| 1 | English French  Notes   Complete/Exclude
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| 2 |    P for Patient                        
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| 3 |    T for Account Type                   
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| 4 | Display Report (F)ULL or (T)OTALS ONLY:                         
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| 5 | VAUTN#^DGBTBEG^DGBTBG^DGBTEND^DGBTSL^DGBTZ^VAUTD#                       
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| 6 | CoreFLS Carrier                 
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| 7 | Would you like ALL Account Types                        
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| 8 | Enter 'Yes' if you wish to include ALL Account Types or press Return to select individual Account Types.                        
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| 9 | Select ACCOUNT TYPE                     
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| 10 | Enter the account type by which you would like to sort bene travel claims.                      
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| 11 | Select another ACCOUNT TYPE                     
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| 12 | Choose either:                  
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| 13 | F - To get FULL DISPLAY as well as TOTALS                       
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| 14 | (Report contains Patient name, Date of claim, Patient ID,                       
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| 15 | Account, Carrier, Deductible, Amount payable)                   
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| 16 | T - To display TOTALS ONLY                      
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| 17 | =====>NO PATIENTS FOUND                 
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| 18 | ZNOT SPECIFIED                  
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| 19 | Enter <RET> to continue or ^ to QUIT                    
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| 20 | BENEFICIARY TRAVEL OUTPUT                       
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| 21 | BY                      
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| 22 | ACCOUNT TYPE                    
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| 23 | DIVISION TOTALS                 
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| 24 | DIVISION NAME                   
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| 25 | DIVISION TOTAL                  
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| 26 | GRAND TOTAL                     
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| 27 | BENEFICIARY TRAVEL REPORT OUTPUTS                       
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| 28 | Enter Option                    
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| 29 | Enter the desired report option number or either '^' or [RETURN] to exit                        
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| 30 | This report requires 132 columns to print                       
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| 31 | DGBT PAYABLE CLAIMS REPORT                      
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| 32 | Ending                  
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| 33 |  Search Date:                   
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| 34 | No data found for accounts 'ALL OTHER' or 'C&P'                 
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| 35 | Payable Claims Report                   
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| 36 | Report Date:                    
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| 37 | Inclusion Dates:                        
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| 38 | For ACCOUNT TYPE:                       
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| 39 | ALL OTHER                       
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| 40 | Mileage                 
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| 41 | Amount                  
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| 42 | Patient ID                      
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| 43 | Claim DATE/TME                  
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| 44 | Deduct                  
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| 45 | Payable                 
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| 46 | Remarks                 
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| 47 | TOTAL CLAIMS:                   
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| 48 | Subtotals                       
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| 49 | Subtotal Count of Claims:                       
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| 50 | DGBT LOCAL VENDOR ADD                   
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| 51 | DGBT LOCAL VENDOR UPDATE                        
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| 52 | Only claims with ACCOUNT TYPE of ALL OTHER or C&P are listed as choices.                        
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| 53 | Select Claim DATE/TIME:                         
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| 54 | Type '^' to Stop, or                    
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| 55 | ANSWER WITH NUMERIC CHOICE.  BECAUSE ENTRIES ARE STORED BY DATE.TIME.SECONDS,                   
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| 56 | YOU MUST ENTER A NUMERIC CHOICE.                        
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| 57 | List the Incomplete data found in the Beneficiary Distance File                 
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| 58 | Any incomplete data should be corrected as soon as possible                     
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| 59 | File not available, Please try later...                 
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| 60 | Incomplete Additional Information Remarks in the Beneficiary Travel Distance FIle                       
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| 61 | Do you wish to update any Remark fields                 
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| 62 | Incomplete zip code information in the Beneficiary Travel Distance File                 
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| 63 | Do you wish to update Zip Codes                 
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| 64 | Incomplete mileage information                  
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| 65 | Do you wish to update Mileage data                      
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| 66 | >> YOU HAVE                     
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| 67 |  ERROR(S) IN YOUR STATE IDENTIFIERS,                    
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| 68 | THESE MUST BE CORRECTED BEFORE CONTINUING                       
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| 69 | City Name:                      
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| 70 | Enter either YES or NO, '^' to Exit.                    
