| 1 | English French  Notes   Complete/Exclude
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| 2 |       the secondary sort.                       
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| 3 |       Include Rejection Detail                  
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| 4 |   N - No, exclude Rejection Detail totals from report. (Default)                        
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| 5 |   Y - Yes, include Rejection Detail totals in report.                   
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| 6 |    would have been created.                     
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| 7 |    would have been created.  This date must not precede                 
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| 8 | Total Inquiries                 
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| 9 | Rejection Detail:                       
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| 10 | AvgResp                 
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| 11 | Payer [Inactive Date]                   
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| 12 | 1st Att                 
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| 13 | Rejection Detail                        
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| 14 | Grand Totals                    
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| 15 | Please select the timeframe for which to view the Insurance Identification                      
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| 16 | and Verification statistics and current status.                 
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| 17 | Start DATE/TIME                 
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| 18 |     Enter Start DATE/TIME for report range.                     
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| 19 |     The time element is required.                       
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| 20 |   End DATE/TIME                 
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| 21 |     Enter End DATE/TIME for report range.                       
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| 22 |     The End Date/Time must not precede the Start Date/Time.                     
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| 23 |     Please reenter.                     
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| 24 | Choose all sections to be reviewed                      
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| 25 | 1  -  All            = All three report sections (Default)                      
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| 26 | 2  -  Outgoing Data  = Inquiry Transmission statistics                  
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| 27 | 3  -  Incoming Data  = Inquiry Response statistics                      
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| 28 | 4  -  Current Status = Pending Responses, Queued Inquiries, etc.                        
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| 29 | Select one or more sections:                    
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| 30 |   Please select one or more sections of the report to view.                     
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| 31 |   To select multiple sections enter a comma separated list                      
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| 32 |   1  -  Include all three sections in the report.  (Default)                    
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| 33 |   2  -  Include statistics on inquiries transmitted during the                  
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| 34 |         timeframe by extract type.                      
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| 35 |   3  -  Include statistics on responses received during the                     
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| 36 |   4  -  Include statistics on the current state of the system.                  
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| 37 |         This section is independent of the timeframe for the                    
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| 38 |         report and includes responses pending, queued inquiries,                        
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| 39 |         deferred inquiries, payer statistics and insurance                      
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| 40 |         buffer statistics.                      
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| 41 | ,PAYER NAME,IEN of file 365.12)=                        
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| 42 | ** IIV Statistical Rpt **                       
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| 43 | DISPDATA(                       
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| 44 | Outgoing Data                   
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| 45 | Incoming Data                   
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| 46 | Current Status                  
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| 47 | Inquiries Sent:                 
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| 48 | Responses Received:                     
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| 49 | Insurance Buffer                        
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| 50 | Non-verified Insurance                  
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| 51 | No Active Insurance                     
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| 52 | Responses Pending:                      
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| 53 | Queued Inquiries:                       
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| 54 | Deferred Inquiries:                     
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| 55 | Insurance Companies w/o National ID:                    
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| 56 | eIIV Payers Disabled Locally:                   
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| 57 | Insurance Buffer Entries:                       
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| 58 |   Verified Entries:                     
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| 59 |     # of * entries (manually verified)                  
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| 60 |     # of + entries (electronically processed)                   
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| 61 |   Unverified Entries:                   
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| 62 | ! entries (manual intervention required)                        
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| 63 | ? entries (IIV is waiting for a response)                       
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| 64 | - entries (no coverage)                 
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| 65 | blank entries (yet to be processed or accepted)                 
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| 66 | New eIIV Payers received during report date range:                      
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| 67 |   (Run menu option                      
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| 68 | Link Insurance Companies to Payers                      
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| 69 |  for assistance)                        
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| 70 |     No new Payers added                 
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| 71 | IIV Payer Link Report                   
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| 72 | In order for an Insurance Company to be eligible for electronic insurance                       
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| 73 | eligibility communications via the IIV software, the Insurance Company                  
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| 74 | needs to be linked to an appropriate payer from the National EDI Payer list.                    
