[604] | 1 | English French Notes Complete/Exclude
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| 2 | The 'AMOUNT PAID' has been altered on the Fee Payment Voucher Document
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| 3 | in FMS for the following payments:
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| 4 | >>> For detailed payment information use the appropriate payment output. <<<
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| 5 | Payment has been cancelled for the following line items:
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| 6 | >>> For detailed check information use the Check Display output. <<<
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| 7 | Check Number:
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| 8 | Date of Service:
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| 9 | Invoice Number:
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| 10 | From Date:
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| 11 | To Date:
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| 12 | for travel on
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| 13 | Select Fee Vendor:
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| 14 | FEE Program
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| 15 | Patient ID:
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| 16 | Vendor ID:
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| 17 | FEE PROGRAM:
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| 18 | ('*' Reimb. to Patient '+' Cancel. Activity '#' Voided Payment)
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| 19 | There are no payments on file for
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| 20 | for specified date range:
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| 21 | and selected Fee Program(s):
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| 22 | and ALL Fee programs
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| 23 | There are no outpatient payments on file for specified date range
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| 24 | and selected Fee programs
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| 25 | Primary Dx:
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| 26 | Obl.#:
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| 27 | FEE PROGRAM:
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| 28 | CPT-MOD
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| 29 | Voucher
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| 30 | Rx:
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| 31 | Pat. ID:
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| 32 | Vendor:
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| 33 | >>> ANCILLARY SERVICE PAYMENTS <<<
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| 34 | SERVICE CONNECTED?
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| 35 | Primary Service Facility
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| 36 | Include (P)atient Co-pays / (I)nsurance / (B)oth
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| 37 | Select type of recover to include
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| 38 | P - include only recover from patient copays
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| 39 | I - include only recover from insurance
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| 40 | B - include both
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| 41 | Include (M)eans Test Co-pays /(L)TC Co-pays /(B)oth
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| 42 | Select services to include
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| 43 | M - include only Means Test copays
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| 44 | L - include only LTC copays
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| 45 | MeansTest
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| 46 | There are no potential cost recoveries on file
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| 47 | for specified date range:
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| 48 | and selected Primary Service Area(s):
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| 49 | and ALL Primary Service Areas
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| 50 | POTENTIAL COST RECOVERY REPORT
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| 51 | Cost recover from insurance.
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| 52 | Cost recover from means testing
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| 53 | and insurance.
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| 54 | Cost recover from LTC co-pay
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| 55 | Cost recover from insurance,
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| 56 | 1010EC Missing for LTC Patient.
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| 57 | Cost Recover from insurance and
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| 58 | Potential Cost Recover from LTC co-pay.
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| 59 | >>> Cost recover from
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| 60 | means testing
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| 61 | and insurance
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| 62 | Payments for veteran
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| 63 | There are no payments to this vendor for this patient.
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| 64 | RX #
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| 65 | '*' Reimb. to Patient '+' Cancel. Activity '#' Voided Payment
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| 66 | >>>Amount paid altered to $
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| 67 | >>>Check cancelled on:
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| 68 | Press 'ENTER' to
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| 69 | view next selection
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| 70 | return to list
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| 71 | No check found for this line item.
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| 72 | Line item #
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| 73 | number on file for this entry
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| 74 | MERGE PAIRS EXCLUDED DUE TO BOTH HAVE FEE BASIS ID CARDS
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| 75 | MERGE PAIR Patient records
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| 76 | both have FB ID card numbers. Please cancel one of the IDs and resubmit the Merge Pair
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| 77 | *** DUZ and DUZ(0) must be defined as a valid user to initialize. ***
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| 78 | Routine XPDUTL, part of Kernel Tool Kit 7.2 was not found on
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| 79 | your system. This must be installed prior to installing this
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| 80 | version of Fee Basis.
