| 1 | English French  Notes   Complete/Exclude
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| 2 | NO  - To discontinue this process immediately.                  
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| 3 | UNCANCELLED                     
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| 4 | PRESS <RETURN> TO CONTINUE, OR                  
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| 5 | Select one of the above or <RETURN> to establish a new billing record.                  
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| 6 | NOT A VALID CHOICE!!                    
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| 7 | YOU ARE ABOUT TO EDIT A                         
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| 8 | ARE YOU SURE YOU WANT TO CONTINUE?:                     
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| 9 | No further processing of this record permitted at this time.                    
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| 10 | Record locked by another user.  Try again later.                        
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| 11 | This bill is requesting an MRA - can only view bill data                        
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| 12 | This bill has a transmit status of                      
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| 13 |  - can only view bill data                      
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| 14 | IB AUTHORIZE                    
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| 15 | You do not hold the Authorize Key.                      
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| 16 | Entering user can not authorize.                        
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| 17 | Already Approved, Can't change                  
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| 18 | THIS BILL HAS PRIOR INSURANCE OF MEDICARE, BUT                  
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| 19 | If you answer NO, the bill will not be authorized                       
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| 20 | If you answer YES, this bill will automatically become a                        
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| 21 | THE INSURANCE CO:                       
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| 22 |  DOES NOT WANT/NEED AN MRA                      
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| 23 | THE SITE PARAMETER                      
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| 24 | FOR MRA REQUESTS IS TURNED OFF                  
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| 25 | DO YOU WANT THIS BILL TO GO DIRECTLY TO                         
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| 26 | Can't continue                  
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| 27 | THIS BILL WILL                  
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| 28 | NOT ^                   
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| 29 | BE TRANSMITTED ELECTRONICALLY                   
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| 30 | AUTHORIZE BILL                  
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| 31 | REQUEST AN MRA                  
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| 32 |  AT THIS TIME                   
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| 33 | YES - If finished entering bill information and to allow bill to be printed or transmitted                      
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| 34 | No - To take no action                  
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| 35 |  bill to BILL TRANSMISSION File                 
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| 36 |  for MRA submission                     
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| 37 |   Bill is no longer editable unless returned in error from Medicare.                    
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| 38 |   Bill will be submitted electronically                 
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| 39 |   Error loading into transmit file - bill can not be transmitted.                       
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| 40 | Passing completed Bill to Accounts Receivable.  Bill is no longer editable.                     
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| 41 | Completed Bill Successfully sent to Accounts Receivable.                        
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| 42 | Not Authorized, Can Not Print!                  
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| 43 | Not Ready For MRA Submission, Can Not Print!                    
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| 44 | MRA Submission not yet confirmed by Austin, Can Not Print!                      
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| 45 | This Bill Can Not Be Printed Until Transmit Confirmed                   
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| 46 |  (to request an MRA)                    
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| 47 | This Bill Has Already Been Transmitted                  
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| 48 | WANT TO PRINT IT ANYWAY                 
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| 49 | THIS BILL IS BEING USED AS A TRANSMISSION TEST BILL                     
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| 50 | RE-                     
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| 51 | PRINT BILL AT THIS TIME                 
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| 52 | YES - to print the bill now                     
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| 53 | NO - To take no action                  
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| 54 | (2)nd Notice, (3)rd Notice, (C)opy or (O)riginal: C//                   
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| 55 | Enter 'O' to reprint the original bill or                       
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| 56 | Enter 'C' to reprint the bill as a duplicate copy or                    
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| 57 | Enter '2' or '3' to print 2nd or 3rd follow-up notices.                 
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| 58 | 2nd NOTICE                      
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| 59 | 3rd NOTICE                      
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| 60 | ERROR PASSING BILL TO A/R ON CONFIRMATION                       
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| 61 | G.IB EDI                        
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| 62 | A problem has been detected while trying to pass bill                   
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| 63 | Accounts Receivable when updating the bill's electronic confirmation.                   
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| 64 | Please use the option PASS BILL TO A/R to complete this process.                        
