| 1 | English French  Notes   Complete/Exclude | 
|---|
| 2 | If you want to merge the patient's current benefits used into the | 
|---|
| 3 | newly-proposed plan, enter 'YES'.  Otherwise, enter 'NO' and these | 
|---|
| 4 | benefits used will be deleted. | 
|---|
| 5 | offers no other active group plans! | 
|---|
| 6 | No plan selected! | 
|---|
| 7 | You may | 
|---|
| 8 | repoint these policies | 
|---|
| 9 | change the policy plan | 
|---|
| 10 | to a newly-added plan. | 
|---|
| 11 | No Insurance Plan has been added or selected. | 
|---|
| 12 | To inactivate this plan, answer 'YES.'  Otherwise, answer 'NO.' | 
|---|
| 13 | Is it okay to inactivate this plan | 
|---|
| 14 | The plan was not inactivated. | 
|---|
| 15 | Inactivating the plan... | 
|---|
| 16 | Building the list of inactivated subscriptions to send to you... | 
|---|
| 17 | IBSUB-LIST | 
|---|
| 18 | SUBSCRIPTION LIST FOR INACTIVATED PLAN | 
|---|
| 19 | The following plan offered by | 
|---|
| 20 | has been inactivated: | 
|---|
| 21 | Group Plan Number: | 
|---|
| 22 | <no number> | 
|---|
| 23 | Plan Number: | 
|---|
| 24 | <no name> | 
|---|
| 25 | The following plan subscriptions, which may have been active, were | 
|---|
| 26 | automatically inactivated: | 
|---|
| 27 | Patient Name/ID             Whose    Employer              Effective  Expires | 
|---|
| 28 | You should review this list and change the policy plan for any of | 
|---|
| 29 | these subscriptions if necessary. | 
|---|
| 30 | Repointing all policies to the new plan... | 
|---|
| 31 | All policies have been re-pointed to the new plan. | 
|---|
| 32 | There were no Benefits Used merged or deleted. | 
|---|
| 33 | Benefits Used record | 
|---|
| 34 | ** Please Note ** | 
|---|
| 35 | The selected plan has no Annual Benefits with which to associate | 
|---|
| 36 | the Benefits Used from the current plan! | 
|---|
| 37 | If you re-point all policies to this plan, the Benefits Used for | 
|---|
| 38 | the current plan will be deleted!! | 
|---|
| 39 | The selected plan has Annual Benefits on file.  Should the repointing | 
|---|
| 40 | of the policies attempt to merge all transferable benefits | 
|---|
| 41 | Do you still wish to re-point these policies to a new plan | 
|---|
| 42 | Inactivate another plan offered by the same company | 
|---|
| 43 | To inactivate another plan from this company, answer 'YES.'  To switch companies, answer 'NO.' | 
|---|
| 44 | Select PLAN COMPANY: | 
|---|
| 45 | Do you wish to directly enter this plan | 
|---|
| 46 | The look-up facility to select | 
|---|
| 47 | an active | 
|---|
| 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. | 
|---|
| 49 | an Active | 
|---|
| 50 | GROUP PLAN: | 
|---|
| 51 | This policy is not valid! | 
|---|
| 52 | This action will allow you to change the insurance plan to which the | 
|---|
| 53 | veteran is subscribing through this policy. | 
|---|
| 54 | Can't change subscribed-to plan... | 
|---|
| 55 | *** Please note that this Individual Plan will be deleted if you select | 
|---|
| 56 | to switch plans associated with this policy. | 
|---|
| 57 | This patient has Benefits Used associated with his current plan and policy! | 
|---|
| 58 | The newly proposed subscribed-to plan has no associated Annual Benefits, | 
|---|
