paid in the month a
after the Sche
edule Payment Date.
S
Schedule Pay
yment Date
Shows
S
the current operatin
ng month in w
which the Schedule Current
Payment
P
Amo
ount was proccessed.
Displays eith
her the prior o
or current mon
nth accrual.
S
Schedule Pay
yment Indica
ator
S
Schedule Prior Payment Amount
P
Cu
urrent month a
accrual amou
unt paid by da
aily update
op
peration
R
Cu
urrent month a
accrual paid b
by monthly m
merge
Blank
Prior month acccrual only
Shows
S
the acc
cumulated pa
ayment certifie
ed in the Sch
hedule Payme
ent
action
a
for all months
m
throug
gh the Prior M
Month Accrual Date. Zeros are
displayed
d
if an
n actual paym
ment has not b
been made. T
The accrual m
moth is
the month pre
eceding the cu
urrent operatiing month.
Gender of the recipient.
S
Sex Code
S
SSI Direct De
eposit Indica
ator
S
SSI Race Cod
de
S
SSI Sex Code
e
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
M
Ma
ale
F
Fe
emale
U
Un
nknown
C
Ch
hecking
E
Ele
ectronic Bene
efits Transfer
S
Sa
avings
Blank
No
one
A
As
sian
B
Bla
ack
H
His
spanic
I
No
orth American
n Indian
N
Ne
egro
O
Other
U
Un
ndetermined
W
Wh
hite
F
Fe
emale
M
Ma
ale
U
Un
nknown
Page 25
Updated 5
5/11/2011
B
Bridges SOLQ
S
Report Job Aid
F
Field Name
e
Available
A
Codes/Defi
C
initions
S
SSI Gross Pa
ayable Amou
unt
The
T Federal amount
a
the re
ecipient was e
entitled to rece
eive (before
adjustments
a
fo
or overpayme
ents) in the prrevious Treassury File.
S
SSI Gross Pa
ayable Amou
unt
(Current)
The
T Federal amount
a
the re
ecipient is entitled to receivve (before
adjustments
a
fo
or overpayme
ents) on the P
Payment Date
e displayed.
Indicates if th
he recipient iss receiving SS
SI benefits.
S
SSI Status
S
SSN Multiple
e SSN Indicattor
S
State and Co
ounty Code
S
State and Co
ounty of Juris
sdiction
S
State and Co
ounty Code of
o
R
Reimbursement
S
State Gross Payable
P
Amo
ount
S
State Gross Payable
P
Amo
ount
(Current)
Blank
SS
SA is unable tto verify the e
existence of th
he record, or tthe
req
quest was forr Prisoner datta.
C
SS
SA indicates tthat there is a record, but itt could not be
e
loc
cated by SVE
ES
D
SA indicates tthat there is a record but th
here is a nam
me or
SS
da
ate of birth disscrepancy bettween SSA’s record and th
he
Sta
ate’s record.
Y
An
n SSI record e
exists
N
An
n SSI record d
does not existt.
Indicates the number
n
of ad
dditional SSNss used by the
e individual.
Additional
A
SSNs are listed in the followin
ng fields. Up to five total S
SSNs
can
c be listed.
The
T first two positions
p
of th
his number represent the S
State code.
Michigan’s
M
Sta
ate Code is 2
23. The remaining numberss are the Cou
unty
code.
c
This is the
t State and
d County in wh
hich the recip
pient has resid
dence.
Indicates the State
S
and Co
ounty that are responsible ffor any mandatory or
optional
o
suppllementation p
payment. Rep
presents the S
State and Cou
unty of
residence
r
for the recipient unless another State and County have
ju
urisdiction.
Reflects
R
the State/County
S
ccode correspo
onding to the agency with which
the SSI/SSP applicant
a
sign
ned an agreem
ment for reimbursement off interim
assistance
a
pa
ayments. Thiss field will be zzero in the folllowing situatiions:
 Recorrd is for an esssential perso
on
 An ap
pplicant who m
may not have
e authorized (o
or timely auth
horized)
reimb
bursement to tthe State
 Where
e there is no Federal/State
e agreement ffor reimburse
ement
The
T amount of
o Federally-ad
dministered ssupplementattion the recipient was
entitled
e
to rece
eive (before a
adjustments ffor overpayme
ents) in the previous
Treasury
T
File.
