| 1 | English French  Notes   Complete/Exclude
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| 2 | Select patient or press ENTER when finished                     
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| 3 | EAS MT REPORT OF CONTACTS                       
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| 4 | Means Test Anniversary Date:                    
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| 5 | | Division or Section                   
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| 6 | | Executed By (signature and title)                     
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| 7 | | REPORT OF CONTACT                     
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| 8 | | VA Office                     
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| 9 | | Identification No.                    
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| 10 | | Note: This form must be filled out in                 
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| 11 | | ink or on typewriter as it becomes a                  
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| 12 | | permanent record in veterans' folders.                        
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| 13 | | Last Name-First Name-Middle Name (Type or print)                      
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| 14 | | Date of Contact                       
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| 15 | | Address of Veteran                    
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| 16 | | Person Contacted                      
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| 17 | | Type of Contact                       
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| 18 | | Address of Person Contacted                   
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| 19 |   Brief statement of information requested and given                    
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| 20 | EAS MEANS TEST LETTERS PARAMETER ENTRY/EDIT                     
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| 21 | Parameters                      
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| 22 | Primary Print Device:                   
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| 23 | Allow Filtering by Location?                    
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| 24 | Send Means Test Completion Notice?                      
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| 25 | Envelope Offset                 
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| 26 | Allow Alternate Return Address?                 
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| 27 | Edit Parameters?                        
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| 28 | Enter date range for anniversary date search                    
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| 29 |    Start Date                   
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| 30 |      End Date                   
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| 31 | EAS MT EXPIRATION RPT                   
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| 32 | >> No Means Test expirations for the selected date range.                       
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| 33 | MT CPR                  
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| 34 | MT CPE                  
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| 35 | GMT CPR                 
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| 36 | Means Test Expiration Report                    
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| 37 | Anniversary Date(s):                    
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| 38 | MT Expired                      
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| 39 | Future Appts                    
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| 40 | Print Summary Only?                     
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| 41 | 'YES' will print a summary total only, 'NO' will print the summary and a detail listing by scheduled print date                 
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| 42 | EAS LETTERS DETAILED PENDING REPORT                     
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| 43 | Count of Letters Pending to Print (Flag to Print marked 'YES')                  
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| 44 | 60-Day letters flagged to print:                        
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| 45 | 30-Day letters flagged to print:                        
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| 46 |  0-Day letters flagged to print:                        
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| 47 | Detailed List of Letters Flagged to Print                       
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| 48 | Sched. Date                     
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| 49 | Run report for date:                    
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| 50 | EAS MT DUE BY APPOINTMENT RPT                   
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| 51 | No MT Anniversary dates found for this appointment date.                        
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| 52 | Means Test Expiration Report by Appt Date                       
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| 53 | For Appointment Date:                   
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| 54 | Anniversary                     
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| 55 | Summary of Most Recent Unreturned Means Test Letters                    
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| 56 | 60-day letters printed:                         
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| 57 | 30-day letters printed:                         
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| 58 |  0-day letters printed:                         
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| 59 | Processing                      
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| 60 | EAS MT LETTER STATISTICS REPORT                 
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| 61 | AUTO-GENERATED                  
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| 62 | FUTURE MEANS TEST                       
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| 63 | MEANS TEST LETTERS STATISTIC REPORT                     
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| 64 | Letter Processing Date Range:                   
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| 65 | Letter type:                    
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| 66 | Letters printed:                        
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| 67 | Means Test returned Totals                      
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| 68 |                 Future MT:                      
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| 69 |       Owned by Other Site:                      
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| 70 |       Returned by Veteran:                      
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| 71 | Count of patient records set to prohibit letter during date range:                      
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| 72 | EAS MT PROCESSING SUMMARY REPORT                        
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| 73 | AUTOMATED MT LETTERS SUMMARY                    
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| 74 | Letter                  
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| 75 | Flag to                 
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| 76 | Prohibit                        
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| 77 | Printed?                        
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| 78 | Flag?                   
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| 79 | MT Returned:                    
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| 80 | Date cannot be earlier than October 1, 1988                     
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| 81 | OCT 1, 1998                     
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| 82 | Ending                  
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| 83 | Date must after                         
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| 84 | Notification:                   
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| 85 | EAS Auto MT Letters                     
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| 86 | EAS Means Test Letter's Notice                  
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| 87 | No Preferred Facility                   
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| 88 | The following patient does not have a complete permanent mailing                        
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| 89 | address.  A means test reminder letter could not be mailed.                     