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| 81 | You must have Fee Basis Version 3.0 installed prior to installing version 3.5
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| 82 | CONTRACT HOSPITAL
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| 83 | NON-VA HOSPITAL
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| 84 | Check your package file for the
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| 85 | entry. Unable to determine version.
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| 86 | Your version of the
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| 87 | must be at least
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| 88 | to install this version of FEE.
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| 89 |
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| 90 | Want to select patient from DHCP Patient File
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| 91 | Enter LAST NAME
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| 92 | Enter last name of patient. Answer must be 3 to 20 characters in length
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| 93 | Enter FIRST INITIAL
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| 94 | Enter MIDDLE INITIAL
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| 95 | Patient ID Number
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| 96 | Answer must contain 9 numbers. Pseudo-SSN not allowed
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| 97 | Sex of Patient
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| 98 | Want to select a vendor from DHCP Fee Basis Vendor file
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| 99 | Vendor must have a Medicare ID number to send to the pricer.
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| 100 | Select Vendor Name
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| 101 | Enter Medicare ID Number
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| 102 | State of Vendor
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| 103 | Admitting Authority
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| 104 | Disposition Code
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| 105 | Is this a Patient Reimbursement
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| 106 | Payment by Medicare or Other Federal Agency
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| 107 | Must enter at least a primary diagnosis.
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| 108 | Billed Charges
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| 109 | Amount Claimed
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| 110 | Obligation Number
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| 111 | Case sent to pricer.
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| 112 | Starting Post Init FBPST35
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| 113 | Completed FBPST35
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| 114 | Post-Init FBPST35A has already been run.
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| 115 | Beginning FBPST35A....
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| 116 | CONVERSION OF DENIALS FILES
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| 117 | Now I will move any Medical Denial information you wish to keep into the
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| 118 | Fee Basis Payment File (#162). I will then remove the Fee Basis Medical
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| 119 | Denials file (#163) and the Fee Basis Pharmacy Denials file (#163.1).
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| 120 | Do you want to keep any Medical Denials that are presently stored in the
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| 121 | Fee Basis Medical Denials file (#163)
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| 122 | Answering yes will move the denials to file #162, no will delete them
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| 123 | You may elect to merge all of your Fee Basis Medical Denials. If you
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| 124 | choose not to retain all denials, you will be prompted to select a
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| 125 | STARTING DATE to retain denials. Denials from the starting date to the
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| 126 | present date will be merged into file #162.
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| 127 | Do you wish to retain all Medical Denials
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| 128 | Select date to retain denials
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| 129 | Beginning merge
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| 130 | Deleting the Fee Basis Medical Denials file (#163)...
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| 131 | Deleting the Fee Basis Pharmacy Denials file (#163.1)...
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| 132 | Cleaning up DD nodes...
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| 133 | Completed FBPST35A
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| 134 | Unable to complete the FBPST35A Post-Init routine. To complete this
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| 135 | process, run ^FBPST35A as soon as possible.
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| 136 | Beginning FBPST35B ....
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| 137 | CONVERSION OF FEE BASIS FEE SCHEDULE FILE (#163.99)
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| 138 | Completed FBPST35B
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| 139 | The following vendors with invalid ID's have been placed in delete status:
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| 140 | FEE BASIS VENDOR CORRECTIONS CLEANUP
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| 141 | FBTEXT(
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| 142 | FBPST35C has previously run to completion!
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| 143 | Beginning FBPST35C
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| 144 | REMOVAL OF FIELDS PREVIOUSLY STARRED FOR DELETION.
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| 145 | Do you want me to task this job in the background for you
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| 146 | Answerring 'YES' will run the job in the background and send you a bulletin
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| 147 | when completed. Answerring 'NO' will run the job now (no
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| 148 | bulletin will be sent).
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| 149 | Required response!
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| 150 | Routine FBPST35 to remove obsolete fields has been tasked.
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| 151 | Deleting any data remaining in the obsolete fields.
