| [604] | 1 | English French  Notes   Complete/Exclude | 
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|  | 2 | If you want to merge the patient's current benefits used into the | 
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|  | 3 | newly-proposed plan, enter 'YES'.  Otherwise, enter 'NO' and these | 
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|  | 4 | benefits used will be deleted. | 
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|  | 5 | offers no other active group plans! | 
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|  | 6 | No plan selected! | 
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|  | 7 | You may | 
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|  | 8 | repoint these policies | 
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|  | 9 | change the policy plan | 
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|  | 10 | to a newly-added plan. | 
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|  | 11 | No Insurance Plan has been added or selected. | 
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|  | 12 | To inactivate this plan, answer 'YES.'  Otherwise, answer 'NO.' | 
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|  | 13 | Is it okay to inactivate this plan | 
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|  | 14 | The plan was not inactivated. | 
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|  | 15 | Inactivating the plan... | 
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|  | 16 | Building the list of inactivated subscriptions to send to you... | 
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|  | 17 | IBSUB-LIST | 
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|  | 18 | SUBSCRIPTION LIST FOR INACTIVATED PLAN | 
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|  | 19 | The following plan offered by | 
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|  | 20 | has been inactivated: | 
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|  | 21 | Group Plan Number: | 
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|  | 22 | <no number> | 
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|  | 23 | Plan Number: | 
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|  | 24 | <no name> | 
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|  | 25 | The following plan subscriptions, which may have been active, were | 
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|  | 26 | automatically inactivated: | 
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|  | 27 | Patient Name/ID             Whose    Employer              Effective  Expires | 
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|  | 28 | You should review this list and change the policy plan for any of | 
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|  | 29 | these subscriptions if necessary. | 
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|  | 30 | Repointing all policies to the new plan... | 
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|  | 31 | All policies have been re-pointed to the new plan. | 
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|  | 32 | There were no Benefits Used merged or deleted. | 
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|  | 33 | Benefits Used record | 
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|  | 34 | ** Please Note ** | 
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|  | 35 | The selected plan has no Annual Benefits with which to associate | 
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|  | 36 | the Benefits Used from the current plan! | 
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|  | 37 | If you re-point all policies to this plan, the Benefits Used for | 
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|  | 38 | the current plan will be deleted!! | 
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|  | 39 | The selected plan has Annual Benefits on file.  Should the repointing | 
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|  | 40 | of the policies attempt to merge all transferable benefits | 
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|  | 41 | Do you still wish to re-point these policies to a new plan | 
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|  | 42 | Inactivate another plan offered by the same company | 
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|  | 43 | To inactivate another plan from this company, answer 'YES.'  To switch companies, answer 'NO.' | 
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|  | 44 | Select PLAN COMPANY: | 
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|  | 45 | Do you wish to directly enter this plan | 
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|  | 46 | The look-up facility to select | 
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|  | 47 | an active | 
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|  | 48 | group plan has been enhanced to use the List Manager.  Enter 'NO' if you wish to select a plan from this look-up, or 'YES' to directly enter the plan. | 
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|  | 49 | an Active | 
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|  | 50 | GROUP PLAN: | 
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|  | 51 | This policy is not valid! | 
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|  | 52 | This action will allow you to change the insurance plan to which the | 
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|  | 53 | veteran is subscribing through this policy. | 
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|  | 54 | Can't change subscribed-to plan... | 
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|  | 55 | *** Please note that this Individual Plan will be deleted if you select | 
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|  | 56 | to switch plans associated with this policy. | 
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|  | 57 | This patient has Benefits Used associated with his current plan and policy! | 
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|  | 58 | The newly proposed subscribed-to plan has no associated Annual Benefits, | 
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|  | 59 | so the Benefits Used associated with the current plan will be deleted! | 
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|  | 60 | Please note that | 
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|  | 61 | Benefits Used are transferable. | 
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|  | 62 | All Benefits Used | 
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|  | 63 | Note that those Benefits Used which cannot be merged | 
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|  | 64 | will be deleted! | 
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|  | 65 | Do you want to merge the transferable Benefits Used | 
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|  | 66 | The transferable | 
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|  | 67 | Benefits Used will be | 
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|  | 68 | Okay to change the subscribed-to plan | 
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|  | 69 | The subscribed-to plan for this policy was not changed. | 
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|  | 70 | Changing the subscribed-to plan... | 
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|  | 71 | Deleting the formerly subscribed-to Individual Plan... | 
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|  | 72 | There are no longer any subscribers to the previous plan.  You may wish | 
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|  | 73 | to inactivate or delete this plan using the 'Inactivate Plan' action. | 
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|  | 74 | There is no plan associated with this policy! | 
