| [604] | 1 | English French Notes Complete/Exclude
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| 2 | New Policy:
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| 3 | Previous Policy(s):
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| 4 | Buffer Policy(s):
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| 5 | Possible billable Inpt. Care:
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| 6 | Possible billable Opt. Care:
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| 7 | Added by:
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| 8 | No Previous Policies On file!
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| 9 | Insurance Co. Subscriber ID Group Holder Effective Expires
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| 10 | Too many to list
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| 11 | Outpatient Visit on
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| 12 | No Scheduled appointments found.
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| 13 | Currently an Inpatient on
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| 14 | Entry Added to Claims Tracking for Current Admission.
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| 15 | Previously an inpatient on ward
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| 16 | Inpatient Admission on
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| 17 | No Admissions found.
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| 18 | No Insurance Buffer entries for this Patient.
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| 19 | Ind. Plan
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| 20 | You should prepare a claim to be sent to the CHAMPVA Center.
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| 21 | This claim was sent to the CHAMPUS Supplemental insurance carrier.
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| 22 | You should send a copayment charge to the patient.
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| 23 | You should prepare a claim to send to the CHAMPUS Fiscal Intermediary.
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| 24 | The patient has a CHAMPUS Supplemental policy.
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| 25 | There is a
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| 26 | payor associated with this claim.
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| 27 | You may need to prepare a claim to be sent to
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| 28 | Notification of Subsequent Payor
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| 29 | A payment has been made on the following claim, which has been identified
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| 30 | as potentially having a subsequent payor:
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| 31 | Bill Number:
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| 32 | Bill Type:
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| 33 | Orig Amount: $
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| 34 | Amount Paid: $
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| 35 | Bill Sequence:
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| 36 | Bill Payer:
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| 37 | Primary Carrier:
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| 38 | Secondary Carrier:
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| 39 | Tertiary Carrier:
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| 40 | Insurance Company Information for:
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| 41 | Type of Company:
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| 42 | Appeals Office Information
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| 43 | Company Name:
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| 44 | Inquiry Office Information
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| 45 | Inpatient Claims Office Information
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| 46 | Outpatient Claims Office Information
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| 47 | Billing Parameters
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| 48 | Signature Required?:
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| 49 | One Opt. Visit:
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| 50 | Rx Refill Rev. Code:
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| 51 | Filing Time Frame:
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| 52 | Type Of Coverage:
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| 53 | Hosp. Provider No.:
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| 54 | Prof. Provider No.:
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| 55 | Primary Form Type:
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| 56 | Verification Phone:
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| 57 | Precert Comp. Name:
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| 58 | Bin Number:
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| 59 | Max # Test Bills/Day:
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| 60 | Electronic Type:
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| 61 | Electronic Transmit?:
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| 62 | YES-LIVE
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| 63 | TEST ONLY
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| 64 | Main Mailing Address
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| 65 | Claim Off. ID:
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| 66 | Payer Information/Electronic Insurance Verification
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| 67 | Payer Application data is not defined!
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| 68 | Auto-Accept Info:
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| 69 | Ident Req Subscr ID:
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| 70 | SSN = Subscr ID:
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| 71 | ...edit to see more...
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| 72 | IB INSURANCE SUPERVISOR
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| 73 | You do not have access to Inactivate entries. See your application coordinator.
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| 74 | Prescription Claims Office Information
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| 75 | Provider ID Parameters
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| 76 | Please note that Insurance Reviews have been conducted with this company!!
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| 77 | IS CURRENTLY
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| 78 | . DO YOU WISH TO
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| 79 | Company should be INACTIVE if it is no longer
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| 80 | active in your area. This will disallow users
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| 81 | from selecting this insurance company entry.
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| 82 | THERE
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| 83 | ARE NO PATIENTS
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| 84 | IS ONE PATIENT
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| 85 | ARE MORE THAN 20 PATIENTS
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| 86 | ARE
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| 87 | COVERED BY THIS
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| 88 | INSURANCE COMPANY....