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| 75 | The National EDI Payer list contains the names of the payers that are                   
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| 76 | currently participating with the IIV process.                   
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| 77 | This report option provides information to assist with finding unlinked                 
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| 78 | insurance companies or payers, which can subsequently be linked through the                     
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| 79 | INSURANCE COMPANY EDIT option.                  
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| 80 | Select a report option                  
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| 81 |   1 - Payer List:   This option lists the payers in the National                        
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| 82 |                     Payer list, and optionally provides information about                       
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| 83 |                     the insurance companies that are linked to that payer                       
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| 84 |       Company List: This option lists insurance companies and                   
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| 85 |                     optionally displays linked payer information                        
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| 86 | Select the type of payers to display                    
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| 87 |   1 - Only payers with no active insurance companies linked                     
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| 88 |   2 - Only payers with at least one insurance company linked                    
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| 89 |   3 - ALL Payers                        
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| 90 | Select a Payer (RETURN for ALL Payers):                         
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| 91 | Select insurance company detail option                  
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| 92 |   1 - Include a list of insurance companies linked to the payers                        
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| 93 |   2 - Do not list linked insurance companies, total number only                 
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| 94 |   Select a data field by which this report should be primarily sorted.                  
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| 95 | IBCNE IIV Payer Link Report                     
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| 96 | Select type of insurance companies to display                   
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| 97 |   1 - Only insurance companies that are not currently linked to a payer                 
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| 98 |   2 - Only insurance companies that are currently linked to a payer                     
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| 99 |   3 - ALL insurance companies                   
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| 100 |   Select the data field by which this report should be primarily sorted.                        
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| 101 | Enter an insurance company search keyword (RETURN for ALL)                      
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| 102 |      Enter a value to match insurance company names with.                       
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| 103 |      Simply hit RETURN to select ALL or enter a keyword                 
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| 104 |      (ex. 'CIGNA' would return CIGNA, CIGNA HICN, NATIONAL CIGNA,                       
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| 105 |      REGION 1 CIGNA and any others with the term 'CIGNA' in it)                 
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| 106 | Report Option:                  
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| 107 | Payer List                      
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| 108 | Insurance Company List                  
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| 109 | Unlinked Payers Only                    
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| 110 | Linked Payers Only                      
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| 111 | With Ins. Co. Detail                    
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| 112 | Without Ins. Co. Detail                 
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| 113 | Unlinked Insurance Companies Only                       
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| 114 | Linked Insurance Companies Only                 
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| 115 | All Insurance Companies                 
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| 116 | For Single Payer:                       
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| 117 | Nationally                      
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| 118 | Locally                 
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| 119 | Prof.                   
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| 120 | Inst.                   
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| 121 | Payer Name:                     
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| 122 | Payer ID                        
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| 123 | Ins. Co.                        
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| 124 | EDI#                    
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| 125 | Only Insurance Companies that match:                    
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| 126 | Nat.                    
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| 127 | Loc.                    
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| 128 | Insurance Company:                      
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| 129 | Act?                    
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| 130 | VA ID                   
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| 131 |    Linked Insurance Companies:                  
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| 132 |    ** NOT CURRENTLY LINKED **                   
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| 133 | Results of Auto Match search                    
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| 134 |    Auto Match Value                     
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| 135 | Would you like to select this insurance company                 
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| 136 | Would you like to select one of these insurance companies                       
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| 137 | Please choose an insurance company                      
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| 138 | Buffer                  
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| 139 | IEN type                        
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| 140 |  passed to the insurance match algorithm is neither 'B' nor 'I'.                        
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| 141 | IEN is not passed to the insurance match algorithm.                     
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| 142 | Invalid Buffer IEN                      
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| 143 |  has been passed to the insurance match algorithm.                      
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| 144 | Invalid Insurance Company IEN                   
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| 145 | Insurance company                       
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| 146 | All insurance companies named                   
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| 147 |  are not active.                        