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|  | 75 | Please use the action 'Change Plan Info', which will create a plan | 
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|  | 76 | for the policy. | 
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|  | 77 | Please note that this is an Individual Plan. | 
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|  | 78 | This plan is currently inactive. | 
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|  | 79 | There are Benefits Used associated with this plan! | 
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|  | 80 | This patient has riders associated with this policy! | 
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|  | 81 | There are insurance reviews associated with this policy. | 
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|  | 82 | Existing Benefit Used Yr | 
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|  | 83 | Annual Benefit for Proposed Plan | 
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|  | 84 | Merge BU? | 
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|  | 85 | Merging previous benefits used into the new plan... | 
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|  | 86 | Deleting previous benefits used... | 
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|  | 87 | If you change the plan for this policy, | 
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|  | 88 | all existing benefits will be deleted. | 
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|  | 89 | all existing benefits will be merged. | 
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|  | 90 | all transferable benefits | 
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|  | 91 | will be merged.  All others will be deleted. | 
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|  | 92 | Do you wish to add a new Insurance Plan | 
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|  | 93 | If you have identified a new plan that has not been previously entered, and you wish to add it, answer 'YES'.  If you do not wish to add a new plan, enter 'NO'. | 
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|  | 94 | IS THIS A GROUP PLAN | 
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|  | 95 | Searching for potential duplicate plans offered by | 
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|  | 96 | No potential duplicate plans have been identified. | 
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|  | 97 | The following plans have been identified as potential duplicates: | 
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|  | 98 | PLAN? | 
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|  | 99 | <NO PLAN NUM> | 
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|  | 100 | <NO PLAN NAME> | 
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|  | 101 | Do you still want to add a new plan with Plan Name | 
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|  | 102 | and Plan Number | 
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|  | 103 | <NO PLAN NUMBER> | 
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|  | 104 | This process will allow you to transfer subscribers from many insurance | 
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|  | 105 | plans into one 'master' plan.  After the subscribers from each selected | 
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|  | 106 | plan are transferred to the master plan, the selected plan will be deleted | 
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|  | 107 | from your system. | 
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|  | 108 | You should be very careful when you use this tool. | 
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|  | 109 | You must first select the master plan into which you will transfer all | 
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|  | 110 | selected plan subscribers.  This plan must be an active group plan. | 
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|  | 111 | Annual Benefits have been established for this plan. | 
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|  | 112 | This plan has no Annual Benefits on file!  Do you wish to continue | 
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|  | 113 | If you wish to continue with this processing, enter 'YES.'  Otherwise, enter 'NO.' | 
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|  | 114 | Please note that any Benefits Used on file for subscribers who | 
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|  | 115 | will be merged into the master plan will be deleted! | 
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|  | 116 | Any Benefits Used on file for subscribers who will be merged into the | 
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|  | 117 | master plan will also be merged if the master plan has any Annual Benefits | 
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|  | 118 | dated in the same year as the Benefits Used.  Please note that the | 
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|  | 119 | Benefits Used date will be changed to match the date of the Annual Benefit. | 
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|  | 120 | You may now select the plans to be merged into the master plan... (type <CR>) | 
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|  | 121 | No plans were selected! | 
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|  | 122 | selected to be merged into the master plan. | 
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|  | 123 | Okay to merge th | 
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|  | 124 | into the master plan | 
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|  | 125 | If you wish to merge the selected plans into the master plan, enter 'YES.'  Otherwise, enter 'NO.' | 
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|  | 126 | Merging each selected plan into the master plan... | 
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|  | 127 | All selected plans have been deleted. | 
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|  | 128 | transferred to the master plan. | 
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|  | 129 | had the date changed) | 
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|  | 130 | Plan Company: | 
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|  | 131 | Do you wish to delete multiple plans simultaneously | 
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|  | 132 | If you wish to transfer subscribers from many duplicate plans into a master plan, enter 'YES.'  To inactivate a single plan, enter 'NO.' | 
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|  | 133 | IBCNS PLAN LIST | 
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|  | 134 | You cannot inactivate an individual plan. | 
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|  | 135 | IBCNS INS CO PLAN DETAIL | 
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|  | 136 | You may now enter comments about this plan. | 
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|  | 137 | Do you want to see the list of plans for this insurance company | 
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|  | 138 | Enter 'YES' if you want to use the LIST MANAGER lookup facility on the previous screen to select a plan.  Enter 'NO' to select a plan using the standard Fileman lookup. | 
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|  | 139 | coverage category -OR- | 
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|  | 140 | Press ENTER if selection is complete | 
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|  | 141 | 'ALL' to select all coverage categories | 
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|  | 142 | This category already selected. | 
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|  | 143 | Coverage Category: | 