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| 89 | DO YOU WISH TO PRINT
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| 90 | THE NAME OF THIS PATIENT
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| 91 | A LIST OF ALL OF THE PATIENTS
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| 92 | *** You will need a 132 column printer for this report. ***
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| 93 | PATIENTS WITH INACTIVATED INSURANCE
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| 94 | DO YOU WISH TO REPOINT
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| 95 | THIS PATIENT
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| 96 | THESE PATIENTS
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| 97 | TO ANOTHER INSURANCE COMPANY
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| 98 | REPOINT
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| 99 | TO WHICH (ACTIVE) INSURANCE COMPANY:
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| 100 | ARE YOU REALLY SURE YOU WISH TO INACTIVATE
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| 101 | You are about to change
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| 102 | to inactive.
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| 103 | This means you will no longer be able to bill
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| 104 | for its patients' charges.
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| 105 | PATIENTS WITH
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| 106 | IR?
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| 107 | EXP DATE
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| 108 | SUBSCR ID
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| 109 | WHOSE INS
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| 110 | Name Missing>
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| 111 | Utilization Review Info
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| 112 | Require UR:
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| 113 | Require Amb Cert:
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| 114 | Require Pre-Cert:
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| 115 | Exclude Pre-Cond:
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| 116 | Annual Benefit Dates
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| 117 | No Annual Benefits Information
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| 118 | *More dates on file - use AB to see them
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| 119 | No User Information
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| 120 | Entered By:
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| 121 | Entered On:
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| 122 | Last Updated By:
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| 123 | Last Updated On:
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| 124 | Plan Comments
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| 125 | Active
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| 126 | Plans for:
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| 127 | Insurance Company
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| 128 | * => Inactive Plan
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| 129 | Pre- Pre- Ben
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| 130 | Plan Information for:
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| 131 | ** Plan Currently
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| 132 | Ina
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| 133 | Plan Coverage Limitations
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| 134 | Coverage Effective Date Covered? Limit Comments
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| 135 | BY DEFAULT
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| 136 | UNKNOWN
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| 137 | This Insurance Company does not exist!
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| 138 | This Insurance Company is still active! You must use the
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| 139 | 'Inactivate Company' action to inactivate this company before
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| 140 | you can delete it.
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| 141 | There are still patient policies with this company! These policies
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| 142 | must be deleted or re-pointed to another company before you can
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| 143 | delete the company.
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| 144 | There are still Insurance Plans on file with this company! These plans
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| 145 | Is it okay to
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| 146 | this company
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| 147 | information into the other
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| 148 | The company was not deleted.
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| 149 | >> Merging known Insurance Reviews into
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| 150 | >> Merging known bills and receivables into
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| 151 | AR Error:
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| 152 | All done.
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| 153 | for deletion...
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| 154 | >> Queuing the final clean-up job...
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| 155 | This job is already queued as task number
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| 156 | IB - INSURANCE COMPANY DELETION
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| 157 | The job has been queued to run
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| 158 | . The task number is
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| 159 | Unable to queue this job. Please contact your IRM Service.
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| 160 | Insurance Company Deletion Clean-up Completion
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| 161 | The final clean-up for deleted Insurance Company(s) has completed.
