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Low Income Home Energy Assistance Program Division 10 Service 415 Program 415 Chapters 05 - 65 North Dakota Department of Health and Human Services
Remittance Advice 415-45-05 (Revised 10/00 ML #2629) View Archives
The Remittance Advice gives the vendor's identification number in the upper right hand corner. This is a seven digit number. Next is the vendor's name and mailing address. Following this is the list of payments or adjustments made for each customer, alphabetized by last name. It includes the customer's billing number, the customer account number (if one was entered on the computer file), the invoice number (if any), the delivery date, LIHEAP Share Percentage, and the amount paid for each customer. If the vendor is receiving a payment for two deliveries for one customer, the customer's name will appear twice, once for each delivery date. A total dollar amount will be given for all payments.
The Remittance Advice may be separated into three sections: Payments, Premium and Emergency Payments, and Energy Share Payments. Each section will have the payment and/or adjustments listed alphabetically. If a reason code is on a payment line, this indicates why an adjustment was made. A translation of those codes is outlined in section 45-15.
The Payments section will include vendor-billed or County generated payments. Also included in this section will be County generated adjustments to correct prior LIHEAP paid bills. This section will have a total dollar amount for all these payments.
The Premium and Emergency Payments section will include County generated payments or adjustments to the vendor for premium services or payments made under Emergency Assistance eligibility for a customer. The payment line will indicate if the service was Premium or Emergency. This section will have a total dollar amount for all these payments.
If a vendor receives payment for Energy Share bills, the section for Energy Share Payments will be on the Remittance Advice to identify customers with payments made under this eligibility. A memo number is assigned by the State LIHEAP office in place of a delivery date to track these special