English	French	Notes	Complete/Exclude
Vendor is listed as 'exempt from the pricer'.			
Do you wish to keep this invoice exempt from the pricer			
Medicare ID Number is needed for this Vendor!			
Obligation number on batch does not match 1358.			
Obligation number on batch must be 			
Invoice number 			
 has already been entered for this authorization.			
Use the Contract Hospital 'Invoice Edit' option if needed.			
Want to add another invoice for this episode of care			
Unable to create Non VA PTF Record.			
This Invoice may not be added to Batch # 			
***You may not add a 			
pricer exempt			
 invoice to a 			
Do you want to open a new batch at this time			
You must Reopen the batch prior to editting the invoice.			
to edit this invoice.			
Batch has already been sent to Austin for payment.			
Site Parameters must be entered prior			
 to using this option.			
Is this the correct 7078			
Disposition			
Issuing Office			
1. Date of Issue			
Name of Physician or Station			
ID#: 			
4. Veteran's Claim No.			
5. Authorization Valid			
From			
To			
PART 1. - SERVICES AUTHORIZED			
6. Services shown below are authorized for the period indicated in Item 5 above.			
(See Special Provisions below.)			
8. Fee Schedule or Contract			
10. Estimated Amount			
11. Fiscal Symbols			
12. Authorized by (Name and Title)			
Approving Official for 7078			
Enter <return> to accept the default or enter a name from 3 to 45 characters in length			
Title of Approving Official			
Enter <return> to accept the default title or enter a title from 3 to 45 characters in length			
# of copies of 7078			
Select a number between 1 and 5.  This number represents the number of copies of the 7078 you would like printed			
USER: 			
REPORT OF CONTACT CONTINUED			
For: 			
NOTIFICATION OF ADMISSION TO PRIVATE HOSPITAL			
AUTHORIZATION FROM DATE/TIME: 			
DATE/TIME OF ADMISSION: 			
NAME of HOSPITAL: 			
ADDRESS: 			
PHYSICIAN'S NAME: 			
Not Entered			
TENTATIVE DIAGNOSIS: 			
INSURANCE TYPE: 			
MODE of TRANSPORTATION: 			
APPROVED/DISAPPROVED			
FEE BASIS SECTION			
VA form 119C			
Do you want this report for all PSAs			
CIVIL HOSPITAL PSA REPORT			
OUTPATIENT MEDICAL PSA REPORT			
PHARMACY PSA REPORT			
COMMUNITY N.H. PSA REPORT			
County Code			
Amount Paid			
Total Dollars spent by PSA for the dates of 			
TOTAL AMOUNT PAID			
TOTALS DOLLAR AMOUNT BY PSA FOR ALL SELECTED PROGRAMS			
TOTAL AMOUNT			
FEE PROGRAM			
No payments found for this Fee Program.			
This notification has a status of complete.  Cannot edit.			
Admission overlaps another request for this patient.			
REPORT OF CONTACT INFORMATION			
CANNOT ENTER ENTITLEMENT.			
Do you want to determine Medical Entitlement now			
Do you want to setup a 7078 now			
There is an incomplete 7078 for this patient.			
The reference number is 			
< NEW REQUEST DELETED >			
This Authorization From Date exceeds the 72 hour notification period. 			
Do you want to continue ? No// 			
Entering an '^' is not allowed.  Please answer 'Yes' or 'No'.			
Authorized From Date must be equal to or greater than the Date of Admission			
You must be a holder of the 'FBAASUPERVIVOR' key to reconsider a denied request.			
No audit data on file.			
Field changed: 			
Date of Change: 			
AUDIT on FEE NOTIFICATION ENTITLEMENT CHANGE			
DATE/TIME of NOTIFICATION			
FIELD CHANGED			
No payments rejected!			
Rejected!			
CIVIL HOSPITAL REJECTED PAYMENT HISTORY			
('*' Represents Reimbursement to Patient			
'#' Represents Voided Payment)			
Inv Date			
Susp			
Invoice			
Select Batch with Pricer Rejects: 			
No items rejected for this batch!			