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| 65 |  the screens                    
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| 66 |    NO - To take no action                       
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| 67 | ... Checking claim validity                     
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| 68 | ... Executing national IB edits                 
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| 69 | No A/R errors found                     
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| 70 | There is an unresolved A/R error - cannot authorize bill                        
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| 71 | BILL-WARN                       
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| 72 | Local Edits:                    
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| 73 | THIS BILL STILL HAS ONE OR MORE WARNINGS - PLEASE REVIEW THEM CAREFULLY                 
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| 74 | ARE YOU SURE IT'S OK TO CONTINUE?                       
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| 75 | An A/R error has been reported - bill cannot be authorized                      
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| 76 | An undetermined A/R error was found -                   
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| 77 | PTF Record for this Bill was DELETED!                   
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| 78 | Further processing not allowed.  Cancel and re-enter.                   
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| 79 | ... Executing local IB edits                    
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| 80 | No errors found for local edits                 
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| 81 | ERROR/WARNING OUTPUT DEVICE:                    
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| 82 | INCONSISTENCIES LIST FOR BILL #:                        
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| 83 | AT:                     
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| 84 | GENERATED BY:                   
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| 85 |  the inconsistencies now?                       
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| 86 |    YES - To edit inconsistent fields                    
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| 87 |    NO - To discontinue this process.                    
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| 88 | Are the above charges correct for this bill?                    
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| 89 | Bill has prosthetics item(s) and will only print locally                        
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| 90 | IB057;                  
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| 91 | IB049;                  
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| 92 | IB059;                  
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| 93 | IB058;                  
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| 94 | IB065;                  
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| 95 | IB054;                  
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| 96 | A valid claim for MEDICARE WNR needs subsequent ins. that will reimburse                        
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| 97 | IB053;                  
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| 98 | IB045;                  
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| 99 | IB061;                  
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| 100 | IB062;                  
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| 101 | IB047;                  
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| 102 | IB046;                  
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| 103 | IB064;                  
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| 104 | IB050;                  
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| 105 | IB051;                  
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| 106 | IB052;                  
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| 107 | IB048;                  
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| 108 | IB060;                  
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| 109 | IB041;                  
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| 110 | IB056;                  
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| 111 | IB040;                  
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| 112 | IB303;                  
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| 113 | N-ATT/REND PHYSICIAN NAME                       
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| 114 | IB095;                  
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| 115 | IB104;                  
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| 116 | IB105;                  
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| 117 | IB097;                  
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| 118 | IB085;                  
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| 119 | N-ALL PROCEDURES                        
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| 120 | RC OUTPATIENT                   
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| 121 | IB320;                  
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| 122 | IB102;                  
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| 123 | N-PROCEDURE CODING METHD                        
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| 124 | Coding Method does not agree with all procedure codes found on bill                     
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| 125 | Bill has been forced to print                   
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| 126 | at clearinghouse                        
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| 127 | Patient Short Address has no value                      
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| 128 |  requires Amb Care Certification                        
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| 129 | No Errors found for National edits                      
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| 130 | No group prov # for the current ins co - site tax id will be used                       
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| 131 | Proc                    
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| 132 |  has > 4 modifiers - only first 4 will be used                  
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| 133 | IB071;                  
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| 134 | Principal Dx V-code may not be valid                    
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| 135 | IB089;                  
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| 136 | At least 1 charge has local box 24K data that will not be transmitted -                         
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| 137 |   This data will only print locally                     
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| 138 | IB092;                  
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| 139 | IB094;                  
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| 140 | IB072;                  
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| 141 | IB093;                  
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| 142 | IB073;                  
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| 143 | MEDICARE policy assigned to this HCFA-1500 bill is not a PART B policy                  
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| 144 | IB099;                  
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| 145 | Outside lab charges exist on a non-lab NON-VA bill                      
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| 146 | Purchased service amounts are invalid unless this is a NON-VA bill                      
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| 147 | IB310;                  
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| 148 | IB311;                  
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| 149 | IB314;                  
