| [604] | 1 | English French Notes Complete/Exclude
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| 2 | ** CURRENT PERSONAL RIDERS **
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| 3 | None Indicated
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| 4 | * BENEFITS USED *
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| 5 | ** OPT DEDUCTIBLES **
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| 6 | Ded Met?:
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| 7 | Amt of Ded Met ($):
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| 8 | Pre-exist Cond:
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| 9 | MH Ded (Opt) Met?:
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| 10 | Coord of Ben Data:
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| 11 | Amt of MH Ded Met ($):
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| 12 | Amt Lifet Max Used ($):
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| 13 | Amt MH Lifet Max Used ($):
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| 14 | ** INPT DEDUCTIBLES **
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| 15 | MH Ded (Inpt) Met?:
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| 16 | You may enter the 'Source of Information' that will be filed with all
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| 17 | Medicare insurance coverage policies that are created.
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| 18 | Enter Source of Information
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| 19 | Patient Expired on
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| 20 | This patient has more than one Part A policy. Please edit in Ins Mgmt.
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| 21 | This patient has more than one Part B policy. Please edit in Ins Mgmt.
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| 22 | * No Part A changes made...
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| 23 | * No Part B changes made...
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| 24 | <Could not create new policy at this time. Try Later!>
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| 25 | Error: Medicare (WNR) ... not setup properly
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| 26 | Verify Medicare (WNR) Part
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| 27 | Coverage Now
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| 28 | Enter 'No' to not Verify Coverage at this time.
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| 29 | COVERAGE VERIFIED.
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| 30 | added to Insurance Buffer File.
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| 31 | Warning: Could not add new policy Part
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| 32 | in Buffer File.
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| 33 | Is this Data Correct
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| 34 | Enter 'No' to edit Medicare Card information
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| 35 | Error: Standard Medicare (WNR) Insurance Company not setup properly.
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| 36 | Error: Standard Medicare (WNR) plan PART A not setup properly.
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| 37 | Error: Standard Medicare (WNR) plan PART B not setup properly.
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| 38 | NAME OF BENEFICIARY
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| 39 | Enter the Name of Beneficiary (Last name, First) from the Medicare Insurance Card. This name should be 3 to 30 characters in length.
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| 40 | HOSPITAL INSURANCE (PART A) EFFECTIVE DATE
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| 41 | Enter PART A Effective Date if shown on Medicare Insurance Card.
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| 42 | MEDICAL INSURANCE (PART B) EFFECTIVE DATE
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| 43 | Enter PART B Effective Date if shown on Medicare Insurance Card.
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| 44 | No data can be filed without Part A or B Effective Dates.
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| 45 | COORDINATION OF BENEFITS:
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| 46 | Enter the Coordination of Benefits as Primary, Secondary, or Tertiary.
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| 47 | Enter the Medicare Claim Number (Subscriber ID) exactly as it appears
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| 48 | on the Medicare Insurance Card, including ALL characters. Valid HICN
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| 49 | formats are: 1-3 alpha characters followed by 6 or 9 digits, or
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| 50 | 9 digits followed by 1 alpha character optionally followed by another
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| 51 | IB-MRA
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| 52 | IB-MRA-CNT
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| 53 | Bills Found for Selected Ins. Co.:
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| 54 | Bills for Outpatient Visits:
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| 55 | Bills for Inpatient Visits:
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| 56 | Subtotals by Selected Ins. Co.:
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| 57 | Bills with Procedures and Diagnosis:
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| 58 | Bills with Diagnosis Codes Only:
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| 59 | Bills with Procedure Codes Only:
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| 60 | Bills with No Proc. or Diag. Codes:
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| 61 | Bills Canceled before Completion:
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| 62 | Bills Never Printed:
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| 63 | Bills with wrong Rate Type:
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| 64 | Bills with wrong Who's Responsible:
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| 65 | Bills w/ wrong Bill Classification:
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| 66 | Bills for Prescriptions:
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| 67 | Bills for Prosthetics:
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| 68 | Bills with Patients Not Alive:
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| 69 | Bills Meeting Criteria for MRA:
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| 70 | Outpatient Bills Meeting Criteria:
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| 71 | Inpatient Bills Meeting Criteria:
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| 72 | Bill Meeting Criteria and Referred:
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| 73 | There are no summary records to print.