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| 90 | Address Line 1 :                        
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| 91 |       Bad Addr :                        
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| 92 | This patient's letter entry will stay in 'FLAGGED-TO-PRINT' status until                        
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| 93 | the address is corrected.                       
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| 94 | ** Temporary Address in effect **                       
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| 95 | Incomplete/Bad Addr:                    
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| 96 | Set or remove the MT Prohibit flag                      
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| 97 | Select 'S' to set flag, 'R' to remove the flag                  
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| 98 | Add patient to the Patient Status File                  
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| 99 | Prohibit Flag Removed from Patient.                     
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| 100 | The following error(s) occurred:                        
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| 101 | Please check, this record update may not have processed completely.                     
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| 102 | Select Letter                   
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| 103 | Select the Letter Status entry to update:                       
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| 104 | Entry is being edited by another user.                  
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| 105 | 4///YES;5///TODAY;7///FUTURE MEANS TEST;9///NO;12///NO;18///NO                  
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| 106 | Select letter type to test                      
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| 107 | Select the type of letter to print a test output of                     
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| 108 | EAS MT TEST LETTER                      
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| 109 | EAS EDB ORU-                    
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| 110 | BHS,MSH,PID,ZIC,ZIR,ZDP,ZIC,ZIR,ZMT,ZIV,BTS                     
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| 111 | EDB-EAS                 
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| 112 | Z06 MT via Edb                  
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| 113 | Veteran's                       
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| 114 | Spouse's                        
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| 115 | Missing                         
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| 116 | Existing Z06 MT not found                       
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| 117 | ZMT Segment is Missing                  
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| 118 | Invalid DFN                     
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| 119 | Couldn't match IVM SSN with DHCP SSN                    
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| 120 | Invalid Income Year                     
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| 121 | Case Status not 0 or 1                  
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| 122 | IVM - MEANS TEST UPLOAD for                     
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| 123 | An Income Verification Match verified Means Test has been uploaded                      
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| 124 | for the following patient:                      
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| 125 |   DATE OF TEST:                         
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| 126 |   PREV CATEGORY:                        
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| 127 |   NEW CATEGORY:                         
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| 128 |   DATE/TIME OF ADJUDICATION:                    
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| 129 | EAS EDB ORU-Z09 SERVER                  
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| 130 | Please select income year                       
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| 131 | EAS SIG RPT                     
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| 132 | Null                    
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| 133 | Deleted                 
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| 134 | The purpose of this report is to list those veterans at a particular site for                   
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| 135 | which a signature still needs to be obtained.  A veteran will ONLY be listed                    
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| 136 | if NEITHER the local site NOR the primary site (if different) has obtained a                    
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| 137 | signature.  Once a signature has been obtained by EITHER the local OR                   
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| 138 | primary (if different) site, the veteran will be removed from this list.                        
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| 139 | Signature Status For Means Tests Dated Within Income Year                       
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| 140 | MT Status                       
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| 141 | MT Sig Indicator                        
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| 142 | (Primary/Local Site)                    
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| 143 | NO indicator =                  
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| 144 | NULL indicator =                        
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| 145 | DELETED indicator =                     
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| 146 | Count of Veterans =                     
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| 147 | MT Signature Details Rpt                        
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| 148 | The purpose of this report is to help sites monitor the Means Test images                       
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| 149 | returned to them by the HEC.  The report only shows signature indicators                        
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| 150 | for MTs that were submitted by the local site (which may or may not be                  
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| 151 | designated as the primary site).  It does NOT take into account that the                        
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| 152 | HEC may already have a signature on file for the vet as sent from a                     
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| 153 | different, primary site.                        
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| 154 | Means Test Signature Data for Income Year                       
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| 155 | Local Site Means Test with Signature Indicator = YES                    
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| 156 | MT Signature Summary Rpt                        
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| 157 | V FILE STRING                   
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| 158 | AFTER/BEFORE                    
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| 159 | FROM_IEN;DPT(                   
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| 160 | TO_IEN;DPT(                     
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| 161 | Select Patient SSN                      
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| 162 | Select the SSN of the patient whose Patient Relation entries should be merged.                  
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| 163 |  Cannot be merged.  Please select a new entry.                  
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| 164 | DGPR(408.13,                    
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| 165 |  is not in the Patient (#2) file.                       