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| 148 |  is not linked to a National ID.                        
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| 149 |  is linked to more than one National ID                 
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| 150 | Insurance company name                  
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| 151 |  in the Insurance Buffer matched more than one insurance company in the Auto Match file                 
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| 152 | INSIEN(                 
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| 153 |  could not be matched to a valid entry in the Insurance Company file.                   
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| 154 | Insurance company IEN                   
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| 155 |  doesn't have a name on file.                   
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| 156 |  contains MEDICAID or MEDICARE in the name.  Electronic inquiries cannot be made to this insurance company.                     
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| 157 | Payer IEN                       
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| 158 |  does not have a National ID.                   
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| 159 | The eIIV Payer Application has not been created for this site.                  
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| 160 |  is linked to National ID                       
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| 161 |  which is not set up to accept electronic insurance eligibility requests.                       
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| 162 |  which doesn't have an active local connection.                 
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| 163 |  which doesn't have an active national connection.                      
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| 164 |  which has been deactivated as of                       
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| 165 |  (Too many items to display)                    
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| 166 | IB IIV INTERFACE                        
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| 167 | MailMan Error                   
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| 168 | XX)                     
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| 169 | XX+3)                   
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| 170 |    MailMan Error:                       
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| 171 | Original Subject:                       
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| 172 | ------Original Message------                    
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| 173 | Do you want to add an Auto Match entry that associates                  
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| 174 |       The Auto Match Value is                   
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| 175 | The Insurance Company Name is                   
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| 176 | Please enter NO if you do not want to associate these two values together                       
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| 177 | in the Auto Match file.                 
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| 178 | Please enter YES if you do want to create an Auto Match entry for these                 
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| 179 | two values.  If you enter YES, then you will have the chance to modify                  
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| 180 | the Auto Match Value.                   
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| 181 | IBCNQ-2                 
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| 182 | Bill Status                     
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| 183 | ENTERED/NOT REVIEWED                    
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| 184 | MRA REQUESTED                   
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| 185 | PRINTED/TRANSMITTED                     
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| 186 |  - RECORD IS                    
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| 187 | Form Type                       
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| 188 | Reason Canceled                 
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| 189 | Charges                 
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| 190 | LESS Offset                     
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| 191 | Bill Total                      
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| 192 | AR Status                       
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| 193 | Statement From                  
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| 194 | Statement To                    
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| 195 | Past actions of this billing record unspecified.                        
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| 196 | Entered^^^^^^MRA Requested^^^Authorized^^^^Last Printed^^^Cancelled                     
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| 197 | Returned to AR :                        
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| 198 | OP Visit Dates :                        
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| 199 | IBCNQ1-1                        
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| 200 | This patient has no bills with OP visits.  Please enter another patient.                        
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| 201 | Select OP Visit Date                    
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| 202 | Please enter a valid Outpatient Visit date for this patient.                    
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| 203 | Enter '??' to list valid dates and bill numbers.                        
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| 204 | Select one of the following bills for this visit date:                  
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| 205 | End of list.                    
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| 206 | , or type '^' to quit:                  
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| 207 | Enter a NUMBER from 1 to                        
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| 208 | Enter one of the following OP visit dates:                      
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| 209 | Enter '^' to stop or <CR> to continue:                  
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| 210 | This patient has no remote treating facilities to query.                        
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| 211 |  remote facilitie(s)                    
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| 212 | Do you want to perform this Remote Query                        
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| 213 | No ICN for this patient                 
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| 214 | IBCN INSURANCE QUERY                    
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| 215 | No handle returned for                  
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| 216 | Unable to perform any remote queries.                   
