English French Notes Complete/Exclude New Policy: Previous Policy(s): Buffer Policy(s): Possible billable Inpt. Care: Possible billable Opt. Care: Added by: No Previous Policies On file! Insurance Co. Subscriber ID Group Holder Effective Expires Too many to list Outpatient Visit on No Scheduled appointments found. Currently an Inpatient on Entry Added to Claims Tracking for Current Admission. Previously an inpatient on ward Inpatient Admission on No Admissions found. No Insurance Buffer entries for this Patient. Ind. Plan You should prepare a claim to be sent to the CHAMPVA Center. This claim was sent to the CHAMPUS Supplemental insurance carrier. You should send a copayment charge to the patient. You should prepare a claim to send to the CHAMPUS Fiscal Intermediary. The patient has a CHAMPUS Supplemental policy. There is a payor associated with this claim. You may need to prepare a claim to be sent to Notification of Subsequent Payor A payment has been made on the following claim, which has been identified as potentially having a subsequent payor: Bill Number: Bill Type: Orig Amount: $ Amount Paid: $ Bill Sequence: Bill Payer: Primary Carrier: Secondary Carrier: Tertiary Carrier: Insurance Company Information for: Type of Company: Appeals Office Information Company Name: Inquiry Office Information Inpatient Claims Office Information Outpatient Claims Office Information Billing Parameters Signature Required?: One Opt. Visit: Rx Refill Rev. Code: Filing Time Frame: Type Of Coverage: Hosp. Provider No.: Prof. Provider No.: Primary Form Type: Verification Phone: Precert Comp. Name: Bin Number: Max # Test Bills/Day: Electronic Type: Electronic Transmit?: YES-LIVE TEST ONLY Main Mailing Address Claim Off. ID: Payer Information/Electronic Insurance Verification Payer Application data is not defined! Auto-Accept Info: Ident Req Subscr ID: SSN = Subscr ID: ...edit to see more... IB INSURANCE SUPERVISOR You do not have access to Inactivate entries. See your application coordinator. Prescription Claims Office Information Provider ID Parameters Please note that Insurance Reviews have been conducted with this company!! IS CURRENTLY . DO YOU WISH TO Company should be INACTIVE if it is no longer active in your area. This will disallow users from selecting this insurance company entry. THERE ARE NO PATIENTS IS ONE PATIENT ARE MORE THAN 20 PATIENTS ARE COVERED BY THIS INSURANCE COMPANY.... DO YOU WISH TO PRINT THE NAME OF THIS PATIENT A LIST OF ALL OF THE PATIENTS *** You will need a 132 column printer for this report. *** PATIENTS WITH INACTIVATED INSURANCE DO YOU WISH TO REPOINT THIS PATIENT THESE PATIENTS TO ANOTHER INSURANCE COMPANY REPOINT TO WHICH (ACTIVE) INSURANCE COMPANY: ARE YOU REALLY SURE YOU WISH TO INACTIVATE You are about to change to inactive. This means you will no longer be able to bill for its patients' charges. PATIENTS WITH IR? EXP DATE SUBSCR ID WHOSE INS Name Missing> Utilization Review Info Require UR: Require Amb Cert: Require Pre-Cert: Exclude Pre-Cond: Annual Benefit Dates No Annual Benefits Information *More dates on file - use AB to see them No User Information Entered By: Entered On: Last Updated By: Last Updated On: Plan Comments Active Plans for: Insurance Company * => Inactive Plan Pre- Pre- Ben Plan Information for: ** Plan Currently Ina Plan Coverage Limitations Coverage Effective Date Covered? Limit Comments BY DEFAULT UNKNOWN This Insurance Company does not exist! This Insurance Company is still active! You must use the 'Inactivate Company' action to inactivate this company before you can delete it. There are still patient policies with this company! These policies must be deleted or re-pointed to another company before you can delete the company. There are still Insurance Plans on file with this company! These plans Is it okay to this company information into the other The company was not deleted. >> Merging known Insurance Reviews into >> Merging known bills and receivables into AR Error: All done. for deletion... >> Queuing the final clean-up job... This job is already queued as task number IB - INSURANCE COMPANY DELETION The job has been queued to run . The task number is Unable to queue this job. Please contact your IRM Service. Insurance Company Deletion Clean-up Completion The final clean-up for deleted Insurance Company(s) has completed. Job Start Time: Job End Time: DELETED COMPANY REPOINTED TO not repointed 1. Correction of the Disposition (sub-file #2.101) field 'INJURING PARTIES INSURANCE' (#25) Number of Disposition records updated: The following dispositions had this field deleted and not merged: REPOINT PATIENTS TO^.16 CLAIMS (INPT) COMPANY NAME^.127 PRECERT COMPANY NAME^.139 APPEALS COMPANY NAME^.147 CLAIMS (OPT) COMPANY NAME^.167 CLAIMS (RX) COMPANY NAME^.187 2. Correction of other Insurance Company (file #36) records: Number of records with ' The following companies had this field deleted and not merged: 3. Correction of the Insurance Review (file #356.2) field 'INSURANCE COMPANY CONTACTED' (#.08) Number of Insurance Review records updated: The following Insurance reviews had this field deleted and not merged: PRIMARY INSURANCE CARRIER^101 SECONDARY INSURANCE CARRIER^102 TERTIARY INSURANCE CARRIER^103 4. Correction of Bill/Claims (file #399) records: The following bills had this field deleted and not merged: 5. Number of updated secondary and tertiary carriers of AR receivables: >> This company is not established as a debtor in Accounts Receivable. >> There is a debtor, but no bills, for this company in Accounts Receivable. >> There is billing activity associated with