| 59 | so the Benefits Used associated with the current plan will be deleted! | 
|---|
| 60 | Please note that | 
|---|
| 61 | Benefits Used are transferable. | 
|---|
| 62 | All Benefits Used | 
|---|
| 63 | Note that those Benefits Used which cannot be merged | 
|---|
| 64 | will be deleted! | 
|---|
| 65 | Do you want to merge the transferable Benefits Used | 
|---|
| 66 | The transferable | 
|---|
| 67 | Benefits Used will be | 
|---|
| 68 | Okay to change the subscribed-to plan | 
|---|
| 69 | The subscribed-to plan for this policy was not changed. | 
|---|
| 70 | Changing the subscribed-to plan... | 
|---|
| 71 | Deleting the formerly subscribed-to Individual Plan... | 
|---|
| 72 | There are no longer any subscribers to the previous plan.  You may wish | 
|---|
| 73 | to inactivate or delete this plan using the 'Inactivate Plan' action. | 
|---|
| 74 | There is no plan associated with this policy! | 
|---|
| 75 | Please use the action 'Change Plan Info', which will create a plan | 
|---|
| 76 | for the policy. | 
|---|
| 77 | Please note that this is an Individual Plan. | 
|---|
| 78 | This plan is currently inactive. | 
|---|
| 79 | There are Benefits Used associated with this plan! | 
|---|
| 80 | This patient has riders associated with this policy! | 
|---|
| 81 | There are insurance reviews associated with this policy. | 
|---|
| 82 | Existing Benefit Used Yr | 
|---|
| 83 | Annual Benefit for Proposed Plan | 
|---|
| 84 | Merge BU? | 
|---|
| 85 | Merging previous benefits used into the new plan... | 
|---|
| 86 | Deleting previous benefits used... | 
|---|
| 87 | If you change the plan for this policy, | 
|---|
| 88 | all existing benefits will be deleted. | 
|---|
| 89 | all existing benefits will be merged. | 
|---|
| 90 | all transferable benefits | 
|---|
| 91 | will be merged.  All others will be deleted. | 
|---|
| 92 | Do you wish to add a new Insurance Plan | 
|---|
| 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'. | 
|---|
| 94 | IS THIS A GROUP PLAN | 
|---|
| 95 | Searching for potential duplicate plans offered by | 
|---|
| 96 | No potential duplicate plans have been identified. | 
|---|
| 97 | The following plans have been identified as potential duplicates: | 
|---|
| 98 | PLAN? | 
|---|
| 99 | <NO PLAN NUM> | 
|---|
| 100 | <NO PLAN NAME> | 
|---|
| 101 | Do you still want to add a new plan with Plan Name | 
|---|
| 102 | and Plan Number | 
|---|
| 103 | <NO PLAN NUMBER> | 
|---|
| 104 | This process will allow you to transfer subscribers from many insurance | 
|---|
| 105 | plans into one 'master' plan.  After the subscribers from each selected | 
|---|
| 106 | plan are transferred to the master plan, the selected plan will be deleted | 
|---|
| 107 | from your system. | 
|---|
| 108 | You should be very careful when you use this tool. | 
|---|
| 109 | You must first select the master plan into which you will transfer all | 
|---|
| 110 | selected plan subscribers.  This plan must be an active group plan. | 
|---|
| 111 | Annual Benefits have been established for this plan. | 
|---|
| 112 | This plan has no Annual Benefits on file!  Do you wish to continue | 
|---|
| 113 | If you wish to continue with this processing, enter 'YES.'  Otherwise, enter 'NO.' | 
|---|
| 114 | Please note that any Benefits Used on file for subscribers who | 
|---|