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| 166 | The following patient must be used to merge this entry:                 
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| 167 | Would you like to continue this merge using                     
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| 168 | Answer 'YES' if you would like to continue the merge process                    
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| 169 | using the displayed patient.  This will merge all duplicate                     
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| 170 | Patient Relations associated with the selected patient.                 
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| 171 | No Patient Relation entries were merged for this patient.                       
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| 172 |  Patient Relation                       
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| 173 | entry was                       
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| 174 | entries were                    
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| 175 |  successfully merged.                   
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| 176 | Data deleted during this merge will be stored for 10 days                       
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| 177 | in the following global: ^XTMP(                 
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| 178 | Should the active flag be 'YES' or 'NO' for                     
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| 179 | Select MT/Copay Dependent to be deleted                 
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| 180 |  Cannot be deleted.  Please select a new entry.                 
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| 181 | Would you like to PERMANENTLY DELETE this record                        
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| 182 | using the displayed patient.  This process will permanently delete the                  
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| 183 | 408.13, 408.21, and 408.22 file entries associated with the selected patient.                   
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| 184 | No Patient Relation entries were deleted for this patient.                      
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| 185 |  successfully deleted.                  
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| 186 | Data deleted during this process will be stored for 10 days                     
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| 187 | EASXDR1 - DUPLICATE PATIENT RELATION MERGE                      
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| 188 | DEPENDENT NAMES DO NOT MATCH                    
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| 189 | DEPENDENT SSNS DO NOT MATCH                     
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| 190 | The entry does not exist.                       
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| 191 | ERROR - NOT MERGED                      
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| 192 | 'Active' flag does not match for effective date:                        
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| 193 |  was merged into                        
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| 194 |  could not be merged into                       
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| 195 | 'Active' flag does not match                    
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| 196 | RECORD MERGED INTO 408.12 IEN #                         
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| 197 | RECORD DELETED                  
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| 198 | SEE 408.22                      
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| 199 | SEE 408.21                      
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| 200 | SEE 408.13                      
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| 201 | REPORT CANCELLED!                       
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| 202 | NO PERSON ENTRY                 
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| 203 | NO RELATION ENTRY                       
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| 204 | NO RELATION                     
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| 205 | NO PERSON                       
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| 206 | SHOULD BE MERGED                        
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| 207 | EAS DUPLICATE PT REL REPORT                     
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| 208 | >>> Task Number #                       
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| 209 | Run Date                        
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| 210 | Duplicate PATIENT RELATION file Entries                 
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| 211 | ** Includes duplicates for both dependent and patient entries                   
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| 212 | DECEASED PATIENT, NO ACTION REQUIRED                    
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| 213 | ACTIVE DUPLICATE ENTRIES                        
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| 214 | Non Category C                  
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| 215 | Category C                      
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| 216 | NON-CMOR                        
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| 217 | * - Represents entries without an SSN in the INCOME PERSON file (#408.13)                       
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| 218 | These entries must be corrected using the Edit an Existing Means Test                   
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| 219 | Option before merging or deleting.                      
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| 220 | Deceased                        
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| 221 | NOTE: Corrective action does not apply to deceased duplicates.                  
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| 222 | EFF DATE                        
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| 223 | NO DUPLICATE ENTRIES FOUND                      
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| 224 | VETERAN:                        
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| 225 | UNKNOWN SSN                     
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| 226 | EC*2*16                 
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| 227 | It appears that the EC NATIONAL PROCEDURE                       
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| 228 | file (#725) has already been updated                    
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| 229 | with Patch EC*2*16.                     
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| 230 | But the patch may be re-installed...                    
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| 231 | Updating the National Procedures file (#725)...                 
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| 232 | Update of EC NATIONAL PROCEDURE file (#725)                     
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| 233 | Inspecting EC Event Code Screens file (#720.3)...                       
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| 234 | You will receive a MailMan message regarding file #720.3.                       
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| 235 | File #720.3 Review from EC*2*16                 
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| 236 | EC(725                  
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| 237 |  The National Procedure for the following                       
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| 238 | Event Code                      
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| 239 | ) is inactive or will soon be inactive --                       
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| 240 |   DSS Unit:                     
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| 241 |   Inactivation Date:                    
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| 242 |  The CPT procedure for the following                    
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| 243 |  Code Screen (                  
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| 244 | ) is inactive --                        
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| 245 | No Event Code Screens were found to be associated with inactive                 
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| 246 | National Procedures or inactive CPT codes.                      