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| 150 | IB313;                  
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| 151 | IB110;                  
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| 152 | IB088;                  
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| 153 | IB090;                  
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| 154 |  has a 0-charge and will not be transmitted                     
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| 155 | Chiropractic service details only valid if provider specialty is '35'                   
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| 156 | NON-VA facility indicated, but no purchased service charge on line item                 
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| 157 | For proper payment, you must bill each outside lab on a separate claim form                     
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| 158 | N-OCCURRENCE CODES                      
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| 159 | IB315;                  
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| 160 | IB304;                  
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| 161 | IB312;                  
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| 162 |  has > 2 modifiers - only first 2 will be used                  
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| 163 | MEDICARE policy assigned to this UB92 bill is not a PART A policy                       
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| 164 | IB309;                  
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| 165 | IBC-RC                  
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| 166 | N-UB92 SERVICE LINE (PRINT)                     
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| 167 | Rev Code(s) having a 0-charge will not be transmitted for the bill                      
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| 168 | N-ADMITTING DIAGNOSIS                   
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| 169 | Admitting Diagnosis may be required by payer, please verify                     
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| 170 | At least one provider on a procedure does not match your                        
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| 171 | ing or operating provider                       
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| 172 | N-CONDITION CODES                       
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| 173 | N-UB92 SERVICE LINE (EDI)                       
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| 174 | IB999;                  
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| 175 | Admit time is still the default of midnight - update to actual time                     
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| 176 | No source of admission: '2 - CLINIC REFERRAL' will be used                      
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| 177 | No discharge status: '01 - DISCHARGED TO HOME OR SELF CARE' will be used                        
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| 178 | N-ADMISSION DATE                        
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| 179 | N-DISCHARGE DATE                        
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| 180 | N-VALUE CODES                   
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| 181 | N-BILL RATE TYPE                        
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| 182 | IB192;                  
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| 183 | N-ALL INSURED EMPLOYER INFO                     
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| 184 | N-ALL INSURANCE GROUP NUMBER                    
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| 185 | N-CURR INSURED ID                       
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| 186 | N-HCFA 1500 SERVICE LINE (EDI)                  
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| 187 | N-PATIENT NAME                  
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| 188 | N-PATIENT STREET ADDRESS LN 1                   
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| 189 | N-PATIENT CITY                  
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| 190 | MAS                     
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| 191 |  BILL CANCELLATION BULLETIN                     
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| 192 |  BILL DISAPPROVAL BULLETIN                      
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| 193 |  bill has been                  
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| 194 | Bill Number:                    
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| 195 |          PT ID:                         
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| 196 | Reason for cancellation:                        
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| 197 | Status when cancelled:                  
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| 198 | Not passed to AR                        
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| 199 | Passed to AR on                         
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| 200 | Reason for disapproval:                         
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| 201 | Other reasons too numerous to mention...                        
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| 202 | IBTEXT(                 
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| 203 | ***** BILLS MAY ONLY BE CANCELLED THROUGH 'CANCEL BILL' OPTION!! *****                  
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| 204 | ***** PLEASE SEE YOUR SUPERVISOR IF YOU REQUIRE ASSISTANCE!! *****                      
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| 205 | IBCC-1                  
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| 206 | Enter BILL NUMBER or Patient NAME:                      
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| 207 | This bill has been referred to Regional Counsel and cannot be 'CANCELLED' in                    
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| 208 | Integrated Billing.  Please use the option 'TP Referred Follow-up'                      
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| 209 | [PRCA RC ACTION MENU] in Accounts Receivable to request that Regional                   
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| 210 | Counsel return the bill to your facility.                       
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| 211 | This bill was cancelled on                      
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| 212 | Please note a PAYMENT of **$                    
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| 213 | ** has been POSTED to this bill.                        
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| 214 | ARE YOU SURE YOU WANT TO CANCEL THIS BILL                       
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| 215 | LAST CHANCE TO CHANGE YOUR MIND...                      
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| 216 | 16////1;19////EDI/MRA TURNED OFF;S IBCCCC=1;                    
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| 217 | ...Bill has been cancelled...                   
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| 218 | BILL CANCELLED IN MAS                   
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| 219 | >> The receivable associated with the claim was cancelled.                      
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| 220 | Answer 'YES' or 'Y' if you wish to cancel this bill.                    
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| 221 | Answer 'NO' or 'N' if you want to abort.                        
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| 222 | This record was re-opened on                    
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| 223 | Since you have canceled this bill, you may enter a Reason Not Billable                  
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| 224 | into Claims Tracking.  This will take the care off of the UNBILLED lists                        
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| 225 | Claims Tracking entry:                  
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| 226 | Copy Previously Cancelled Bill.                 