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| 74 | Insurance Company:
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| 75 | Calendar Year of Bill:
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| 76 | Type of Bill:
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| 77 | There are no detail records to print.
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| 78 | Possible Medicare Remittance Advice Claims
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| 79 | Detail Report
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| 80 | Totals Report
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| 81 | Bill No.
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| 82 | Bill From-To
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| 83 | Date Printed
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| 84 | Amount Billed
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| 85 | Amount Collected
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| 86 | IB Status
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| 87 | Billed
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| 88 | Coll
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| 89 | Total Amount No. Amount
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| 90 | Number Billed Coll Collected
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| 91 | IB MRA ANALYSIS REPORT FOR
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| 92 | ACTIVITY := $$MRA-ANALYSIS$$
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| 93 | SITE := $$
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| 94 | SUMMARY DATA :=
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| 95 | INSURANCE COMPANY TOTALS :=
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| 96 | ANNUAL DATA :=
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| 97 | Build MRA Extract
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| 98 | Your user number (DUZ) must be defined before proceeding!
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| 99 | This program extracts data from the AR and IB packages and
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| 100 | sends it to the VA CFO office for analysis. A background job
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| 101 | called 'IB-Compile MRA statistics' will be queued to run at a time
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| 102 | you choose. A file will be created with the extracted info
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| 103 | will have to be FTPed to a designated IP address. The file will
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| 104 | This extract must be run on the Legacy sites as well as
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| 105 | the Primary site if you are an integrated database facility.
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| 106 | Volume/Directory (or return to accept the default directory)
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| 107 | Enter using format VA3$:[ANONYMOUS.PUB]
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| 108 | Unable to determine default directory. Please enter one.
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| 109 | Unable to create file in specified volume/directory
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| 110 | You must enter the list of Insurance Companies to be included in this extract first
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| 111 | Enter Start Date for MRA Extract:
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| 112 | Jan. 1,1995
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| 113 | Enter the earliest date for which Means test charges will be extracted
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| 114 | Enter End Date for MRA Extract:
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| 115 | Dec. 31, 1996
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| 116 | Enter the latest date for which Means test charges will be extracted
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| 117 | This will automatically be tasked to run. Upon completion of the extract A mail message will be sent to you.
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| 118 | IB-Compile MRA statistics
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| 119 | Job queued (
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| 120 | Task not queued!
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| 121 | INS(
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| 122 | Completion of MRA Extract
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| 123 | IB PACKAGE
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| 124 | The MRA Extract has been completed and data stored in file:
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| 125 | This file must be sent via FTP to the following address:
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| 126 | MRA EXTRACT OPEN ERROR
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| 127 | The file for the MRA extract could not be opened.
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| 128 | The job will need to be requeued
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| 129 | Build statistics on Insurance Companies that are withholding Medicare
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| 130 | Supplemental Policy Payments.
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| 131 | You didn't select anything to do! Try again.
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| 132 | the data will be sent to you.
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| 133 | Print Report, [S]ummary, [D]etail, [None]:
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| 134 | Select whether you want to print a summary report, a detail report, or No report. A detail report will list every claim. No report will automatically send data for national rollup.
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| 135 | Send Data for National Rollup
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| 136 | Answer 'Yes' if you wish to send a report for national rollup purposes or answer 'No' if you just want to print a report.
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| 137 | Create a list of Insurance Companies for the MRA Extract
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| 138 | No Entries have been made.
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| 139 | The Following Entries have been made:
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| 140 | IBCNS-ERR
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| 141 | Check Patient file Insurance Type Group Plan consistency
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| 142 | I'm going to check the Insurance company for each patient policy with the
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| 143 | Insurance company in the associated Group Plan file.
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| 144 | This will take a while, please queue this job to a device. I'll print
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| 145 | a report when I'm done.
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| 146 | Update any Inconsistencies
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| 147 | Enter YES if you want any inconsistencies updated, enter NO if you just want the report.