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| 71 | ENTER NAME OF CITY TO CORRECT                   
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| 72 | Enter the name of the city you wish to lookup, 1 to 30 characters in length                     
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| 73 | 1:Additional Information Fields Marked;                 
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| 74 | 2:Missing Zip Codes;                    
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| 75 | 3:No Default or Division Mileages                       
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| 76 | Enter Option or [RETURN] to continue                    
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| 77 | Enter the desired menu option mumber or either '^' or [RETURN] to add departure city                    
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| 78 | Print Report                    
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| 79 | Enter 'Y'es or 'N'o                     
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| 80 | NOTE:                   
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| 81 | If no data prints, then no problems were found                  
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| 82 | in the Distance file.                   
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| 83 | DATE/TIME REQUIRED..                    
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| 84 | DGBT UNKNOWN OPTION                     
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| 85 | Request Queued!                 
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| 86 |   ** COREFLS Package CSL V1.0 not installed. **                 
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| 87 | There are no CoreFLS Vendor IDs stored in the CoreFLS Local Vendor File (392.31)                        
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| 88 | Vendor File Update cannot occur.                        
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| 89 | Update of the CoreFLS Local Vendor file (#392.31) will begin.                   
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| 90 | No record entry found for CoreFLS Vendor Number and Vendor Site Name                    
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| 91 | Record entry                    
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| 92 | could not be locked during COREFLS LOCAL VENDOR file update process.  Record entry update with CoreFLS Vendor record not performed.                     
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| 93 | AREA_CODE                       
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| 94 | FAX_AREA_CODE                   
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| 95 | LAST_UPDATED                    
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| 96 | INACTIVE_DATE                   
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| 97 | DGBTFDA(1)                      
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| 98 | CoreFLS Local Vendor file update run at                         
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| 99 | YORTY.M@MNTVBB.FO-ALBANY.MED.VA.GOV                     
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| 100 | CoreFLS Local Vendor file update at                     
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| 101 | UPDATE VENDOR RECORDS post-update message                       
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| 102 | COLLATERAL OF VET.                      
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| 103 | OTHER NON-VETERANS                      
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| 104 | OTHER NON-VET                   
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| 105 | COLLATERAL VETERAN SPONSOR NAME IS UNSPECIFIED!!                        
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| 106 | APPLICANT ADDRESS DATA                  
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| 107 | SPONSOR ADDRESS DATA                    
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| 108 | Phone:                          
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| 109 | SPONSOR:                        
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| 110 | DO YOU WISH TO EDIT COLLATERAL INFORMATION                      
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| 111 | SHOULD COLLATERAL PATIENT ADDRESS DATA BE SAME AS SPONSOR'S                     
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| 112 | Y - To stuff in sponsor's address data.                 
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| 113 | N - To edit collateral address data                     
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| 114 | Sponsor address data entered...                 
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| 115 | Patient is a veteran and therefore should not be classified utilizing this                      
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| 116 | option.  If this veteran has Other Entitled Eligibilities please insure that                    
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| 117 | the appropriate APPOINTMENT TYPE is selected at the time you make the                   
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| 118 | Patient already has an eligibility code or period of service on file and                        
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| 119 | therefore should not be classified using this option.  If this veteran                  
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| 120 | has Other Entitled Eligibilities, please insure that the                        
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| 121 | APPOINTMENT TYPE is selected at the time you make the appointment.                      
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| 122 | No Insurance Information                        
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| 123 | Insurance Co.                   
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| 124 | Policy #                        
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| 125 | Group                   
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| 126 | Holder                  
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| 127 | Effective                       
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| 128 | Expires                 
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| 129 | IMPRECISE COMBAT DATE REPORT                    
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| 130 | >>>>END OF REPORT                       
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| 131 | SERVICE SEP                     
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| 132 | COMBAT TO                       
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| 133 | YUGOSLAVIA TO                   
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| 134 | SOMALIA TO                      
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| 135 | PERS GULF TO                    
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| 136 | REPORT OF UPDATES REQUIRED FOR COMBAT VET STATUS                        
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| 137 | The following patients could not be evaluated for Combat Veteran                        
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| 138 | Eligibility status due to having imprecise or missing dates.                    
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| 139 | Date to be updated                      
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| 140 | BEGINNING DATE:                         
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| 141 | ENTER THE BEGINNING DATE FOR THE REPORT                 
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| 142 | A BEGINNING AND AN END DATE MUST BE ENTERED FOR THIS REPORT                     
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| 143 | ENTER THE ENDING DATE FOR THE REPORT                    
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| 144 | DATE RANGE NOT SET.  EXITING                    
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| 145 | COMBAT VET DATE EDITED REPORT                   
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| 146 | REQUEST QUEUED!                 