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|  | 144 | Editing existing record. | 
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|  | 145 | A new record will be added for this EFFECTIVE DATE/coverage category. | 
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|  | 146 | New record added. | 
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|  | 147 | Do you want to exit this function now | 
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|  | 148 | No current dates on file for this plan. | 
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|  | 149 | Current dates on file for this plan: | 
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|  | 150 | (and more) | 
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|  | 151 | Enter a coverage category to add/edit coverage limitations for. | 
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|  | 152 | Enter ALL to select all coverage categories. | 
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|  | 153 | You may enter multiple coverage categories by entering them one at a time. | 
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|  | 154 | After you have selected all needed categories, press ENTER at this prompt to | 
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|  | 155 | An effective date later than the one you selected | 
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|  | 156 | already exists for | 
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|  | 157 | Are you sure you want to | 
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|  | 158 | this earlier date for the category | 
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|  | 159 | Select Patient Name or Insurance Co. | 
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|  | 160 | No Insurance Policies on file for this patient. | 
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|  | 161 | Verification of No Coverage | 
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|  | 162 | Insurance Management for Patient: | 
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|  | 163 | REPORT OF NEW NOT VERIFIED INSURANCE | 
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|  | 164 | You can't delete this policy, there are bills associated with it. | 
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|  | 165 | Please note that there are Insurance Reviews associated with this policy!! | 
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|  | 166 | Are You Sure you want to delete policy # | 
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|  | 167 | not Deleted! | 
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|  | 168 | WARNING: Patient Name: ' | 
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|  | 169 | '  DOES NOT MATCH | 
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|  | 170 | Name of Insured: ' | 
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|  | 171 | ' for this | 
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|  | 172 | LAST VERIFIED BY | 
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|  | 173 | COVERAGE VERIFIED TODAY, | 
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|  | 174 | NEVER PREVIOUSLY VERIFIED.  DO YOU WISH TO VERIFY COVERAGE | 
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|  | 175 | ARE YOU RE-VERIFYING COVERAGE TODAY | 
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|  | 176 | VERIFIED BY | 
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|  | 177 | Patient has no effective insurance coverage on file. | 
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|  | 178 | Re-v | 
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|  | 179 | erify that patient has No Insurance Coverage | 
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|  | 180 | Enter 'Yes' to enter a Verification of No Coverage Date | 
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|  | 181 | <Try again Later> | 
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|  | 182 | COVERED BY HEALTH INSURANCE changed to ' | 
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|  | 183 | NKNOWN' | 
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|  | 184 | Select the Insurance Company for the policy you are entering | 
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|  | 185 | This company does not reimburse. | 
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|  | 186 | Warning: Inactive Company | 
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|  | 187 | The patient currently has the following Insurance Policies | 
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|  | 188 | Can't identify the policy! | 
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|  | 189 | This company does not offer any active group plans. | 
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|  | 190 | This company offers active group plans.  Do you wish to select one | 
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|  | 191 | The look-up facility to select an active group plan has been enhanced to use the List Manager.  Enter 'YES' if you wish to select a plan from this look-up, or 'NO' to add your own plan. | 
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|  | 192 | Select an Active GROUP PLAN: | 
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|  | 193 | Select GROUP INSURANCE PLAN: | 
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|  | 194 | WARNING:  The expiration date for this policy is in the future! | 
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|  | 195 | Normally this is a past date or left blank or a past date | 
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|  | 196 | GROUP NAME: | 
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|  | 197 | GROUP NUMBER: | 
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|  | 198 | WARNING:  This appears to be an expired policy! | 
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|  | 199 | WARNING:  This insurance company is INACTIVE! | 
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|  | 200 | Since you have changed the Insurance Company to | 
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|  | 201 | you must now change the Insurance Plan to which this veteran | 
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|  | 202 | is subscribing to one which is offered by this company! | 
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|  | 203 | The current policy plan has Benefits Used associated with it! | 
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|  | 204 | If you add or select another plan to associate with this policy, | 
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|  | 205 | these Benefits Used will be deleted! | 
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|  | 206 | ***  Please note:  Since the veteran's current plan is an Individual Plan, | 
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|  | 207 | this plan will be deleted if you add or select a new | 
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|  | 208 | plan to associate with this policy. | 
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|  | 209 | A new plan was not added or selected! | 
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|  | 210 | Changing the policy company back to | 
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|  | 211 | Changing the policy plan... | 
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|  | 212 | current Individual | 
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|  | 213 | plan for | 
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|  | 214 | Deleting current Benefits Used... | 
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|  | 215 | Repointing all Insurance Reviews to | 
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|  | 216 | The policy company and plan company are not the same!! | 
