VaMMIS • Recipient Enrollment

Enrollee Demographics Screen
This screen is accessed through the Enrollment Menu. It displays the enrollee's demographic information. Entry fields are protected for transactions other than an Enrollee Create, Update, or Reinstate. Navigation to other screens will only be allowed if the proper operator security is present.
Select the fields listed to the left for detailed information about this screen.
For a list of field access codes, function keys and messages for the this screen, see the links at the bottom of the page.
Fields
Enrollee ID
Link Indicator
ADAPT ID
Suppress ID Card
Name-Last
First
MI
SUFX
Case ID
AP?
TPL?
Caseworker
FIPS
AC
BEN Plan
EXC IND
CMM RSTRCT Period
CMM RSTRCT STAT
Same as Case ADDR
More BP?
REL to Case Head
ADDR (Line 1)
ADDR (Line 2)
City
State
ZIP Code
FIPS
SSN
SSN STAT
DOB
DOD
Race
Sex
PRIM LANG
Marital STAT
Country
Phone
US Entry Date
Citizenship STAT
SIG Health COND?
HIPP
Student/Hosp Child?
Expected Delivery Date
Infant Mother ID
Disability Code
Date
Com
Aliases
Health Conditions
View Previous Names
View Previous Addresses
Last Card Date
ISS-RSN
SEQ-NUM
PEND Claims
Begin (Pend Claims)
END (Pend Claims)
MSG
PEND Source
PF Keys
VaMMIS • Recipient Enrollment