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| 227 | No Billing Record Set up.  You must manually enter the bill.                    
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| 228 | CP-AUX                  
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| 229 | Invalid Bill Number                     
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| 230 | Tertiary                        
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| 231 | -MRA Only                       
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| 232 | Secondary Payer                 
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| 233 | Tertiary Payer                  
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| 234 |  bill, there is no next bill in the series.                     
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| 235 |  has been cancelled.                    
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| 236 | Next bill in series can not be determined.                      
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| 237 |  bill already defined for this series:                  
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| 238 | There is no                     
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| 239 |  is not a valid Insurance Co.                   
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| 240 | MEDICARE will not reimburse and no further valid insurance for bill                     
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| 241 | , will not Reimburse                    
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| 242 | Enter Yes to                    
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| 243 | create a new bill in the bill series for this care.  The new bill will be the                   
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| 244 | enter the MRA information and change the payer to the                   
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| 245 | with the                        
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| 246 |  responsible for payment.                       
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| 247 | and will request an MRA from MEDICARE.                  
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| 248 | Copy                    
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| 249 |  for a bill to the                      
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| 250 | Change payer on bill                    
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| 251 |   This will be added to the new bill as a prior payment and subtracted from the charges due for the new bill.                   
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| 252 | Enter the amount of the payment from the payer of the                   
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| 253 | Prior Payment from                      
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| 254 | Enter the MEDICARE allowed amt from the MRA received for this bill.                     
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| 255 | MRA Allowed Amount from                         
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| 256 | There are no Reasonable Charges Outpatient Professional charges for this bill,                  
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| 257 | second bill not created.                        
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| 258 |  bill may have corresponding                    
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| 259 | The current bill has no charges defined, no second bill created.                        
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| 260 | There is an existing                    
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| 261 | ) that appears                  
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| 262 | to correspond to this                   
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| 263 |  bill, second bill not created.                 
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| 264 | Creating an                     
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| 265 | If answered Yes, the current bill will be copied, without being cancelled,                      
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| 266 | to create another Professional bill for the same dates of care.                 
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| 267 | Enter Yes if multiple professional bills are needed for the care provided on this date.                 
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| 268 | Copy this bill to create another Professional bill for this date now                    
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| 269 |  Professional bill.                     
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| 270 | Payer Responsible                       
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| 271 | Balance                 
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| 272 | * There are patient bills on Hold for the date range of this bill.                      
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| 273 | Has the final                   
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| 274 |  been received for this claim?:                         
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| 275 | COB should not normally be performed until a claim is fully processed by the                    
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| 276 |   prior payer.  Enter Y (yes) if the prior payer's final EOB/MRA has                    
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| 277 |   been received                 
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| 278 | Are you sure you want to continue to process this COB?:                         
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| 279 | The bill for the prior (                        
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| 280 | ) payer is still in                     
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| 281 | CPT-CNT                 
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| 282 | SELECT CPT CODE(S) TO INCLUDE IN THIS BILL:                     
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| 283 | YOU HAVE SELECTED CPT CODE(S) NUMBERED-                 
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| 284 | Respond 'Y'es to include these codes in the bill.                       
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| 285 | Respond 'N'o to reselect.                       
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| 286 | Can't add Amb. Surg.                    
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| 287 |  without visit date!                    
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| 288 | Can't add Billable Amb. Surg.                   
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| 289 |  when more than one visit date!                 
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| 290 |   *ON BILL/                     
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| 291 |   *ON THIS BILL*                        
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| 292 | <<CURRENT PROCEDURAL TERMINOLOGY CODES>>                        
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| 293 | LISTING FROM VISIT DATES WITH ASSOCIATED CPT CODES                      
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| 294 | IN OUTPT ENCOUNTERS FILE                        
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| 295 | SHORT NAME                      
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| 296 | Adding CPT Procedure:                   
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| 297 | Visit:                  
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| 298 | NO CPT CODES ON FILE FOR THE                    
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| 299 | VISIT DATES ON THIS BILL                        
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| 300 | PERIOD THAT THIS STATEMENT COVERS                       
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| 301 |  to exit display                        
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| 302 |  or a range of numbers separated with commas                    
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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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