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| 152 | Deleting field #
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| 153 | from file #
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| 154 | Completed FBPST35C
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| 155 | Post initialization routine FBPST35C has run to completion.
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| 156 | FEE BASIS POST-INIT COMPLETE
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| 157 | Are you finished editing prescriptions on invoice
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| 158 | AUTH. NOT ADDED
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| 159 | AUTH IS AUSTIN DELETED. USE THE REINSTATE OPTION TO CHANGE IT.
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| 160 | (No Editing)
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| 161 | OK to DELETE the
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| 162 | ERROR. STATE HOME not found in FEE BASIS PROGRAM (#161.8) file.
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| 163 | Unable to process State Home authorization. Please contact IRM.
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| 164 | ERROR ADDING TO #161
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| 165 | ANOTHER USER IS EDITING THIS PATIENT & PROGRAM. PLEASE TRY AGAIN LATER.
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| 166 | Enter FROM DATE:
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| 167 | Enter TO DATE:
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| 168 | The specified dates conflict with other authorization(s).
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| 169 | Please specify different dates for this authorization or
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| 170 | remove the conflcit by first editing the other authorization(s).
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| 171 | Conflict with FROM DATE
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| 172 | PURPOSE OF VISIT
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| 173 | **Austin Deleted** - Use Reinstate to reuse this From Date
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| 174 | For ALL Purpose of Visits? Y/N
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| 175 | Select one or more Purpose of Visits
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| 176 | Active Authorizations Report
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| 177 | No active authorizations found during period.
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| 178 | for POV:
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| 179 | TOTAL DAY(S) FOR POV WITHIN REPORT PERIOD:
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| 180 | ACTIVE AUTHORIZATIONS by POV, Vendor, Patient
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| 181 | TRANSFER TO VA
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| 182 | VA(200
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| 183 | Disposition to Cancel/Withdrawn.
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| 184 | Use the Delete Unauthorized Claim option.
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| 185 | Select a printer device name.
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| 186 | NOTE: This is not a pointer field, the exact name must be entered.
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| 187 | Printer name:
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| 188 | Location:
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| 189 | TREATMENT FROM:
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| 190 | TREATMENT TO:
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| 191 | Cannot delete Authorization because payments already exist!
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| 192 | Cannot delete Authorization because a 7078/583 entry has already been established!
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| 193 | No data on file.
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| 194 | Select the claim which you would like to display
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| 195 | < PENDING INFORMATION >
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| 196 | < PAYMENTS ON FILE >
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| 197 | < ASSOCIATED CLAIMS >
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| 198 | Fee Program
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| 199 | ASSOCIATED INVOICES
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| 200 | Do you wish to edit
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| 201 | Do you wish to display return address
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| 202 | POTENTIAL DUPLICATES
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| 203 | No.
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| 204 | Current extension date is
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| 205 | Confirm entry of
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| 206 | as the new extension date for the claim
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| 207 | New extension date is equal to existing extension date. No change made.
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| 208 | .02////^S X=DUZ;.03///INCOMPLETE UNAUTHORIZED CLAIM;.04///^S X=FBEXTD
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| 209 | ERROR ADDING EXTENSION
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| 210 | Vendor information is required for disposition.
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| 211 | Patient Type Code is required for disposition.
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| 212 | Shall other claims be updated to same veteran & treat. from/to dates
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| 213 | Shall all other claims be updated to the disposition
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| 214 | & auth. from/to dates
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| 215 | Shall all other claims be updated to the auth. from/to dates
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| 216 | Shall disapproval reason apply to all other claims
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| 217 | Are you sure you wish to delete
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| 218 | Shall all of these claims be deleted
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| 219 | Deleting claim
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| 220 | and associated claims not dispositioned ...
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| 221 | Select VETERAN
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| 222 | Select FEE VENDOR
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| 223 | Is this claim being considered under Millennium Act 38 U.S.C. 1725 (Y/N)
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| 224 | Is the unauthorized claim complete for the FEE PROGRAM
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| 225 | Checking for potential duplicates...