| 115 | will be merged into the master plan will be deleted! | 
|---|
| 116 | Any Benefits Used on file for subscribers who will be merged into the | 
|---|
| 117 | master plan will also be merged if the master plan has any Annual Benefits | 
|---|
| 118 | dated in the same year as the Benefits Used.  Please note that the | 
|---|
| 119 | Benefits Used date will be changed to match the date of the Annual Benefit. | 
|---|
| 120 | You may now select the plans to be merged into the master plan... (type <CR>) | 
|---|
| 121 | No plans were selected! | 
|---|
| 122 | selected to be merged into the master plan. | 
|---|
| 123 | Okay to merge th | 
|---|
| 124 | into the master plan | 
|---|
| 125 | If you wish to merge the selected plans into the master plan, enter 'YES.'  Otherwise, enter 'NO.' | 
|---|
| 126 | Merging each selected plan into the master plan... | 
|---|
| 127 | All selected plans have been deleted. | 
|---|
| 128 | transferred to the master plan. | 
|---|
| 129 | had the date changed) | 
|---|
| 130 | Plan Company: | 
|---|
| 131 | Do you wish to delete multiple plans simultaneously | 
|---|
| 132 | If you wish to transfer subscribers from many duplicate plans into a master plan, enter 'YES.'  To inactivate a single plan, enter 'NO.' | 
|---|
| 133 | IBCNS PLAN LIST | 
|---|
| 134 | You cannot inactivate an individual plan. | 
|---|
| 135 | IBCNS INS CO PLAN DETAIL | 
|---|
| 136 | You may now enter comments about this plan. | 
|---|
| 137 | Do you want to see the list of plans for this insurance company | 
|---|
| 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. | 
|---|
| 139 | coverage category -OR- | 
|---|
| 140 | Press ENTER if selection is complete | 
|---|
| 141 | 'ALL' to select all coverage categories | 
|---|
| 142 | This category already selected. | 
|---|
| 143 | Coverage Category: | 
|---|
| 144 | Editing existing record. | 
|---|
| 145 | A new record will be added for this EFFECTIVE DATE/coverage category. | 
|---|
| 146 | New record added. | 
|---|
| 147 | Do you want to exit this function now | 
|---|
| 148 | No current dates on file for this plan. | 
|---|
| 149 | Current dates on file for this plan: | 
|---|
| 150 | (and more) | 
|---|
| 151 | Enter a coverage category to add/edit coverage limitations for. | 
|---|
| 152 | Enter ALL to select all coverage categories. | 
|---|
| 153 | You may enter multiple coverage categories by entering them one at a time. | 
|---|
| 154 | After you have selected all needed categories, press ENTER at this prompt to | 
|---|
| 155 | An effective date later than the one you selected | 
|---|
| 156 | already exists for | 
|---|
| 157 | Are you sure you want to | 
|---|
| 158 | this earlier date for the category | 
|---|
| 159 | Select Patient Name or Insurance Co. | 
|---|
| 160 | No Insurance Policies on file for this patient. | 
|---|
| 161 | Verification of No Coverage | 
|---|
| 162 | Insurance Management for Patient: | 
|---|
| 163 | REPORT OF NEW NOT VERIFIED INSURANCE | 
|---|
| 164 | You can't delete this policy, there are bills associated with it. | 
|---|
| 165 | Please note that there are Insurance Reviews associated with this policy!! | 
|---|
| 166 | Are You Sure you want to delete policy # | 
|---|
| 167 | not Deleted! | 
|---|
| 168 | WARNING: Patient Name: ' | 
|---|