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| 162 | Job Start Time:
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| 163 | Job End Time:
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| 164 | DELETED COMPANY
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| 165 | REPOINTED TO
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| 166 | not repointed
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| 167 | 1. Correction of the Disposition (sub-file #2.101) field
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| 168 | 'INJURING PARTIES INSURANCE' (#25)
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| 169 | Number of Disposition records updated:
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| 170 | The following dispositions had this field deleted and not merged:
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| 171 | REPOINT PATIENTS TO^.16
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| 172 | CLAIMS (INPT) COMPANY NAME^.127
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| 173 | PRECERT COMPANY NAME^.139
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| 174 | APPEALS COMPANY NAME^.147
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| 175 | CLAIMS (OPT) COMPANY NAME^.167
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| 176 | CLAIMS (RX) COMPANY NAME^.187
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| 177 | 2. Correction of other Insurance Company (file #36) records:
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| 178 | Number of records with '
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| 179 | The following companies had this field deleted and not merged:
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| 180 | 3. Correction of the Insurance Review (file #356.2) field
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| 181 | 'INSURANCE COMPANY CONTACTED' (#.08)
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| 182 | Number of Insurance Review records updated:
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| 183 | The following Insurance reviews had this field deleted and not merged:
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| 184 | PRIMARY INSURANCE CARRIER^101
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| 185 | SECONDARY INSURANCE CARRIER^102
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| 186 | TERTIARY INSURANCE CARRIER^103
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| 187 | 4. Correction of Bill/Claims (file #399) records:
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| 188 | The following bills had this field deleted and not merged:
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| 189 | 5. Number of updated secondary and tertiary carriers of AR receivables:
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| 190 | >> This company is not established as a debtor in Accounts Receivable.
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| 191 | >> There is a debtor, but no bills, for this company in Accounts Receivable.
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| 192 | >> There is billing activity associated with this company!
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| 193 | >> There are known Insurance Reviews associated with this company.
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| 194 | ** This company may be deleted from your system without merging. **
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| 195 | You must merge the information from this company into another company!
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| 196 | Please note that insurance policy and plan information was repointed to:
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| 197 | ctive Company)
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| 198 | Select Company to Merge Information:
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| 199 | No 'merge' company selected!
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| 200 | This company is not established as a debtor in Accounts Receivable!
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| 201 | It will be established as a debtor prior to merging the billing activity.
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| 202 | This action is designed to allow the deletion of Insurance companies
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| 203 | which meet one of the following criteria:
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| 204 | o The company was entered by error, and there is little or no insurance
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| 205 | or billing activity associated with the company.
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| 206 | o The company is really the same company as another entry in your file
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| 207 | and you wish to merge all activity for the company to the other entry.
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| 208 | It is not necessary, nor desirable, to delete every company which is inactive.
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| 209 | There may be entries in various files which point to
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| 210 | which are not immediately obvious.
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| 211 | Merg
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| 212 | Delet
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| 213 | ing this company
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| 214 | will cause a background job to be queued later in the day which will
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| 215 | find all such entries and delete or merge these pointers as necessary.
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| 216 | You will receive a mail message from the system when this job is complete.
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| 217 | Please note that there is a potential problem where pointers will be
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| 218 | deleted when there is no company into which the pointed fields may be
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| 219 | merged. The mail message will indicate which records those are so they
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| 220 | may be reviewed.
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| 221 | If you wish to delete this company, enter 'YES.' Otherwise, enter 'NO.'
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| 222 | If you enter 'YES,' all information pertaining to
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| 223 | will be repointed to
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| 224 | will then be flagged for deletion from your system.
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| 225 | If you do not want this action to occur, enter 'NO.'
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| 226 | IB,0),0)
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| 227 | Amt. of Ded. Met:
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| 228 | Coord. of Ben. Data:
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| 229 | Outpatient Deductibles
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| 230 | Deduct. Met?:
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| 231 | Amt. of Ded. Met:
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| 232 | MH Ded. (Opt.) Met?:
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| 233 | Amt. of MH Ded. Met:
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| 234 | Amt. Lifet. Max. Used:
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| 235 | Amt. MH Lifet. Max. Used:
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| 236 | Inpatient Deductibles
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| 237 | MH Ded. (Inpt.) Met?:
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| 238 | Amt. Lifet. Max Used:
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| 239 | Amt. MH Lifet. Max Used:
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| 240 | The way we store and think about patient insurance information has been
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| 241 | dramatically changed. We are separating out information that is specific
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| 242 | to an insurance company, specific to the patient, specific to the group plan,
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| 243 | specific to the annual benefits available, and the annual benefits already
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| 244 | To start, you must select the insurance company for the patient's policy.
