Social Security Administration (SSA)/Beneficiary Data Exchange (BENDEX) System 448-01-50-15-45

(Revised 9/1/16 ML #3474)

SSA

The Social Security Administration administers the Retirement, Survivors, and Disability Insurance (RSDI) Program which is authorized under Title II of the Social Security Act. SSA is a social insurance program that provides benefits to individuals who have retired, are disabled, survivors of workers who have died and dependents of beneficiaries. The RSDI program is funded through dedicated payroll taxes under the Federal Insurance Contributions Act (FICA).

BENDEX

The BENDEX is a verification of SSA benefits and Medicare Part A and B effective dates, premium amounts, and who is responsible for the premiums.

The social security number (SSN) of anyone applying for TANF, MA, and/or SNAP is sent to SSA for information on the individuals SSA benefit. SSA keeps the SSN's on file and does a monthly match against their information. If there is a difference between the information on file and current information, they send a BENDEX transaction back. The BENDEX transactions are then compared to the SSA information entered into the TECS and Vision systems. If the information does not match, the following alerts will be generated. The eligibility worker must verify the new SSA benefit and/or Medicare premium amounts through NDVerify for TANF, Medicaid, and SNAP.

TECS BENDEX ALERTS GENERATED:


BDX SS# WAS UPDATED	This alert is generated when a BENDEX record is received from SSA. The worker should check TPQY to determine if the benefit amount changed, if a person has become eligible for Medicare or if status of Medicare has changed. NOTE: You may not see any change on the TPQY as a BENDEX record contains many data values. Not all data is displayed on TPQY.
BDX SS# DISCREPANCY	This alert is generated when the gross benefit amount on BENDEX record from SSA is different than the SSA benefit amount (less the Medicare premium) on UNIN in TECS. The worker should check TPQY to determine if the benefit amount changed.
BDX SS# NAME MISMATCH	This alert is generated if there is a mismatch with the name shown on the BENDEX record from SSA and the name shown in TECS. The worker should check TPQY to determine the correct name.
SS# CHECK TPQY PAY CODE	This alert is generated if the BENDEX record from SSA and has a pay status other than "CP". The worker should check TPQY to get their current status. NOTE: The pay status codes on the TPQY have been defaulted to words for your convenience.
?? FRAUD/BDX CONFLICT WITH XX	This alert is generated when there is a conflict with another state. Either the individual is receiving assistance in another state, has applied for assistance in another state or someone else is using their social security number in another state. The worker should: Check TPQY for address. Ask individual where they previously live and if they were on Medicaid in another state. Contact the other state to determine which state needs to close their case. NOTE: If someone else is using their SSN, the other state needs to re-verify their applicant or recipient’s SSN and fix their records.

BDX SS# WAS UPDATED

This alert is generated when a BENDEX record is received from SSA.

The worker should check TPQY to determine if the benefit amount changed, if a person has become eligible for Medicare or if status of Medicare has changed.

NOTE: You may not see any change on the TPQY as a BENDEX record contains many data values. Not all data is displayed on TPQY.

BDX SS# DISCREPANCY

This alert is generated when the gross benefit amount on BENDEX record from SSA is different than the SSA benefit amount (less the Medicare premium) on UNIN in TECS.

The worker should check TPQY to determine if the benefit amount changed.

BDX SS# NAME MISMATCH

This alert is generated if there is a mismatch with the name shown on the BENDEX record from SSA and the name shown in TECS.

The worker should check TPQY to determine the correct name.

SS# CHECK TPQY PAY CODE

This alert is generated if the BENDEX record from SSA and has a pay status other than "CP".

The worker should check TPQY to get their current status.

NOTE: The pay status codes on the TPQY have been defaulted to words for your convenience.

?? FRAUD/BDX CONFLICT WITH XX

This alert is generated when there is a conflict with another state. Either the individual is receiving assistance in another state, has applied for assistance in another state or someone else is using their social security number in another state.

The worker should:

Check TPQY for address.

Ask individual where they previously live and if they were on Medicaid in another state.

Contact the other state to determine which state needs to close their case.

NOTE: If someone else is using their SSN, the other state needs to re-verify their applicant or recipient’s SSN and fix their records.

VISION BENDEX ALERTS GENERATED:


BENDEX UPDATED	This alert is generated when a BENDEX record is received from SSA but there is no SSA income or Medicare premium amount listed in Vision. The alert description states: The BENDEX file has updated information for (SSN). Check TPQY for change in benefit amount and/or Medicare Coverage. Enter correct gross SSA income amount and/or Medicare premium expense if not eligible for SSI or QS Buy-In.
BENDEX $$ DISCREPANCY	This alert is generated when there is information on the BENDEX file that is different than what is in Vision. The alert description states: The BENDEX file and Vision have a discrepancy in the SSA gross benefit amount for (SSN). Check TPQY and change the SSA income amount.
BDX NAME ERROR	This alert is generated when the name on the BENDEX file is different than what is in Vision. Check TPQY. The alert description states: BENDEX Name error (SSN) is different than what Vision has.
CHECK TPQY PAY CODE	This alert is generated when the BENDEX file no longer has a pay code of CP - current pay. The alert description states: Check TPQY Pay Code for (SSN). BENDEX no longer has a ‘CP/Current Pay’ record.
CHECK FOR FRAUD	This alert is generated when there is a conflict with another state. Either the individual is receiving assistance in another state, has applied for assistance in another state or someone else is using their social security number in another state. The alert description states: Check for Fraud in (State Name) for (SSN). (SSN) may have an open case in (State code) or someone else could be using their SSN.

BENDEX UPDATED

This alert is generated when a BENDEX record is received from SSA but there is no SSA income or Medicare premium amount listed in Vision.