| 169 | '  DOES NOT MATCH | 
|---|
| 170 | Name of Insured: ' | 
|---|
| 171 | ' for this | 
|---|
| 172 | LAST VERIFIED BY | 
|---|
| 173 | COVERAGE VERIFIED TODAY, | 
|---|
| 174 | NEVER PREVIOUSLY VERIFIED.  DO YOU WISH TO VERIFY COVERAGE | 
|---|
| 175 | ARE YOU RE-VERIFYING COVERAGE TODAY | 
|---|
| 176 | VERIFIED BY | 
|---|
| 177 | Patient has no effective insurance coverage on file. | 
|---|
| 178 | Re-v | 
|---|
| 179 | erify that patient has No Insurance Coverage | 
|---|
| 180 | Enter 'Yes' to enter a Verification of No Coverage Date | 
|---|
| 181 | <Try again Later> | 
|---|
| 182 | COVERED BY HEALTH INSURANCE changed to ' | 
|---|
| 183 | NKNOWN' | 
|---|
| 184 | Select the Insurance Company for the policy you are entering | 
|---|
| 185 | This company does not reimburse. | 
|---|
| 186 | Warning: Inactive Company | 
|---|
| 187 | The patient currently has the following Insurance Policies | 
|---|
| 188 | Can't identify the policy! | 
|---|
| 189 | This company does not offer any active group plans. | 
|---|
| 190 | This company offers active group plans.  Do you wish to select one | 
|---|
| 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. | 
|---|
| 192 | Select an Active GROUP PLAN: | 
|---|
| 193 | Select GROUP INSURANCE PLAN: | 
|---|
| 194 | WARNING:  The expiration date for this policy is in the future! | 
|---|
| 195 | Normally this is a past date or left blank or a past date | 
|---|
| 196 | GROUP NAME: | 
|---|
| 197 | GROUP NUMBER: | 
|---|
| 198 | WARNING:  This appears to be an expired policy! | 
|---|
| 199 | WARNING:  This insurance company is INACTIVE! | 
|---|
| 200 | Since you have changed the Insurance Company to | 
|---|
| 201 | you must now change the Insurance Plan to which this veteran | 
|---|
| 202 | is subscribing to one which is offered by this company! | 
|---|
| 203 | The current policy plan has Benefits Used associated with it! | 
|---|
| 204 | If you add or select another plan to associate with this policy, | 
|---|
| 205 | these Benefits Used will be deleted! | 
|---|
| 206 | ***  Please note:  Since the veteran's current plan is an Individual Plan, | 
|---|
| 207 | this plan will be deleted if you add or select a new | 
|---|
| 208 | plan to associate with this policy. | 
|---|
| 209 | A new plan was not added or selected! | 
|---|
| 210 | Changing the policy company back to | 
|---|
| 211 | Changing the policy plan... | 
|---|
| 212 | current Individual | 
|---|
| 213 | plan for | 
|---|
| 214 | Deleting current Benefits Used... | 
|---|
| 215 | Repointing all Insurance Reviews to | 
|---|
| 216 | The policy company and plan company are not the same!! | 
|---|
| 217 | This inconsistency probably occurred in the past when changing | 
|---|
| 218 | the policy company through Screen 5 of Registration. | 
|---|
| 219 | You must resolve this inconsistency.  If you do not choose a new plan | 
|---|
| 220 | offered by the policy company, the policy company will be changed to | 
|---|
| 221 | the plan company ( | 
|---|
| 222 | Enter Medicare Claim Number (Subscriber ID) exactly as it | 
|---|
| 223 | appears on the Medicare Insurance Card including All Characters. | 
|---|
| 224 | Valid HICN formats are:  1-3 alpha characters followed by 6 or 9 digits, | 
|---|
| 225 | or 9 digits followed by 1 alpha character optionally followed by another | 