Select New Batch Number: 			
Want to re-initiate this payment			
Want to edit payment now			
This Batch is exempt from the Pricer!!!			
Please use the 'Release a Batch' option to forward this batch for payment.			
DISCHARGE DATE			
AMOUNT CLAIMED			
AMOUNT SUSPENDED			
Answer 'Yes' to print suspension letters for all suspension			
codes, otherwise answer 'No' to select specific codes.			
NOTIFICATION DATE			
no inpatients pending disposition.			
PENDING 7078's			
('++' indicates LOS > 10 days)			
Total Requests: 			
# of Requests Denied: 			
# of Requests Pending: 			
CONTRACT HOSPITAL REQUEST STATISTICS			
('+' Request Pending)			
('!' Request Denied)			
No invoices on line for this vendor.			
 PAYMENT HISTORY			
INVOICE DISPLAY			
Patient Control Number			
('*'Reimbursement to Veteran   '+' Cancellation Activity)   '#' Voided Payment)			
Fr Date			
To Date  Claimed   Paid			
Sus Code			
Dt. Rec.			
Inv. Date			
FPPS Claim ID			
FPPS Line Item			
To Date			
Cov.Days			
Sorry, you must be a supervisor to use this option.			
Vendor has no			
 finalized payments 			
to VOID			
for this patient under the 			
COMMUNITY NURSING HOME			
 the payment(s)			
('*' Represents Reimbursement to Patient)			
('#' Represents a Voided Payment)			
   FROM DATE			
TO DATE			
Cancel Voided			
 payment for 			
Select Check Number			
There is no record of that check number.			
VENDOR:  			
  VENDOR ID:  			
Patient ID:  			
PAYMENT HISTORY FOR CHECK # 			
FEE PROGRAM:  			
('*' Reimbursement to Patient  '#' Voided Payment  '+' Cancellation Activity)			
Travel Dt			
Fill Dt			
Inpatient type is not identified.			
****CENSUS DATE SELECTION****			
   Census DATE:  			
Display Address for Vendors			
FEE BASIS 			
VENDOR NAME			
VENDOR ID			
VETERAN ID			
AUTH FROM			
 Invalid Code 			
 Code is inactive			
ICD O/P Code inactive ...			
Invalid ICD O/P Code			
 Invalid ICD O/P Code 			
 on date of service (			
ICD Dx Code inactive ...			
Invalid ICD Dx Code			
 Invalid ICD Dx Code 			
 ICD Dx Code 			
FROM DATE			
FEE ID CARD NUMBER			
You cannot assign that number because it already has been assigned!			
FEE ID CARD ISSUE DATE			
FEE ID CARD EXPIRATION DATE			
REASON FOR CARD NUMBER CHANGE			
You are only allowed to edit an outpatient authorization using this option.			
From Date cannot be later than the To Date!			
To Date cannot be earlier than From Date!			
RP161.8'			
FBAA(161.8,			
RP4'			
PRIMARY SERVICE FACILITY			
PURPOSE OF VISIT CODE			
FBAA(161.82,			
MST POV can't be selected because veteran's MST status is not YES.			