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| 245 | Now you may enter the patient specific policy information.
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| 246 | Most of these fields will be familiar to experienced users. The field
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| 247 | 'SUBSCRIBER ID' used to be called 'INSURANCE NUMBER' and
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| 248 | has been modified to allow entering just 'SS' to retrieve
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| 249 | the patients SSN. This field is the identifier for the policy or patient
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| 250 | that the carrier uses. See the new help.
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| 251 | You can now edit information specific to the PLAN. Remember, updating
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| 252 | PLAN information will affect all patients with this plan, if it is a
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| 253 | group plan, and not just the current patient.
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| 254 | Each Insurance policy entry for a patient must be associated with an
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| 255 | Insurance Plan offered by the Insurance company you just selected.
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| 256 | You will be given a choice of selecting previously entered Group Plans or
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| 257 | you may enter a new one. If you enter a new Insurance Plan you
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| 258 | must enter whether or not this is a group or individual plan.
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| 259 | IBCN NEW INSURANCE EVENTS
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| 260 | This plan has no company! Please contact your IRM for assistance.
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| 261 | This action will allow you to inactivate an insurance plan.
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| 262 | Inactivating a plan will inactivate all current subscribers to the plan.
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| 263 | Do you wish to inactivate another plan
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| 264 | To inactivate another plan, answer 'YES.' Otherwise, answer 'NO.'
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| 265 | This is not a valid insurance plan!
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| 266 | You cannot inactivate an Individual Plan!
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| 267 | You must either delete the policy using the 'Delete Policy' action,
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| 268 | or change the plan to which the patient has subscribed, using the action
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| 269 | 'Change Policy Plan'.
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| 270 | There are no subscribers to this plan. Would you like to inactivate it
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| 271 | There are currently subscribers to this plan.
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| 272 | ** There are Annual Benefits associated with this plan!
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| 273 | ** There are Benefits Used associated with this plan!
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| 274 | Would you like to re-point these policies to a new plan
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| 275 | Okay to inactivate this plan
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| 276 | Plan Number:
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| 277 | <not specified>
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| 278 | Plan Name:
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| 279 | This plan has already been inactivated!
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| 280 | Do you wish to reactivate this plan
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| 281 | To reactivate this plan, answer 'YES.' Otherwise, answer 'NO.'
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| 282 | There are still subscribers to this plan. The plan cannot be deleted.
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| 283 | There are still subscribers to this plan! Reactivating the plan will activate
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| 284 | the policies of these subscribers.
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| 285 | Is it okay to continue
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| 286 | Answer 'YES' to reactivate this plan. Otherwise, answer 'NO.'
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| 287 | The plan was not reactivated.
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| 288 | Reactivating the plan...
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| 289 | Please note there are no subscribers to this plan.
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| 290 | Updating the 'Covered by Insurance?' field for all plan subscribers...
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| 291 | If you wish to delete this inactive plan, answer 'YES.' Otherwise, answer 'NO.'
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| 292 | The plan was not deleted.
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| 293 | Deleting the plan...
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| 294 | If you wish to change the subscribed-to plan of ALL policies which are
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| 295 | currently associated with this plan, enter 'YES.' Otherwise, enter 'NO.'
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| 296 | You may only repoint all policies to a single plan. If you enter 'NO,'
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| 297 | you will receive a mailman message of all the inactivated policies which
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| 298 | will result from inactivating the plan, and then you may use the 'Change
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| 299 | Policy Plan' action to change the subscribed-to plan on an individual basis.
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| 300 | The policies will not be re-pointed. You will receive a mail message of
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| 301 | all the subscribers to this plan if you choose to inactivate it.
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| 302 | Deleting the newly-added plan...
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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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