English French Notes Complete/Exclude NO - To discontinue this process immediately. UNCANCELLED PRESS TO CONTINUE, OR Select one of the above or to establish a new billing record. NOT A VALID CHOICE!! YOU ARE ABOUT TO EDIT A ARE YOU SURE YOU WANT TO CONTINUE?: No further processing of this record permitted at this time. Record locked by another user. Try again later. This bill is requesting an MRA - can only view bill data This bill has a transmit status of - can only view bill data IB AUTHORIZE You do not hold the Authorize Key. Entering user can not authorize. Already Approved, Can't change THIS BILL HAS PRIOR INSURANCE OF MEDICARE, BUT If you answer NO, the bill will not be authorized If you answer YES, this bill will automatically become a THE INSURANCE CO: DOES NOT WANT/NEED AN MRA THE SITE PARAMETER FOR MRA REQUESTS IS TURNED OFF DO YOU WANT THIS BILL TO GO DIRECTLY TO Can't continue THIS BILL WILL NOT ^ BE TRANSMITTED ELECTRONICALLY AUTHORIZE BILL REQUEST AN MRA AT THIS TIME YES - If finished entering bill information and to allow bill to be printed or transmitted No - To take no action bill to BILL TRANSMISSION File for MRA submission Bill is no longer editable unless returned in error from Medicare. Bill will be submitted electronically Error loading into transmit file - bill can not be transmitted. Passing completed Bill to Accounts Receivable. Bill is no longer editable. Completed Bill Successfully sent to Accounts Receivable. Not Authorized, Can Not Print! Not Ready For MRA Submission, Can Not Print! MRA Submission not yet confirmed by Austin, Can Not Print! This Bill Can Not Be Printed Until Transmit Confirmed (to request an MRA) This Bill Has Already Been Transmitted WANT TO PRINT IT ANYWAY THIS BILL IS BEING USED AS A TRANSMISSION TEST BILL RE- PRINT BILL AT THIS TIME YES - to print the bill now NO - To take no action (2)nd Notice, (3)rd Notice, (C)opy or (O)riginal: C// Enter 'O' to reprint the original bill or Enter 'C' to reprint the bill as a duplicate copy or Enter '2' or '3' to print 2nd or 3rd follow-up notices. 2nd NOTICE 3rd NOTICE ERROR PASSING BILL TO A/R ON CONFIRMATION G.IB EDI A problem has been detected while trying to pass bill Accounts Receivable when updating the bill's electronic confirmation. Please use the option PASS BILL TO A/R to complete this process. the screens NO - To take no action ... Checking claim validity ... Executing national IB edits No A/R errors found There is an unresolved A/R error - cannot authorize bill BILL-WARN Local Edits: THIS BILL STILL HAS ONE OR MORE WARNINGS - PLEASE REVIEW THEM CAREFULLY ARE YOU SURE IT'S OK TO CONTINUE? An A/R error has been reported - bill cannot be authorized An undetermined A/R error was found - PTF Record for this Bill was DELETED! Further processing not allowed. Cancel and re-enter. ... Executing local IB edits No errors found for local edits ERROR/WARNING OUTPUT DEVICE: INCONSISTENCIES LIST FOR BILL #: AT: GENERATED BY: the inconsistencies now? YES - To edit inconsistent fields NO - To discontinue this process. Are the above charges correct for this bill? Bill has prosthetics item(s) and will only print locally IB057; IB049; IB059; IB058; IB065; IB054; A valid claim for MEDICARE WNR needs subsequent ins. that will reimburse IB053; IB045; IB061; IB062; IB047; IB046; IB064; IB050; IB051; IB052; IB048; IB060; IB041; IB056; IB040; IB303; N-ATT/REND PHYSICIAN NAME IB095; IB104; IB105; IB097; IB085; N-ALL PROCEDURES RC OUTPATIENT IB320; IB102; N-PROCEDURE CODING METHD Coding Method does not agree with all procedure codes found on bill Bill has been forced to print at clearinghouse Patient Short Address has no value requires Amb Care Certification No Errors found for National edits No group prov # for the current ins co - site tax id will be used Proc has > 4 modifiers - only first 4 will be used IB071; Principal Dx V-code may not be valid IB089; At least 1 charge has local box 24K data that will not be transmitted - This data will only print locally IB092; IB094; IB072; IB093; IB073; MEDICARE policy assigned to this HCFA-1500 bill is not a PART B policy IB099; Outside lab charges exist on a non-lab NON-VA bill Purchased service amounts are invalid unless this is a NON-VA bill IB310; IB311; IB314; IB313; IB110; IB088; IB090; has a 0-charge and will not be transmitted Chiropractic service details only valid if provider specialty is '35' NON-VA facility indicated, but no purchased service charge on line item For proper payment, you must bill each outside lab on a separate claim form N-OCCURRENCE CODES IB315; IB304; IB312; has > 2 modifiers - only first 2 will be used MEDICARE policy assigned to this UB92 bill is not a PART