PATIENT TYPE CODE			
00:SURGICAL;10:MEDICAL;60:HOME NURSING SERVICE;85:PSYCHIATRIC-CONTRACT;86:PSYCHIATRIC;95:NEUROLOGICAL-CONTRACT;96:NEUROLOGICAL;			
TREATMENT TYPE CODE			
1:SHORT TERM FEE STATUS;2:HOME NURSING SERVICES;3:I.D. CARD STATUS;4:STATE HOME;			
DX LINE 1			
DX LINE 2			
DX LINE 3			
AUTHORIZATION REMARKS^W^^0;1^Q			
TYPE OF CARE			
1:C&P;2:OPT NSC;3:OPT SC;			
ACCIDENT RELATED (Y/N)			
POTENTIAL COST RECOVERY CASE			
PRINT AUTHORIZATION (Y/N)			
ID NUMBER			
STREET ADDRESS			
RP5'			
TYPE OF VENDOR			
1:PUBLIC HOSPITAL;2:PHYSICIAN;3:PHARMACY;4:PROSTHETICS;5:TRAVEL;6:RADIOLOGY;7:LABORATORY;8:OTHER;9:PRIVATE HOSPITAL;10:FEDERAL HOSPITAL;			
SPECIALTY CODE			
FBAA(161.6,			
RP161.81'			
PART CODE			
FBAA(161.81,			
RNJ4,0XO			
STREET ADDRESS 2			
MEDICARE ID NUMBER			
MAIL ROUTE CODE			
PHONE NUMBER			
BUSINESS TYPE (FPDS)			
1:SMALL BUSINESS;2:LARGE BUSINESS;3:OUTSIDE U.S.;4:OTHER ENTITIES;			
AMS;1			
AUSTIN NAME FIELD			
AMS;2			
PRICER EXEMPT			
AMS;3			
AMS;4			
FMS VENDOR TYPE			
C:commercial;I:individual;F:federal;			
AMS;5			
PROVIDER CODE			
B:both;V:vendor only;P:provider only;			
AMS;6			
TAX ID/SSN FLAG			
T:TAX ID NUMBER;S:SSN NUMBER;			
1010EC missing			
ALL LINES DO NOT HAVE SAME CANCEL STATUS			
DAYS) = Covered Days			
When an invoice is transmitted to FPPS via the HL7 package, a copy of the HL7			
message text is saved in the FPPS QUEUED INVOICES (#163.5) file.			
This option purges the message text for invoices transmitted prior to a			
specified date.  Messages that have not been accepted by the VistA Interface			
Engine will not be purged unless there is a later message for the same			
invoice number that has been accepted.			
Purge text of messages transmitted prior to			
The purge date must be at least 30 days ago.			
This response must be a date. Enter '^' to quit.			
FB FPPS Message Text Purge			
  For Messages Transmitted Prior To 			
Starting Purge...			
Purge Completed.			
The message text was purged from 			
 in file 163.5.			
FPPS Message Text Purge			
FB FEE TO FPPS EVENT			
INVALID TRANSACTION TYPE			
MISSING INVOICE NUMBER			
MISSING FPPS CLAIM ID			
MISSING INVOICE DATE			
MISSING CANCELLATION DATE			
MISSING FPPS LINE ITEM			
MISSING CHECK NUMBER			
This option transmits HL7 messages to FPPS for EDI invoices.			
Select Transmission Option			
Enter I to transmit a single invoice or A to transmit			
all pending invoices.  If I is entered then you will be			
asked to select the invoice.			
Transmit all pending invoices now			
Starting Process...			
Error: Unable to initialize HL variables.			
Checking for acknowledgements...			
Transmitting Pending Invoices...			
Process complete. Sending Summary Message to G.FEE...			
ERROR: Couldn't initialize HL variables!			
Error, invalid data for invoice 			
 in file 163.5			
transmit invoice 			
Error adding entry to file 163.5. Can't re-transmit invoice.			
Invoice has been transmitted to the HL7 package.			
Problems prevented transmission of the invoice.			
Couldn't Lock Entry 			
 in File 163.5.			
Couldn't determine invoice # for entry 			
Invalid File # for entry 			
HL ERR:			
  Process Started.			
  Check transmitted messages for acknowledgement...			
 previously transmitted messages w/o ack.			
 of these were accepted.			
 of these were rejected.			
 of these still waiting for ack.			
  Transmit pending invoices...			
 not transmitted due to exception.			
  Process Complete.			
  Process (task) stopped due to user request.			
List of Exceptions during Transmit of Pending Invoices			
List of Invoices Waiting for Acknowledgement			
List of Rejected Invoices that have not been reported.			
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