The
T amount of
o Federally-ad
dministered ssupplementattion the recipient is
eligible
e
to rece
eive (before a
adjustments fo
for overpayme
ents) on the P
Payment
Date
D
displayed. Also referrred to as the S
State Supplem
mental Payment
(SSP) Amount.
S
Supplement Amount
A
The
T Federally
y-administered
d supplementtal amount re
eceived for the
e gross
monthly
m
SSI payment.
p
T
Telephone Number
Recipient’s
R
telephone num ber
Indicates the
e individual wh
ho receives th
he check.
T
Type of Paye
ee Code
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
AGY
So
ocial Agency
CHD
Na
atural, adoptivve, or step-ch
hild (as payee
e for parent)
ESP
Es
ssential Perso
on is payee
FDM
Fe
ederal mental institution
Page 26
Updated 5
5/11/2011
B
Bridges SOLQ
S
Report Job Aid
F
Field Name
e
Type of Pay
yee Code
(continued))
Available
A
Codes/Defi
C
initions
FDO
Fe
ederal non-me
ental institutio
on
FIN
Fin
nancial organ
nization
FTH
Na
atural or adop
ptive father
GPR
Grrandparent
INP
Le
egally incompe
etent, but no representativve payee has
be
een selected
MTH
Na
atural or adop
ptive mother
NPM
No
onprofit menta
al institution
NPO
No
onprofit non-m
mental instituttion
OFF
Pu
ublic Official
OTH
Other
PRM
Pro
oprietary men
ntal institution
n
PRO
Pro
oprietary non
n-mental instittution
PYE
Re
ecipient previo
ously had payyee but is now
w receiving direct
pa
ayments
REL
Other relative (iincludes in-law
ws)
RPD
Th
he representa tive payee is being develo
oped
SEL
Be
eneficiary is o
own payee
SFT
Ste
epfather
SLM
Sta
ate/Local men
ntal institution
n
SLO
Sta
ate/Local non
n-mental instittution
SMT
Ste
epmother
SPO
Sp
pouse
Blank
Be
eneficiary is o
own payee
Indicates the
e type of recip
pient or other individual invvolved in the
record. If a re
ecipient is inittially disabled
d, this code will not change
e at
age 65.
T
Type of Recip
pient
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
AI
Ag
ged individual
AS
Ag
ged spouse
BI
Blind individual
BC
Blind child
BS
Blind spouse
DC
Dis
sabled child
DI
Dis
sabled individ
dual
DS
Dis
sabled spousse
EP
Es
ssential perso
on
XF
Ine
eligible fatherr
XM
Ine
eligible mothe
er
XP
Ine
eligible perso n
XS
Ine
eligible spousse
Page 27
Updated 5
5/11/2011
B
Bridges SOLQ
S
Report Job Aid
F
Field Name
e
Available
A
Codes/Defi
C
initions
U
Unearned Inc
come Amoun
nt
This
T
field conttains money a
amounts that do not repressent income tto the
recipient
r
(MIL amounts, de
eeming allocations, and blin
nd countable income
fo
or conversion
n cases).
 Will be greater tha n zero if the u
unearned inco
ome is other tthan
Socia
al Security ben
nefits (Type A
A).
 Will be zero for Typ
pe A when the claim numb
ber has a “T” or “M”
suffix (indicates un
ninsured bene
eficiary with health benefitss).
 May be
b zero for su
uffixes other th
han “T” or “M” if the unearn
ned
incom
me Frequencyy Code is “C”, “N”, or “T”. T
This generallyy occurs
becau
use the recipie
ent is dually e
entitled but re
eceives only o
one Title
II check. Both claim
m/identificatio
on numbers appear in the rrecord,
but with a positive money amou
unt for the prim
mary claim nu
umber
and zero money fo
or the seconda
ary claim num
mber.