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| 147 | REQUEST CANCELLED!                      
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| 148 | No data to report.                      
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| 149 | COMBAT VETERAN STATUS CHANGED REPORT                    
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| 150 | CV END DATE                     
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| 151 | PRIORITY GROUP                  
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| 152 | DELETED!!!!                     
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| 153 | Patient is currently in-house.  Discharge him with a discharge type of DEATH.                   
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| 154 | Patient has a discharge type of Death                   
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| 155 | Edit the discharge                      
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| 156 | PATIENT HAS EXPIRED                     
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| 157 |       Date/Time of Death:                       
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| 158 |   (While an inpatient)                  
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| 159 |      Admission Date/Time:                       
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| 160 |   (Within 24 hours of hospitalization)                  
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| 161 |              Admitted To:                       
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| 162 |            Last Transfer:                       
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| 163 | NOTE: Patient has future appointments scheduled!!                       
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| 164 | NOTE: Patient had scheduled admissions which have been cancelled!!                      
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| 165 | Patient is a NON-VETERAN.                       
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| 166 | Patient Death has been Deleted                  
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| 167 | The date of death for the following patient has been deleted.                   
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| 168 | NOT LISTED                      
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| 169 |    CLAIM FOLDER LOCATION:                       
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| 170 |             CLAIM NUMBER:                       
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| 171 |    COORDINATING MASTER OF RECORD:                       
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| 172 | DGMT DEPENDENTS                 
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| 173 |                       FAMILY DEMOGRAPHIC DATA, SCREEN <8>                       
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| 174 |                      MARITAL STATUS/DEPENDENTS, SCREEN <1>                      
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| 175 | Male                    
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| 176 | Female                  
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| 177 | Inactive                        
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| 178 | Status:                         
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| 179 | Effective Date:                         
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| 180 | Filed by IVM:                   
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| 181 | Cannot edit when viewing a means test.                  
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| 182 | Not while viewing                       
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| 183 | Cannot inactivate veteran                       
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| 184 | Cannot edit date added by IVM.                  
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| 185 | There has to be an effective date for this person.                      
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| 186 |   <<EFFECTIVE DATE may not precede Date Of Birth>>                      
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| 187 | Not a means test - use means test options.                      
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| 188 | Cannot add a                    
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| 189 |  as a dependent to the means test.                      
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| 190 | Can only input information for veteran.                 
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| 191 | Married information is entered under the veteran.                       
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| 192 | No information in Income Relation file.                 
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| 193 | Not applicable for means test                   
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| 194 | Married Last Year:                      
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| 195 | Unanswered                      
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| 196 | Lived with Spouse:                      
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| 197 | Amount Contributed:                     
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| 198 | Incapable of Self-support:                      
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| 199 | Child lived with you:                   
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| 200 | Child Support:                  
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| 201 | Child Has Income:                       
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| 202 | Income Available:                       
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| 203 | There is no spouse to choose from.                      
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| 204 | Do you want to add (S)pouse or (D)ependent                      
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| 205 | An active spouse is currently on file.  Use the 'ES - Edit Spouse'                      
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| 206 | action to edit.                 
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| 207 | DG DEPDELETE                    
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| 208 | Access to this option requires a security key.                  
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| 209 | Dependent has been uploaded by IVM.  Cannot delete.                     
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| 210 | ...deleting ANNUAL INCOME...                    
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| 211 | ...deleting INCOME RELATION...                  
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| 212 | ...deleting PERSON...                   
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| 213 | ...deleting INCOME PERSON...                    
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| 214 | This dependent is associated with a means test.  You must remove the                    
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| 215 | dependent from ALL means/co-pay tests prior to deleting.  Use the 'RE' action.                  
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| 216 | DGMT EXPAND PROFILE                     
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| 217 | Dependent #:                    
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| 218 | Enter action by typing the name or the abbreviation.                    
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| 219 | There are no '                  
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| 220 | s' to select.                   
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| 221 | Selection '                     
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| 222 | ' is not a valid choice.                        
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| 223 | This means test is uneditable and cannot be added to.                   
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| 224 | Disposition PATIENT:                    
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| 225 | There are no open registrations to disposition for this patient.                        
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| 226 | LOG DATE                        
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| 227 | TYPE OF BENEFIT APPLIED FOR                     
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| 228 | Primary Eligibility Code and Period of Service are unspecified.                 