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| 217 | Unable to communicate with                      
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| 218 | Response from                   
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| 219 | -1^No insurance on file                 
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| 220 | Received                        
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| 221 |  insurance companies from                       
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| 222 |  Buffer File entry for                  
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| 223 | -1^ICN Not found                        
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| 224 | Query Remote Facilities for Insurance                   
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| 225 | IBSAVE*                 
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| 226 |     No Insurance Information                    
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| 227 | *** Verification of No Coverage                         
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| 228 | ***  Patient has Insurance Buffer entries  ***                  
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| 229 | Effect                  
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| 230 | Only                    
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| 231 | MENTAL HEALTH                   
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| 232 | no CV                   
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| 233 | Ind. Plan                       
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| 234 | Policy Riders:                  
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| 235 | No Insurance Policies to Select From                    
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| 236 |  Ben Yr:                        
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| 237 | Current benefit years on file:                  
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| 238 | No Benefit Years Entered.                       
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| 239 | BENEFIT YEAR BEGINNING ON:                      
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| 240 | No Benefit Years Entered.  You Must First Enter a Benefit Year for This Policy                  
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| 241 | No Benefit Years Entered Under Annual Benefits, Hence No Benefits Used to View.                 
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| 242 | Select BENEFIT YEAR BEGINNING ON:                       
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| 243 |  Policy Information                     
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| 244 | Year:                   
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| 245 | Max. Out of Pocket: $                   
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| 246 | Ambulance Coverage (%):                         
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| 247 | Annual Deductible: $                    
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| 248 | Inpatient Annual Max.: $                        
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| 249 | Lifetime Max.: $                        
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| 250 | Room and Board (%):                     
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| 251 | Other Inpt. Charges (%):                        
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| 252 |  User Information                       
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| 253 | Entered On:                     
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| 254 | Last Updated By:                        
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| 255 | Last Updated On:                        
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| 256 |  Mental Health Outpatient                       
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| 257 | MH Opt. Max Days/Year:                  
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| 258 | MH Lifetime Opt. Max: $                 
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| 259 | MH Annual Opt. Max: $                   
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| 260 | Mental Health Opt. (%):                         
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| 261 | Adult Day Health Care?:                         
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| 262 |  Mental Health Inpatient                        
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| 263 | MH Inpt. Max Days/Year:                         
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| 264 | MH Lifetime Inpt. Max: $                        
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| 265 | MH Annual Inpt. Max: $                  
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| 266 | Mental Health Inpt. (%):                        
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| 267 | Per Visit Deductible: $                 
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| 268 | Lifetime Max: $                 
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| 269 | Annual Max: $                   
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| 270 | Visit (%):                      
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| 271 | Max Visits Per Year:                    
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| 272 | Surgery (%):                    
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| 273 | Emergency (%):                  
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| 274 | Prescription (%):                       
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| 275 | Dental Cov. Type:                       
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| 276 |            Dental Cov.: $                       
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| 277 |        Dental Cov. (%):                         
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| 278 | Dental Coverage $ or %:                         
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| 279 | Per Admis. Deductible: $                        
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| 280 | Inpt. Lifetime Max: $                   
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| 281 | Inpt. Annual Max: $                     
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| 282 | Room & Board (%):                       
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| 283 | Drug/Alcohol Lifet. Max: $                      
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| 284 | Drug/Alcohol Annual Max: $                      
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| 285 | Nursing Home (%):                       
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| 286 |  Home Health Care                       
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| 287 | Care Level:                     
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| 288 | Visits Per Year:                        
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| 289 | Max. Days Per Year:                     
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| 290 | Med. Equipment (%):                     
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| 291 | Visit Definition:                       
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| 292 |         OT Visits/Yr:                   
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| 293 |         PT Visits/Yr:                   
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| 294 |         ST Visits/Yr:                   
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| 295 | Med Cnslg. Visits/Yr:                   
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| 296 |  IV Management                  
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| 297 |     IV Infusion Opt?:                   
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| 298 |    IV Infusion Inpt?:                   
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| 299 |  IV Antibiotics Opt?:                   
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| 300 | IV Antibiotics Inpt?:                   
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| 301 | New Insurance Policy For                        
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| 302 |  A new insurance policy has been added for:                     
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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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