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| 226 | Checking eligibility...
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| 227 | Patient is not a veteran.
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| 228 | Are you sure you wish to enter a new unauthorized claim
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| 229 | ... Deleting incomplete record.
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| 230 | An unauthorized claim is considered complete (or valid)
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| 231 | if all the necessary information has been received.
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| 232 | A claim can never be considered complete if it is missing
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| 233 | form 10-583 or form 10-583 is incomplete.
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| 234 | Some examples of other items which are needed are:
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| 235 | Copies of actual bills
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| 236 | Original paid receipt
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| 237 | Itemized invoice/UB82
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| 238 | Medical records or signature for release
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| 239 | Diagnostic/Procedure code(s)
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| 240 | Enter Y(es) if complete, N(o) if incomplete.
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| 241 | Enter Y(es) if all required information has been submitted,
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| 242 | N(o) if the claim is incomplete.
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| 243 | The disposition for the selected claim is
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| 244 | At least one other claim in this group has been dispositioned.
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| 245 | The existing disposition(s) in the group follow:
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| 246 | Would you like this claim to be dispositioned
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| 247 | Would you like to change the disposition
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| 248 | to another
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| 249 | The claim cannot be dispositioned.
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| 250 | Patient Type Code is required to disposition the claim.
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| 251 | Do you want to specify the Patient Type Code for the claim
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| 252 | No Patient Type for master claim.
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| 253 | No Patient Type for secondary claim.
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| 254 | Master claim doesn't have any Patient Type Code
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| 255 | Do you want to enter Patient Type Code for the master claim
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| 256 | Master claim has Patient Type Code :
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| 257 | Do you want to use the same Patient Type for the secondary claim
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| 258 | Unauthorized Claims Dispositioned to 'ABANDONED'
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| 259 | Treatment
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| 260 | Select the date range within which an unauthorized claim will expire.
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| 261 | Unauthorized
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| 262 | Mill Bill (1725)
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| 263 | NON-Mill Bill
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| 264 | Claims Due to Expire between
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| 265 | No claims will expire within selected date range.
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| 266 | AUTO PRINT UNAUTH CLAIM LETTER
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| 267 | Do you wish to reprint letters for a date range
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| 268 | Select Yes to reprint letters for a date range; No to reprint a specific letter.
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| 269 | Should the expiration date be updated
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| 270 | Answer Yes to update the expiration date based upon today's printout, No to only reprint the letter but not change the date when the information is due.
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| 271 | Queue to print on:
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| 272 | REPRINT UNAUTH CLAIM LETTERS
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| 273 | FBARY(
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| 274 | BATCH UNAUTH CLAIM LETTERS
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| 275 | Enter NUMBER OF COPIES for each letter
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| 276 | Print all types of letters
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| 277 | Enter YES to print all types of letters. Enter NO to
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| 278 | just print letters of one specific type.
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| 279 | VENDOR:
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| 280 | VETERAN:
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| 281 | In Reply Refer To:
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| 282 | Reason(s) for not approving
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| 283 | SIGNED STATEMENT FROM CLAIMANT
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| 284 | REGARDING:
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| 285 | EPISODE OF CARE:
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| 286 | Authorized from:
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| 287 | Authorized to:
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| 288 | Amount approved:
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| 289 | Itemized list follows:
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| 290 | *Reason(s) for Suspension
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| 291 | (4) Other. Specific reason immediately follows item.
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| 292 | Discharge Date
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| 293 | Amt Approved
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| 294 | Suspend*
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| 295 | Reason for Suspension:
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| 296 | Service Date
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| 297 | RX Date
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| 298 | Drug Name:
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| 299 | This claim has other claims associated with it
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| 300 | and, therefore, can not be associated to another.
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| 301 | Select the unauthorized claim to which this one should be associated:
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| 302 | This option will allow you to disassociate a claim.
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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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