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Documentation Individual

INDIVIDUAL MANAGEMENT

Individual

Purpose

The Individual module is used to create, search, review, and maintain the complete operational record for each person receiving services. This documentation follows the actual True Care System menu structure and the screens currently available to users.

Individual Menu

The Individual menu contains three primary options. These are the main entry points users should reference when working with Individual records.

Individual menu showing New Individual, Search Individual, and Individual Detail
Individual menu with the three available submenu options.
Menu Purpose Documentation
New Individual Create a new Individual record using the six setup tabs. Open guide
Search Individual Find existing Individuals by code, name, city, county, or status. Open guide
Individual Detail Review and maintain the full record after an Individual has been created. Open guide

New Individual

New Individual uses a six-tab workflow. Users may move between tabs while entering information, save progress as a draft, restore a saved draft, or create the Individual after required information has been completed.

New Individual screen showing the six setup tabs
New Individual page with six setup tabs and draft/save controls.

New Individual Tabs

Tab What Users Enter or Review Documentation
1. Profile & Contacts Name, date of birth, gender, Medicare and Medicaid identifiers, branch, primary location, phone numbers, email, address, accepted services, and emergency contact information. Open guide
2. Coverage & Billing Primary and secondary insurance, eligibility status, member or policy ID, group number, coverage dates, billing address, and guardian or representative payee. Open guide
3. Clinical & Medication Primary care physician, medications, allergies, reactions, and diagnosis information. Open guide
4. Preparedness & Equipment Priority code, mobility status, medical equipment, mobility devices, and other dependencies needed for emergency or continuity planning. Open guide
5. Preferences & Directives Scheduling preferences, preferred days and time window, languages, caregiver gender preference, advanced directives, status, physician, and attachments or notes. Open guide
6. ISP & BSP ISP plan status, service coordinator, outcomes, authorized services, health and safety information, BSP behaviors, triggers, prevention strategies, interventions, data collection, responsible team, and attachments. Open guide
Important

The ISP & BSP section may require the Individual record to be created first. When prompted by the system, save or create the Individual, then reopen the record through Search Individual.

Search Individual

Search Individual is the primary screen for locating an existing Individual before reviewing or editing the record.

Search Individual screen with keyword and status filters
Search Individual screen with keyword search, status filters, and View/Edit access.

Available Search Functions

  • Search by Individual code, name, city, or county.
  • Filter records by Pending, Active, or In-active status.
  • Review the total number of matching records.
  • Sort or review Individual name and demographic columns.
  • Select View / Edit to open the Individual Detail record.
  • Select + New Individual to begin a new record.

Search Results

Search results may include photo, Individual code, name, date of birth, city, county, state, ZIP code, phone number, status, and the View/Edit action.

Individual Detail

Individual Detail is the ongoing record used after an Individual has been created. It provides access to operational, clinical, scheduling, authorization, financial, documentation, and service history areas.

Individual Detail screen showing the left navigation and Master Week
Individual Detail page with the left navigation menu and Master Week workspace.

Individual Detail Navigation

Area Typical Use
ProfileReview and maintain core demographic information.
ContactsMaintain Individual, guardian, emergency, and related contacts.
Referral Patient InfoReview referral or intake-related information.
Eligibility CheckReview payer or program eligibility information.
Auth/OrdersReview authorizations and applicable service orders.
Special RequestsRecord important requests or service-specific instructions.
Master WeekCreate the weekly service template and generate scheduled shifts.
CalendarReview scheduled activities and service events.
VisitsReview completed, open, canceled, or scheduled visit records.
POCReview or maintain Plan of Care information.
Caregiver HistoryReview caregivers who have served the Individual.
OthersAccess additional Individual-specific information.
FinancialReview financial or payer-related record details.
VacationRecord periods when services may be paused or unavailable.
Family PortalManage or review family portal participation and access.
Doc ManagementUpload, organize, and review Individual documents.
Clinical InfoReview clinical details connected to the Individual.
CertificationReview certifications or required supporting records.
Med ProfileReview medication profile information.
MD OrdersReview physician or medical orders.
Interim OrdersReview temporary or interim order information.
Actual Workflow

In normal use, staff locate the Individual through Search Individual, select View/Edit, and then use the Individual Detail navigation to maintain the record.

Recommended Documentation Order

The Individual documentation should follow the actual menu and screen sequence below.

  1. Individual Overview
  2. New Individual
  3. Profile & Contacts
  4. Coverage & Billing
  5. Clinical & Medication
  6. Preparedness & Equipment
  7. Preferences & Directives
  8. ISP & BSP
  9. Search Individual
  10. Individual Detail
  11. FAQ

Security and HIPAA

Individual records may contain protected health information and personally identifiable information. Access must be limited to authorized users with a legitimate business need.

  • Use role-based access and the minimum necessary principle.
  • Do not access an Individual record without an approved operational purpose.
  • Do not share screenshots containing Individual information outside approved channels.
  • Record access and changes through Audit Logs where applicable.
  • Verify the correct Provider and Individual before editing information.

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