1 | English French Notes Complete/Exclude
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2 | INSURED'S ADDRESS STREET
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3 | PATIENT ADDRESS CITY
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4 | INSURED'S ADDRESS CITY
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5 | PT ZIP CODE
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6 | INS ZIP CODE
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7 | OTHER INSURED'S NAME
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8 | INSURED'S POLICY GROUP
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9 | OTHER POLICY NUMBER
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10 | INSURED'S EMPLOYER
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11 | OTHER'S EMPLOYER
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12 | INSURANCE PLAN NAME
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13 | OTHER'S INSURANCE PLAN
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14 | REFERRING PHYSICIAN
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15 | PHYSICIAN ID
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16 | BC/BS#
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17 | FEDERAL TAX ID
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18 | PAT ACCT#
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19 | AGENT CASHIER (999) 999-9999
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20 | CITY, STATE ZIP
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21 | PRINT UB-92 BILL
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22 | NO SOMETHING
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23 | OP VISIT DATE(S) BILLED:
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24 | ADDITIONAL DIAGNOSIS CODES:
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25 | PROSTHETIC ITEMS:
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26 | PRINT TEST BILL
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27 | *** UB-92 TEST PATTERN ***
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28 | BN XXX
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29 | TAX# XXXX
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30 | PT SHORT ADDRESS
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31 | RESPONSIBLE PARTY'S NAME
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32 | REV CODE description
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33 | Name of Payer 1
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34 | Provider #
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35 | Name of Payer 2
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36 | Name of Payer 3
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37 | Insured's Name 1
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38 | Insurance #
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39 | Group Name
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40 | Insured's Name 2
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41 | Insured's Name 3
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42 | Treatment Auth. Cd
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43 | Employer Name
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44 | Employer Location
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45 | Dx Cd
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46 | ADMT DX
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47 | Attending Phys. ID#
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48 | Other Phys. ID#
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49 | Patient ID#: xxx-xx-xxxx
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50 | Bill Type: xxx xxxxxx
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51 | UB 92 TEST PATTERN
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52 | Provider Representative DATE
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53 | Transmittable Bill can NOT be printed until transmitted
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54 | This is a Transmittable Bill that has already been transmitted
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55 | WANT TO PRINT THIS BILL ADDENDUM ANYWAY
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56 | OUTPUT DEVICE:
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57 | DAYS SUPPLY:
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58 | REFILL DATE
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59 | DAYS SUPPLY
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60 | NDC #
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61 | ***TASK STOPPED BY USER***
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62 | Default printer in billing not defined for the
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63 | , none will print!
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64 | There are no Authorized but not Printed bills to print!
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65 | Z:ZIP;I:INSURANCE COMPANY NAME;P:PATIENT NAME;
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66 | This option prints all non-transmittable bills with a Status of Authorized in the order requested. The printed bills may be sorted by: Zip Code, Insurance Company Name, and Patient name.
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67 | First Sort Bills By
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68 | Enter the field that the bills should be sorted on within
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69 | . Press return if the order already entered is sufficient.
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70 | Then Sort Bills By
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71 | Begin printing bills
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72 | Enter 'Y'es to begin printing of all authorized non-transmittable bills.
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73 | ... bills not printed!
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74 | BATCH PRINT AUTHORIZED THIRD PARTY BILLS
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75 | BATCH PRINTING
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76 | The following bill(s) were not printed due to errors indicated.
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77 | PRINT BILL ERRORS
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78 | One or more bills were not printed. Check your mail for details
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79 | NOT ADDED TO FILE 351.9
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80 | Select ClaimsManager Bill:
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81 | IBCI CLAIMSMANAGER ASSIGN
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82 | *** RECORD IS LOCKED ***
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83 | Another user is currently editing this bill.
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84 | IBCI CLAIMSMANAGER WK BROWSE
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85 | IBCI CLAIMSMANAGER CLERK WK
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86 | ClaimsManager Error Report
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87 | There are no errors currently recorded in the ClaimsManager
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88 | file. There is no data to report.
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89 | IBCICME ERROR CODES
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90 | ALL Error Codes in the ClaimsManager File
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91 | Please Select the Error Codes to include
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92 | This response must be a list or range.
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93 | For example, 1,3,5 or 2-4,8
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94 | If you include #1, then all codes will be included
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95 | regardless of what you enter here.
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96 | SELECTED ERRCODES
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97 | ALL ERRCODES
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98 | DISPLAY ERROR TEXT
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99 | Do you want to see the ClaimsManager Error Messages for these bills
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100 | Enter YES if you would like to see the full description of the error
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101 | including all lines of error message text.
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102 | Enter NO if you do not want to see this information.