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|  | 217 | This inconsistency probably occurred in the past when changing | 
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|  | 218 | the policy company through Screen 5 of Registration. | 
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|  | 219 | You must resolve this inconsistency.  If you do not choose a new plan | 
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|  | 220 | offered by the policy company, the policy company will be changed to | 
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|  | 221 | the plan company ( | 
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|  | 222 | Enter Medicare Claim Number (Subscriber ID) exactly as it | 
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|  | 223 | appears on the Medicare Insurance Card including All Characters. | 
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|  | 224 | Valid HICN formats are:  1-3 alpha characters followed by 6 or 9 digits, | 
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|  | 225 | or 9 digits followed by 1 alpha character optionally followed by another | 
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|  | 226 | alpha character or 1 digit. | 
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|  | 227 | DATE OF PREVIOUS ENTRY IS | 
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|  | 228 | MOST RECENT ENTRY IS | 
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|  | 229 | .  ENTRY CANNOT BE MORE THAN A YEAR OLD. | 
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|  | 230 | YOU MAY PRINT ENTRY UNDER 'PC'. | 
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|  | 231 | INSURANCE MANAGEMENT WORKSHEET | 
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|  | 232 | INSURANCE COVERAGE FOR | 
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|  | 233 | CURRENT ENTRY | 
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|  | 234 | NEXT-MOST-CURRENT ENTRY | 
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|  | 235 | PT ID: | 
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|  | 236 | DOB: | 
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|  | 237 | For YEAR: | 
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|  | 238 | Ins. Type: | 
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|  | 239 | No Benefit Years on File.  Do you want to fill out a worksheet | 
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|  | 240 | ** INSURANCE COMPANY ** | 
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|  | 241 | ** PLAN INFO, UR ** | 
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|  | 242 | Company: | 
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|  | 243 | Require UR?: | 
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|  | 244 | Street: | 
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|  | 245 | Require Pre-cert?: | 
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|  | 246 | Street 2: | 
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|  | 247 | Benefits Assignable?: | 
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|  | 248 | Precert Phone: | 
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|  | 249 | Subscriber ID: | 
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|  | 250 | Verification Phone: | 
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|  | 251 | Insured's Name: | 
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|  | 252 | Filing Time Frame: | 
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|  | 253 | * ANNUAL BENEFITS * | 
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|  | 254 | ** INPATIENT ANNUAL BENEFITS ** | 
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|  | 255 | ** OUTPATIENT ANNUAL BENEFITS ** | 
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|  | 256 | Annual Ded ($): | 
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|  | 257 | Per Admis Ded ($): | 
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|  | 258 | Per Visit Ded ($): | 
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|  | 259 | Inpt Lifet Max ($): | 
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|  | 260 | Lifet Max ($): | 
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|  | 261 | Inpt Annual Max ($): | 
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|  | 262 | Annual Max ($): | 
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|  | 263 | Room & Board (%): | 
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|  | 264 | Visit (%): | 
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|  | 265 | Drug/Alc Lifet Max ($): | 
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|  | 266 | Max Visits/Yr: | 
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|  | 267 | Drug/Alc An Max ($): | 
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|  | 268 | Surgery (%): | 
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|  | 269 | Nursing Home (%): | 
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|  | 270 | Emergency (%): | 
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|  | 271 | Other Inpt Charges (%): | 
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|  | 272 | Prescription (%): | 
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|  | 273 | Adult Day Health Care?: | 
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|  | 274 | Dnt Cov Type (NONE/PER VIS $ / % AMT): | 
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|  | 275 | Dental Cov ($): | 
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|  | 276 | Dental Cov (%): | 
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|  | 277 | Dental Cov $ Or %: | 
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|  | 278 | ** MENTAL HEALTH INPATIENT ** | 
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|  | 279 | ** MENTAL HEALTH OUTPATIENT ** | 
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|  | 280 | MH Inpt Max Days/Year: | 
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|  | 281 | MH Opt Max Days/Year: | 
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|  | 282 | MH Lifet Inpt Max ($): | 
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|  | 283 | MH Lifet Opt Max ($): | 
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|  | 284 | MH Annual Inpt Max ($): | 
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|  | 285 | MH Annual Opt Max ($): | 
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|  | 286 | MH Inpt (%): | 
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|  | 287 | MH Opt (%): | 
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|  | 288 | ** HOME HEALTH CARE ** | 
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|  | 289 | Care Level: | 
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|  | 290 | Visits/Year: | 
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|  | 291 | Max Days/Year: | 
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|  | 292 | Med Equipment (%): | 
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|  | 293 | Visit Definition: | 
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|  | 294 | ** IV MANAGEMENT ** | 
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|  | 295 | OT Visits/Yr: | 
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|  | 296 | IV Infusion Opt?: | 
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|  | 297 | PT Visits/Yr: | 
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|  | 298 | IV Infusion Inpt?: | 
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|  | 299 | ST Visits/Yr: | 
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|  | 300 | IV Antibiotics Opt?: | 
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|  | 301 | Med Cnslg Visits/Yr: | 
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|  | 302 | IV Antibiotics Inpt?: | 
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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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