Indicates how
w frequently tthe unearned income is be
eing or was be
eing
received.
U
Unearned Inc
come Freque
ency
C
Co
ontinuous mo nthly paymen
nt or uninsure
ed (Title II claim
number suffix “T
T” or “M”) or T
Title II benefitts in non-pay
sta
atus.
N
On
ne-time paym
ment
R
sed in conjuncction with Typ
pe A income tto indicate reccent
Us
RS
SDI filing, or w
with Type D in
ncome to indicate potentia
al
elig
gibility to a R RB benefit.
T
Te
ermination of ccontinuous m
monthly benefiit
U
Us
sed only in co
onjunction with
h a Type D en
ntry to indicatte
RR
RB has jurisdiiction of the T
Title II (Type A
A) payment, a
and
tha
at recipient’s e
entitlement to
o a RRB annu
uity has not been
de
etermined.
Blank
Initialized value
e
U
Unearned Inc
come – Net
C
Countable Am
mount
Current
C
month
h’s amount off earned incom
me after all exxclusions are
e
applied.
a
Used in determinin
ng eligibility a
and, if the Bud
dget Month Fllag is
zero,
z
computing the payme
ent.
U
Unearned Inc
come Numbe
er of
E
Entries
The
T number of
o entries for tthe seven une
earned incom
me data eleme
ents. Up
to
o 9 entries maximum.
U
Unearned Inc
come Start Date
D
Indicates the date
d
that the unearned inccome started, if the payment is
monthly,
m
or the date a one--time paymen
nt was receive
ed.
U
Unearned Inc
come Stop Date
D
Reflects
R
the effective
e
date of termination
n of unearned
d income. In a
situation
s
wherre the unearn ed income am
mount change
es, this will be
e the
la
ast date the previous
p
rate or one-time p
payment was received.
The
T particularr type of unea
arned income the recipient is or was recceiving.
U
Unearned Inc
come Type Code
C
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
A
So
ocial Security – Title II
B
Bla
ack Lung
C
VA
A compensatio
on (not based
d on need)
D
RR
RB
E
VA
A pension (ba
ased on need))
F
As
ssistance base
ed on need a
and not exclud
ded from
Page 28
Updated 5
5/11/2011
B
Bridges SOLQ
S
Report Job Aid
F
Field Name
e
Available
A
Codes/Defi
C
initions
unearned incom
me
Unearned Income Type Code
C
(continued)
G
Re
etroactive Title
e II benefits p
posted as if pa
aid when due
e\
used in Title XV
VI offset comp
putation
H
In--kind support and maintena
ance
I
Ine
eligible child a
allocation (no
ot income)
J
Va
alue of one th ird reduction for Living Arrrangement Co
ode
B
K
Blind countable
e income (con
nversion cases)
L
Military retired p
pay
M
Fe
ederal Civil Se
ervice pension
n
N
Su
upport payme
ents received from absent p
parent
O
Inc
come based o
on need from private sourcces
P
Em
mployment-re
elated pension
n (State or loccal government
rettirement, priva
ate pension)
Q
Wo
orker’s Comp
pensation
R
Re
ents, interest, dividends, ro
oyalties
S
Other
T
Ala
aska Longevi ty Bonus
U
Co
oncurrent and
d Title II only a
attorney’s fee
es allocated o
over
mo
onths where T
Type A, G, orr W unearned
d income is
pre
esent
V
Ma
anually comp uted deemed
d income
W
Re
etroactive Title
e II benefits p
posted as if pa
aid when due
e,
used in Title II o
offset computtation
X
Minimum incom
me level amou
unt (not incom
me)
Y
Sp
pecial need re
eduction (applies to a Fede
eral countable
e
minimum incom
me level) (not income)
Z
Sta
ate countable
e income
Blank
Initialized value
e
Indicates if the
e unearned in
ncome allegattions of the re
ecipient has b
been
verified.