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103 | ERROR DISPLAY TYPE
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104 | 1:Display all ClaimsManager Errors for a Bill;
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105 | 2:Display all Bills for a ClaimsManager Error Code
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106 | Select the Error Display Type
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107 | The answer to this question will determine how the Bills and Errors
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108 | are displayed on the report.
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109 | Select option 1 if you want to display all of the ClaimsManager
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110 | errors for each bill that appears on the report. These errors will
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111 | appear together with the bill.
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112 | Select option 2 if you want to break this report out by ClaimsManager
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113 | error code. In this case, you will see separate sections for each
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114 | error code and all bills in which a particular error code is present.
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115 | Remember that the bills and errors are still subject to the other
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116 | selection and sort criteria that you enter.
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117 | RPTSPECS(
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118 | ~~~ NO INSURANCE ~~~
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119 | Terminal Digit
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120 | Dollar Impact
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121 | Bill Number
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122 | Total # Claims
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123 | Total # Errors
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124 | ClaimsManager Detailed Error Report sort by
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125 | Page :
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126 | Detailed Report
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127 | BILL NO.
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128 | ERROR CODES
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129 | CM STATUS
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130 | ClaimsManager Audit Error Report for
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131 | Summary Report
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132 | CM Error Message:
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133 | ClaimsManager Status Report
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134 | Do you want to exit out of this option entirely
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135 | Enter YES to immediately exit out of this option.
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136 | Enter NO to return to the previous question.
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137 | Select Date Range by
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138 | Please enter the type of date on which you would like to report.
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139 | The Event Date is the date on which the services were performed.
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140 | The Entered Date is the date on which the bill was Entered into VistA.
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141 | Enter the beginning
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142 | Enter the ending
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143 | 1:All ClaimsManager Statuses;
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144 | 2:One Specific ClaimsManager Status;
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145 | 3:Any ClaimsManager Status (Bill is still Editable)
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146 | Select the ClaimsManager Status Option
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147 | Option 1 - All ClaimsManager Statuses - indicates that all bills
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148 | will be included on the report regardless of ClaimsManager
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149 | Option 2 - One Specific ClaimsManager Status - will allow you to
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150 | choose a ClaimsManager status and only bills with this specific
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151 | status will be included on the report.
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152 | Option 3 - Any ClaimsManager Status (Bill is still Editable) -
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153 | will only select those bills that are still open for editing in
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154 | the IB Enter/Edit Billing Information option.
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155 | Please choose a ClaimsManager Status
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156 | Do you want to see ClaimsManager comments associated with these bills
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157 | Enter YES if you would like to see the comments which are stored in the
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158 | ClaimsManager file (#351.9) for each bill on this report.
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159 | Enter NO if you do not want to see these comments.
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160 | Do you want to include one specific Assigned to person or All?
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161 | Please enter 1 or A
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162 | Enter '1' to indicate that you only want to include one specific
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163 | Assigned to person on this report. You will then be asked
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164 | to select this person.
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165 | Enter 'A' to indicate that you want to include all Assigned to
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166 | people on this report. You will then be asked if you want
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167 | to sort by the Assigned to person.
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168 | Invalid response ... Please enter '1' or 'A'
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169 | Do you want the primary sort by the Assigned To person
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170 | Enter YES if you would like the bills on this report primarily
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171 | sorted by the Assigned To person. If a bill is not assigned
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172 | to anyone, then the word
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173 | Enter NO if you would like to choose a different primary sort.
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174 | Enter the Assigned to person to include:
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175 | 1:Terminal Digit;
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176 | 2:Insurance Company Name;
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177 | 3:Patient Last Name;
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178 | 4:Total Charges;
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179 | 5:Bill Number
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180 | Please enter the
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181 | sort criteria
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182 | Please enter the report type
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183 | The Detailed report will show the breakout of bills &
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184 | a summary based on the criteria that you selected.
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185 | The Summary report will show the total amount of bills
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186 | based on the criteria that you selected.
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187 | *** This report is 132 characters wide ***
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188 | IBCI ClaimsManager Status Report
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189 | IBCI ClaimsManager Error Report
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190 | ClaimsManager Status Report sort by
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191 | ClaimsManager Bill Totals by ClaimsManager Status
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192 | ClaimsManager Worksheet Report
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193 | ClaimsManager does not have a Claims Worksheet on file for this Claim.
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194 | Claim No:
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195 | Not on File
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196 | Please verify that you entered the correct patient.
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197 | Another user is currently using this option.
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198 | ClaimsManager is not working right now.
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199 | IBCI CLAIMSMANAGER SKIP LIST
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200 | Welcome to ClaimsManager Bill Processing
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201 | This ListMan will display all skipped bills for processing
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202 | PR/TX
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203 | PT_NAME
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204 | EVENT_DATE
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205 | No Skipped Claims to Send to ClaimsManager.
