The Stored Covered Members and Benefits window also presents all benefits and benefit information specified for a single Member or Dependent. They can be viewed to the right of the Member field and his or her benefits to the left.
Stored Members and Benefits window loaded with TestBed Data Member Frank Castillo.
All eligibility and benefit information is stored in the EDI_CoveredBenefits table. Each row represents a single benefit for a single Member, identified by its Service Type Code and MemberID, respectively. The MemberID is an internal field (i.e., this field is not read or written to an EDI file) and corresponds to a single row in the EDI_CoveredMembers table.
In the case of a Dependent, who might not have his or her own Member ID, the Subscriber ID field is filled with the subscribing Member's MemberID. Otherwise, it is left blank to denote a subscribing Member.