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| 229 | Primary Eligibility Code is unspecified.                        
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| 230 | Period of Service is unspecified.                       
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| 231 | Select the type of disposition:                         
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| 232 | A disposition must be entered to continue.                      
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| 233 | ***** Registration dispositioned *****                  
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| 234 | * Disposition deleted *                 
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| 235 | SCHEDULE ADMISSION FOR WARD                     
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| 236 | SCHEDULED ADMISSION ALREADY ON FILE.                    
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| 237 | Waiting List Entry                      
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| 238 | This disposition must be checked out to continue.                       
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| 239 | In process(I) or All(A): I//                    
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| 240 | Enter 'I' to print only those dispositions in process,                  
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| 241 | 'A' to print all disposition's for a specified date range.                      
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| 242 | Sort by Facility                        
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| 243 | Note: This report requires a column width of 132.                       
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| 244 | OPEN DISPOSITIONS                       
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| 245 | Your facility is Multidivisonal                 
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| 246 | Type 'Yes' to sort output by division                   
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| 247 | This will add time to processing                        
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| 248 | Run statistics for the whole month                      
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| 249 | YES - To generate a log for this entire month                   
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| 250 | NO  - To select an end date to which to generate log.                   
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| 251 | END DATE:                       
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| 252 | Can't preceed start date.                       
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| 253 | NOT DISPOSITIONED YET                   
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| 254 | UNDEFINED DISPOSITION                   
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| 255 | REGISTRATION DISPOSITION SUMMARY                        
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| 256 | EARLIEST REGISTRATION ON FILE IS '                      
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| 257 | NO REGISTRATIONS ON FILE TO START WITH!!                        
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| 258 | Start with REGISTRATION DATE:                   
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| 259 | Can't be before earliest registration Date.                     
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| 260 |     Go To REGISTRATION DATE:                    
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| 261 | Can't be before the Start Date.                 
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| 262 | WANT A LISTING OF UNDISPOSITIONED REGISTRATIONS DURING THIS TIMEFRAME                   
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| 263 | As I'm gathering data for this report I may run across some registrations                       
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| 264 | in the timeframe selected which have not yet been dispositioned which I do                      
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| 265 | not include in the statistics.  If you want a listing of those patients for                     
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| 266 | whom a disposition date/time has not been entered answer YES otherwise                  
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| 267 | answer NO to this prompt.                       
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| 268 | Registration/Disposition Time Statistics for                    
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| 269 | period covering                         
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| 270 | UNSPECIFIED PT #                        
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| 271 | DIVISION SUB-TOTAL                      
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| 272 | MEDICAL CENTER TOTAL                    
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| 273 | # PATIENTS DISPOSITIONED WITHIN                 
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| 274 | Over                    
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| 275 | Number of                       
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| 276 | Average                 
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| 277 | Type of Disposition                     
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| 278 | Patients                        
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| 279 | Time                    
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| 280 | Hours                   
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| 281 | Days                    
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| 282 | NOTE(S)                 
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| 283 | 'Average Time per Disposition' is in HOURS:MINUTES format.                      
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| 284 | NOTE:  Applications without examination are not included in this report.                        
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| 285 | Applications for Nursing Home, Domiciliary and Dental Care are not included in this report.                     
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| 286 | There are '                     
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| 287 | ' registrations which have not been dispositioned which are not included in the above totals.                   
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| 288 |   See attached Listing.                 
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| 289 | , Undispositioned Registrations                 
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| 290 | Registration Date/Time                  
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| 291 | Do you wish to                  
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| 292 |  in the VA Patient Enrollment System                    
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| 293 | >>> Another user is editing, try later ...                      
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| 294 | Effective Date of Cancellation                  
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| 295 | Please enter the date to cease enrollment, no earlier than                      
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| 296 | and no later than                       
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| 297 | DGBULL(                 
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| 298 | Means Test Required                     
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| 299 | The following patient is enrolled in the VA Patient Enrollment                  
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| 300 | System and 'REQUIRES' a means test.                     
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| 301 |         Patient Name:                   
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| 302 |           Patient ID:                   
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| 303 | ####################    ####################    ####################    
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| 304 | ####################    ####################    ####################    
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| 305 | ####################    ####################    ####################    
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| 306 | ####################    ####################    ####################    
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| 307 | ####################    ####################    ####################    
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