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206 | You may select one or more claims, or a range.
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207 | You may choose a single bill, a list of bills (i.e. 2,5,9,12), a range
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208 | of bills (i.e. 3-8), or any combination of these (i.e. 1,3,5,8-12). Only
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209 | the bills you select here will be sent to ClaimsManager.
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210 | The following bills were sent to ClaimsManager from the Multiple Claim Send
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211 | option. ClaimsManager did not find any errors with them. These bills have
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212 | passed both the IB edit checks and the ClaimsManager edit checks. They are
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213 | ready to be authorized. Please review the bills for which you are responsible
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214 | (if any) and take the appropriate action.
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215 | BILL# PATIENT NAME PID DATE CHARGES USER NAME
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216 | ClaimsManager Clean Claims
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217 | There are no claims to send ...
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218 | Sending claims ... please wait.
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219 | 'Send All Bills to ClaimsManager' will send all claims listed
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220 | to ClaimsManager for processing.
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221 | 'Send All Non Auth Bills to ClaimsManager' will send only
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222 | Non-Authorized claims to ClaimsManager for processing.
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223 | 'Select Bills to send to ClaimsManager' allows individual and
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224 | multiple selection of claims before sending
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225 | claims to ClaimsManager for processing.
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226 | IBCI CLAIMSMANAGER MGR WK
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227 | Coder:
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228 | Line:
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229 | Error Level:
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230 | ClaimsManager Error:
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231 | No ERRORS defined for claim EVENT DATE:
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232 | No Errors found by ClaimsManager.
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233 | Are you sure you want to Override the errors of this bill
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234 | Are you sure you want to Exit the ClaimsManager Interface process
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235 | IBCINPT.DAT
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236 | This option is responsible for creating the NPT file
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237 | (New Patient History) for the ClaimsManager application from Ingenix.
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238 | A 3 year history is needed so this option will extract claims data
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239 | This process may take several minutes.
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240 | Do you wish to proceed
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241 | The file that will be created is called
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242 | You may specify a valid directory location (path) for this file.
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243 | After this file has been created, it needs to be accessible to the
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244 | ClaimsManager application. This can be done either through network
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245 | connections or by manually moving it to the ClaimsManager server.
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246 | FOr
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247 | Please enter the directory location (path) for
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248 | Enter the location where the file should be created.
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249 | Enter the full path specification up to, but not including,
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250 | the filename. This includes any trailing slashes or brackets.
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251 | If the operating system allows shortcuts, you can use them.
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252 | Examples of valid paths include:
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253 | VMS USER$:[SCRATCH]
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254 | is not a valid directory location or path.
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255 | Please press
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256 | for more assistance.
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257 | The full file specification including path and filename is:
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258 | OK to begin
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259 | The compile process has completed successfully.
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260 | The number of bills that were reviewed is
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261 | The number of records that will be in the NPT file is
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262 | All that's left to do is to copy these records into the NPT file.
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263 | The NPT file creation process is complete!
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264 | IBCIPAY.DAT
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265 | for the ClaimsManager application from Ingenix. This
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266 | is a listing of the Insurance Companies that are currently
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267 | stored in VistA.
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268 | please wait
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269 | There are
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270 | records in the Payor File.
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271 | The Payor File creation process is complete!
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272 | VistA-ClaimsManager Interface Options
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273 | ClaimsManager is only available for HCFA 1500 claims.
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274 | The form type of the bill you're editing
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275 | The charge type of this bill is
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276 | Select option or press RETURN to continue
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277 | The VistA-ClaimsManager Interface is not currently working.
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278 | This bill is no longer editable. The ClaimsManager interface
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279 | Test Send functionality is not available for this bill.
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280 | ClaimsManager found
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281 | with this bill.
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282 | Press RETURN to view the error
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283 | There was a communications failure:
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284 | Please report these errors to your system manager.
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285 | This bill was NOT successfully analyzed by ClaimsManager.
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286 | There are no errors recorded in the file.
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287 | Times sent to ClaimsManager:
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288 | Last sent date/time:
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289 | Last sent by:
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290 | Date/time Entered:
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291 | Date/time Last Edited:
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292 | Assigned to:
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293 | Biller:
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294 | TEST-
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295 | Sending
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296 | to ClaimsManager
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297 | No Errors found by ClaimsManager
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298 | Communications Error - Not Sent to ClaimsManager
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299 | There are no line items associated with this claim.
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300 | ClaimsManager cannot process without line items. Please
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301 | enter the line item data and resend.
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302 | ... Claim has been CANCELLED in ClaimsManager.
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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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