v
0
umber and inccome have no
ot been verifie
ed
Nu
1
Nu
umber has be
een verified, a
amount has no
ot been verifie
ed
2
Nu
umber and inccome amountt have been vverified
3
VA
A, OPM, RRB
B overlaid amo
ount was the same as the
am
mount shown for the prior m
month
4
Sa
ame as “3” ab
bove, except tthe overlaid a
amount was not
the
e same as the
e amount sho
own for the prrior month
5
or type A, sam
me as “3” exce
ept verification code was
Fo
“2””before the M
MBR interface.. If type X, Fe
ederal countab
ble
MIL transmitted
d by FO in con
njunction with
h T30/T50
U
Unearned Inc
come Verification
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
Page 29
Updated 5
5/11/2011
B
Bridges SOLQ
S
Report Job Aid
F
Field Name
e
Available
A
Codes/Defi
C
initions
6
Fo
or type A, a on
ne-time paym
ment from the MBR which there
wa
as no pre-exissting entry on
n the SSR beffore the interfa
ace.
If Type
T
X, Fede
eral countable
e MIL systemss generated.
Sp
pecial MIL esttablished by tthe system wh
hich does nott
consider N Freq
quency Code for Title II pa
ayments receiived
in the first quartter of 1974. W
When this cod
de is present, the
01/74 MIL is fro
ozen and the ssystem will no
ot recalculate
e for
01/74.
7
Fe
ederal countab
ble MIL – sysstems generatted. This is th
he
sta
andard Type X income.
8
Sta
ate countable
e MIL, or inco me transmitte
ed by FO
(ap
pplicable to V
Vermont only)
9
Sta
ate countable
e MIL or incom
me (code 8) a
adjusted by th
he
sys
stem (applica
able to Vermo
ont only)
I
Ide
entification nu
umber and am
mount verified
d, and that Tittle II
be
eing paid in insstallments du
ue to DAA pro
ovisions.
Unearned In
ncome Verifiication
(continued))
U
User ID
The
T ID of the employee req
questing the rreport.
Indicates eith
her SSN veriffication, or rea
asons for non
n-verification.
Includes SSN
N mismatchess, SSN-surna
ame mismatch
hes, SSN-datte of
birth mismatc
ches, multiple
e SSNs.
Blank
Re
ecords failing initial edit che
ecks and not making it as far
as the verificatio
on process
V
SS
SN is verified
X
SS
SN is verified (and individual is decease
ed)
1
SS
SN not on file
3
Eitther DOB or S
Surname doe
es not match S
SSN on file
F
SS
SN verified, bu
ut Surname d
does not matcch (and was
ign
nored)
M
SN verified via
a MBR or SSR rather than
n NUMIDENT
SS
(ov
verlay value o
of 1)
P
SS
SN verified via
a MBR or SSR rather than
n NUMIDENT
(ov
verlay value o
of 3)
R
SS
SN verified via
a MBR or SSR rather than
n NUMIDENT
(ov
verlay value o
of 5)
Z
aim Account Number was submitted byy the State
Cla
ins
stead of a SS N. SSN not vverified.
*
put SSN is no
ot verified, butt SSA located
d and verified the
Inp
SS
SN provided in
n the Verified
d SSN data fie
eld.
&
Mu
ultiple SSNs p
provided in Ve
erified SSN d
data field.
.
Sa
ame as blank
V
Verification Code
C
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
Page 30
Updated 5
5/11/2011
B
Bridges SOLQ
S
Report Job Aid
F
Field Name
e
Available
A
Codes/Defi
C
initions
Data that is displayed
d
con
ntingent upon specific field codes return
ned
by the Verific
cation Code fiield.
V
Verification SSN
S
Data
Z
Zip Code
Bridge
es SOLQ Rep
port Job Aid
State of
o Michigan DHS
If Verification
n Code is *
Field willl contain the SSN located by
SSA wh
hich differs fro
om the SSN in
nput
by the S
State.
If Verification
n Code is 3 orr P
Field willl contain date
e of birth
If Verification
n Code is X
Date of death will be displayed fro
om
NUMIDE
ENT
If Verification
n Code is &
Field willl display multtiple SSNs wh
hich
were pre
eviously issue
ed to the
individua
al.
The
T Zip Code of the reside
ence address..
Page 31
Updated 5
5/11/2011