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| 247 |  Event Code Screens were found to be pointing to an inactive                    
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| 248 |  or soon to be inactive procedure in file #725 or file #81.                     
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| 249 | Event Code Screens to Review                    
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| 250 | Correcting CPT IEN in EC NATIONAL PROCEDURE file(#725)...                       
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| 251 |    ...updated to use CPT IEN                    
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| 252 | File #721 Review from EC*2*24                   
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| 253 | 721 IEN        PATIENT IEN    DATE/TIME               OLD/NEW CPT CODE    STA                   
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| 254 | NC - Not Corrected                      
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| 255 | CPT entries found in EC NATIONAL PROCEDURE FILE #725                    
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| 256 | that could not be located in the CPT file #81                   
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| 257 | 725 IEN        EC NATIONAL CODE                       CPT CODE                  
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| 258 |  No entries found in EVENT CAPTURE PATIENT file #721 that                       
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| 259 |  needs correction.                      
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| 260 | Event Capture Patient CPT Code Review                   
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| 261 | EC*2*48                 
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| 262 | with Patch EC*2*48.                     
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| 263 | EC*2*52                 
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| 264 | with Patch EC*2*52.                     
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| 265 | File #720.3 Review from EC*2*52                 
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| 266 |  The CPT procedure for the following Event                      
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| 267 | Updating existing entry                         
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| 268 | PC-THEODICY-PT SPIRITUAL                        
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| 269 | PC-THEODICY-UNFAIRNESS OF GOD/LIFE 14091                        
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| 270 | Entry updated.                  
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| 271 | OTHER DIAGNOSTIC ASSESSMENT, 10 MIN^CH001                       
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| 272 | SPA SPIRITUAL ASSESSMT PROFILE, 10 MIN^CH002                    
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| 273 | SSI SEMI STRUCT INTERVIEW, 10 MIN^CH003                 
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| 274 | ADMISSION, 10 MIN^CH004                 
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| 275 | BROCHURE FOR NEW ADMIT, 10 MIN^CH005                    
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| 276 | CRITICAL CARE, 10 MIN^CH006                     
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| 277 | DNR CONSULTATION, 10 MIN^CH007                  
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| 278 | FOLLOW UP DNR, 10 MIN^CH008                     
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| 279 | OTHER SACRAMENTS/RITES, 10 MIN^CH009                    
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| 280 | POST OPERATIVE VISIT, 10 MIN^CH010                      
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| 281 | PRAYER REQUEST, 10 MIN^CH011                    
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| 282 | PRE OPERATIVE VISIT, 10 MIN^CH012                       
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| 283 | SACRAMENT OF THE SICK, 10 MIN^CH013                     
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| 284 | WORSHIP, 10 MIN^CH014                   
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| 285 | CONSULTS, 10 MIN^CH015                  
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| 286 | FAMILY COUNSELING, 10 MIN^CH016                 
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| 287 | STAFF COUNSELING, 10 MIN^CH017                  
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| 288 | PC-ADDICT DRUG AND ALCOHOL, 10 MIN^CH018                        
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| 289 | PC-AIDS/HIV CONSL FAMILY, 10 MIN^CH019                  
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| 290 | PC-AIDS/HIV CONSL INDIVIDUAL, 10 MIN^CH020                      
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| 291 | PC-ALCOHOL ADDICTION, 10 MIN^CH021                      
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| 292 | PC-ALIENAT CHURCH, 10 MIN^CH022                 
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| 293 | PC-ANGER, 10 MIN^CH023                  
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| 294 | PC-ANXIETY REDUCTION, 10 MIN^CH024                      
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| 295 | PC-BIBLE/THEOLOG/DOC/PHILOSOPH, 10 MIN^CH025                    
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| 296 | PC-UTILS CLSD CIRC, 10 MIN^CH026                        
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| 297 | PC-CONCEPT OF DEATH, 10 MIN^CH027                       
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| 298 | PC-CONFLICT RESOLUTION, 10 MIN^CH028                    
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| 299 | PC-DENOMIN ALIENATION, 10 MIN^CH029                     
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| 300 | PC-DRUG ADDICT/DEPENDENCY, 10 MIN^CH030                 
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| 301 | PC-DYING, 10 MIN^CH031                  
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| 302 | PC-ECTHICAL ISSUES, 10 MIN^CH032                        
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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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