this company! >> There are known Insurance Reviews associated with this company. ** This company may be deleted from your system without merging. ** You must merge the information from this company into another company! Please note that insurance policy and plan information was repointed to: ctive Company) Select Company to Merge Information: No 'merge' company selected! This company is not established as a debtor in Accounts Receivable! It will be established as a debtor prior to merging the billing activity. This action is designed to allow the deletion of Insurance companies which meet one of the following criteria: o The company was entered by error, and there is little or no insurance or billing activity associated with the company. o The company is really the same company as another entry in your file and you wish to merge all activity for the company to the other entry. It is not necessary, nor desirable, to delete every company which is inactive. There may be entries in various files which point to which are not immediately obvious. Merg Delet ing this company will cause a background job to be queued later in the day which will find all such entries and delete or merge these pointers as necessary. You will receive a mail message from the system when this job is complete. Please note that there is a potential problem where pointers will be deleted when there is no company into which the pointed fields may be merged. The mail message will indicate which records those are so they may be reviewed. If you wish to delete this company, enter 'YES.' Otherwise, enter 'NO.' If you enter 'YES,' all information pertaining to will be repointed to will then be flagged for deletion from your system. If you do not want this action to occur, enter 'NO.' IB,0),0) Amt. of Ded. Met: Coord. of Ben. Data: Outpatient Deductibles Deduct. Met?: Amt. of Ded. Met: MH Ded. (Opt.) Met?: Amt. of MH Ded. Met: Amt. Lifet. Max. Used: Amt. MH Lifet. Max. Used: Inpatient Deductibles MH Ded. (Inpt.) Met?: Amt. Lifet. Max Used: Amt. MH Lifet. Max Used: The way we store and think about patient insurance information has been dramatically changed. We are separating out information that is specific to an insurance company, specific to the patient, specific to the group plan, specific to the annual benefits available, and the annual benefits already To start, you must select the insurance company for the patient's policy. Now you may enter the patient specific policy information. Most of these fields will be familiar to experienced users. The field 'SUBSCRIBER ID' used to be called 'INSURANCE NUMBER' and has been modified to allow entering just 'SS' to retrieve the patients SSN. This field is the identifier for the policy or patient that the carrier uses. See the new help. You can now edit information specific to the PLAN. Remember, updating PLAN information will affect all patients with this plan, if it is a group plan, and not just the current patient. Each Insurance policy entry for a patient must be associated with an Insurance Plan offered by the Insurance company you just selected. You will be given a choice of selecting previously entered Group Plans or you may enter a new one. If you enter a new Insurance Plan you must enter whether or not this is a group or individual plan. IBCN NEW INSURANCE EVENTS This plan has no company! Please contact your IRM for assistance. This action will allow you to inactivate an insurance plan. Inactivating a plan will inactivate all current subscribers to the plan. Do you wish to inactivate another plan To inactivate another plan, answer 'YES.' Otherwise, answer 'NO.' This is not a valid insurance plan! You cannot inactivate an Individual Plan! You must either delete the policy using the 'Delete Policy' action, or change the plan to which the patient has subscribed, using the action 'Change Policy Plan'. There are no subscribers to this plan. Would you like to inactivate it There are currently subscribers to this plan. ** There are Annual Benefits associated with this plan! ** There are Benefits Used associated with this plan! Would you like to re-point these policies to a new plan Okay to inactivate this plan Plan Number: Plan Name: This plan has already been inactivated! Do you wish to reactivate this plan To reactivate this plan, answer 'YES.' Otherwise, answer 'NO.' There are still subscribers to this plan. The plan cannot be deleted. There are still subscribers to this plan! Reactivating the plan will activate the policies of these subscribers. Is it okay to continue Answer 'YES' to reactivate this plan. Otherwise, answer 'NO.' The plan was not reactivated. Reactivating the plan... Please note there are no subscribers to this plan. Updating the 'Covered by Insurance?' field for all plan subscribers... If you wish to delete this inactive plan, answer 'YES.' Otherwise, answer 'NO.' The plan was not deleted. Deleting the plan... If you wish to change the subscribed-to plan of ALL policies which are currently associated with this plan, enter 'YES.' Otherwise, enter 'NO.' You may only repoint all policies to a single plan. If you enter 'NO,' you will receive a mailman message of all the inactivated policies which will result from inactivating the plan, and then you may use the 'Change Policy Plan' action to change the subscribed-to plan on an individual basis. The policies will not be re-pointed. You will receive a mail message of all the subscribers to this plan if you choose to inactivate it. Deleting the newly-added plan... #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### ####################