A policy IB309; IBC-RC N-UB92 SERVICE LINE (PRINT) Rev Code(s) having a 0-charge will not be transmitted for the bill N-ADMITTING DIAGNOSIS Admitting Diagnosis may be required by payer, please verify At least one provider on a procedure does not match your ing or operating provider N-CONDITION CODES N-UB92 SERVICE LINE (EDI) IB999; Admit time is still the default of midnight - update to actual time No source of admission: '2 - CLINIC REFERRAL' will be used No discharge status: '01 - DISCHARGED TO HOME OR SELF CARE' will be used N-ADMISSION DATE N-DISCHARGE DATE N-VALUE CODES N-BILL RATE TYPE IB192; N-ALL INSURED EMPLOYER INFO N-ALL INSURANCE GROUP NUMBER N-CURR INSURED ID N-HCFA 1500 SERVICE LINE (EDI) N-PATIENT NAME N-PATIENT STREET ADDRESS LN 1 N-PATIENT CITY MAS BILL CANCELLATION BULLETIN BILL DISAPPROVAL BULLETIN bill has been Bill Number: PT ID: Reason for cancellation: Status when cancelled: Not passed to AR Passed to AR on Reason for disapproval: Other reasons too numerous to mention... IBTEXT( ***** BILLS MAY ONLY BE CANCELLED THROUGH 'CANCEL BILL' OPTION!! ***** ***** PLEASE SEE YOUR SUPERVISOR IF YOU REQUIRE ASSISTANCE!! ***** IBCC-1 Enter BILL NUMBER or Patient NAME: This bill has been referred to Regional Counsel and cannot be 'CANCELLED' in Integrated Billing. Please use the option 'TP Referred Follow-up' [PRCA RC ACTION MENU] in Accounts Receivable to request that Regional Counsel return the bill to your facility. This bill was cancelled on Please note a PAYMENT of **$ ** has been POSTED to this bill. ARE YOU SURE YOU WANT TO CANCEL THIS BILL LAST CHANCE TO CHANGE YOUR MIND... 16////1;19////EDI/MRA TURNED OFF;S IBCCCC=1; ...Bill has been cancelled... BILL CANCELLED IN MAS >> The receivable associated with the claim was cancelled. Answer 'YES' or 'Y' if you wish to cancel this bill. Answer 'NO' or 'N' if you want to abort. This record was re-opened on Since you have canceled this bill, you may enter a Reason Not Billable into Claims Tracking. This will take the care off of the UNBILLED lists Claims Tracking entry: Copy Previously Cancelled Bill. No Billing Record Set up. You must manually enter the bill. CP-AUX Invalid Bill Number Tertiary -MRA Only Secondary Payer Tertiary Payer bill, there is no next bill in the series. has been cancelled. Next bill in series can not be determined. bill already defined for this series: There is no is not a valid Insurance Co. MEDICARE will not reimburse and no further valid insurance for bill , will not Reimburse Enter Yes to create a new bill in the bill series for this care. The new bill will be the enter the MRA information and change the payer to the with the responsible for payment. and will request an MRA from MEDICARE. Copy for a bill to the Change payer on bill This will be added to the new bill as a prior payment and subtracted from the charges due for the new bill. Enter the amount of the payment from the payer of the Prior Payment from Enter the MEDICARE allowed amt from the MRA received for this bill. MRA Allowed Amount from There are no Reasonable Charges Outpatient Professional charges for this bill, second bill not created. bill may have corresponding The current bill has no charges defined, no second bill created. There is an existing ) that appears to correspond to this bill, second bill not created. Creating an If answered Yes, the current bill will be copied, without being cancelled, to create another Professional bill for the same dates of care. Enter Yes if multiple professional bills are needed for the care provided on this date. Copy this bill to create another Professional bill for this date now Professional bill. Payer Responsible Balance * There are patient bills on Hold for the date range of this bill. Has the final been received for this claim?: COB should not normally be performed until a claim is fully processed by the prior payer. Enter Y (yes) if the prior payer's final EOB/MRA has been received Are you sure you want to continue to process this COB?: The bill for the prior ( ) payer is still in CPT-CNT SELECT CPT CODE(S) TO INCLUDE IN THIS BILL: YOU HAVE SELECTED CPT CODE(S) NUMBERED- Respond 'Y'es to include these codes in the bill. Respond 'N'o to reselect. Can't add Amb. Surg. without visit date! Can't add Billable Amb. Surg. when more than one visit date! *ON BILL/ *ON THIS BILL* <> LISTING FROM VISIT DATES WITH ASSOCIATED CPT CODES IN OUTPT ENCOUNTERS FILE SHORT NAME Adding CPT Procedure: Visit: NO CPT CODES ON FILE FOR THE VISIT DATES ON THIS BILL PERIOD THAT THIS STATEMENT COVERS to exit display or a range of numbers separated with commas #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### ####################