|---|
| 226 | alpha character or 1 digit. | 
|---|
| 227 | DATE OF PREVIOUS ENTRY IS | 
|---|
| 228 | MOST RECENT ENTRY IS | 
|---|
| 229 | .  ENTRY CANNOT BE MORE THAN A YEAR OLD. | 
|---|
| 230 | YOU MAY PRINT ENTRY UNDER 'PC'. | 
|---|
| 231 | INSURANCE MANAGEMENT WORKSHEET | 
|---|
| 232 | INSURANCE COVERAGE FOR | 
|---|
| 233 | CURRENT ENTRY | 
|---|
| 234 | NEXT-MOST-CURRENT ENTRY | 
|---|
| 235 | PT ID: | 
|---|
| 236 | DOB: | 
|---|
| 237 | For YEAR: | 
|---|
| 238 | Ins. Type: | 
|---|
| 239 | No Benefit Years on File.  Do you want to fill out a worksheet | 
|---|
| 240 | ** INSURANCE COMPANY ** | 
|---|
| 241 | ** PLAN INFO, UR ** | 
|---|
| 242 | Company: | 
|---|
| 243 | Require UR?: | 
|---|
| 244 | Street: | 
|---|
| 245 | Require Pre-cert?: | 
|---|
| 246 | Street 2: | 
|---|
| 247 | Benefits Assignable?: | 
|---|
| 248 | Precert Phone: | 
|---|
| 249 | Subscriber ID: | 
|---|
| 250 | Verification Phone: | 
|---|
| 251 | Insured's Name: | 
|---|
| 252 | Filing Time Frame: | 
|---|
| 253 | * ANNUAL BENEFITS * | 
|---|
| 254 | ** INPATIENT ANNUAL BENEFITS ** | 
|---|
| 255 | ** OUTPATIENT ANNUAL BENEFITS ** | 
|---|
| 256 | Annual Ded ($): | 
|---|
| 257 | Per Admis Ded ($): | 
|---|
| 258 | Per Visit Ded ($): | 
|---|
| 259 | Inpt Lifet Max ($): | 
|---|
| 260 | Lifet Max ($): | 
|---|
| 261 | Inpt Annual Max ($): | 
|---|
| 262 | Annual Max ($): | 
|---|
| 263 | Room & Board (%): | 
|---|
| 264 | Visit (%): | 
|---|
| 265 | Drug/Alc Lifet Max ($): | 
|---|
| 266 | Max Visits/Yr: | 
|---|
| 267 | Drug/Alc An Max ($): | 
|---|
| 268 | Surgery (%): | 
|---|
| 269 | Nursing Home (%): | 
|---|
| 270 | Emergency (%): | 
|---|
| 271 | Other Inpt Charges (%): | 
|---|
| 272 | Prescription (%): | 
|---|
| 273 | Adult Day Health Care?: | 
|---|
| 274 | Dnt Cov Type (NONE/PER VIS $ / % AMT): | 
|---|
| 275 | Dental Cov ($): | 
|---|
| 276 | Dental Cov (%): | 
|---|
| 277 | Dental Cov $ Or %: | 
|---|
| 278 | ** MENTAL HEALTH INPATIENT ** | 
|---|
| 279 | ** MENTAL HEALTH OUTPATIENT ** | 
|---|
| 280 | MH Inpt Max Days/Year: | 
|---|
| 281 | MH Opt Max Days/Year: | 
|---|
| 282 | MH Lifet Inpt Max ($): | 
|---|
| 283 | MH Lifet Opt Max ($): | 
|---|
| 284 | MH Annual Inpt Max ($): | 
|---|
| 285 | MH Annual Opt Max ($): | 
|---|
| 286 | MH Inpt (%): | 
|---|
| 287 | MH Opt (%): | 
|---|
| 288 | ** HOME HEALTH CARE ** | 
|---|
| 289 | Care Level: | 
|---|
| 290 | Visits/Year: | 
|---|
| 291 | Max Days/Year: | 
|---|
| 292 | Med Equipment (%): | 
|---|
| 293 | Visit Definition: | 
|---|
| 294 | ** IV MANAGEMENT ** | 
|---|
| 295 | OT Visits/Yr: | 
|---|
| 296 | IV Infusion Opt?: | 
|---|
| 297 | PT Visits/Yr: | 
|---|
| 298 | IV Infusion Inpt?: | 
|---|
| 299 | ST Visits/Yr: | 
|---|
| 300 | IV Antibiotics Opt?: | 
|---|
| 301 | Med Cnslg Visits/Yr: | 
|---|
| 302 | IV Antibiotics Inpt?: | 
|---|
| 303 | ####################    ####################    #################### | 
|---|
| 304 | ####################    ####################    #################### | 
|---|
| 305 | ####################    ####################    #################### | 
|---|
| 306 | ####################    ####################    #################### | 
|---|
| 307 | ####################    ####################    #################### | 
|---|