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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