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| 148 | IB - v2 PATIENT FILE DOUBLE CHECK
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| 149 | and a + for each entry updated
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| 150 | IBCNS-ERR1
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| 151 | IBCNS-ERR2
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| 152 | IBCNS-ERR3
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| 153 | No Errors Found!
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| 154 | Policy is missing group Plan
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| 155 | Dangling insurance node detected
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| 156 | Group Plan is with different insurance company
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| 157 | Patients with Incorrect Group Plans
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| 158 | INSURANCE CO.
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| 159 | OLD PLAN
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| 160 | NEW PLAN
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| 161 | ....task stoped at user request
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| 162 | Warning: Insurance Company selected already on file for this patient.
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| 163 | The previous entry is active.
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| 164 | The WHOSE INSURANCE are the same.
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| 165 | The Effective and Expiration dates may cover overlapping dates.
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| 166 | The Group Plans are the same.
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| 167 | WHOSE INSURANCE is Spouse, patient marital Status Inconsistent.
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| 168 | WHOSE INSURANCE is Spouse but no Employer listed.
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| 169 | Warning: There is another policy with the same Group Name.
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| 170 | Expanded Policy Information for:
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| 171 | Comment -- Patient Policy
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| 172 | Comment -- Group Plan
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| 173 | Effective Dates & Source
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| 174 | Effective Date:
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| 175 | Source of Info:
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| 176 | Policy Not Billable:
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| 177 | Subscriber's Employer Information
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| 178 | Emp Sponsored Plan:
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| 179 | Employment Status:
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| 180 | Retirement Date:
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| 181 | Claims to Employer:
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| 182 | Yes, Send to Employer
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| 183 | No, Send to Insurance Company
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| 184 | If ROI applies, make sure current consent is signed.
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| 185 | Patient doesn't have Insurance
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| 186 | Select Patient Policy:
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| 187 | Insurance Contact (last)
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| 188 | Person Contacted:
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| 189 | Method of Contact:
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| 190 | Call Ref. No.:
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| 191 | Contact Date:
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| 192 | Plan Information
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| 193 | Is Group Plan:
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| 194 | Group Name:
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| 195 | Group Number:
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| 196 | Type of Plan:
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| 197 | Plan Category:
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| 198 | Electronic Type:
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| 199 | Plan Filing TF:
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| 200 | Insurance Number:
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| 201 | Insurance Company
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| 202 | City/State:
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| 203 | Billing Ph:
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| 204 | Precert Ph:
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| 205 | Insured Person's Information (use Subscriber Update action)
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| 206 | St/Zip:
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| 207 | Subscriber Information
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| 208 | Whose Insurance:
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| 209 | Subscriber Name:
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| 210 | Coord. Benefits:
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| 211 | Prim Prov Phone:
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| 212 | Last Verified By:
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| 213 | Last Verified On:
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| 214 | Personal Riders
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| 215 | You can now enter a contact and relate it to a Claims Tracking Admission entry.
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| 216 | Select RELATED ADMISSION DATE:
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| 217 | Warning: This contact is not associated with any care in Claims Tracking.
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| 218 | You may only edit or view this contact using this action.
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| 219 | Select Contact Date:
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| 220 | Print [C]T Summary [W]ork Sheet (UR) [N]one [B]oth:
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| 221 | You may choose print a UR work sheet, a summary from claims tracking (of this episode), both or nothing.
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| 222 | IB - Print UR from Ins review
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| 223 | Claims Tracking Summary
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| 224 | Can't identify the plan!
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| 225 | Please note that this plan is inactive!
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| 226 | This plan is currently defined as a
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| 227 | This Individual Plan has more than one subscriber!
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| 228 | There is more than one subscriber to this Group Plan. The plan cannot
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| 229 | be changed to an individual plan.
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| 230 | Do you wish to change this plan to a
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| 231 | Enter 'YES' to change this plan, or enter 'NO' to leave it as is.
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| 232 | No change was made.
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| 233 | Changing the plan to a
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| 234 | Covered By Health Insurance indicates 'YES' but none currently Active.
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| 235 | Please Review!
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| 236 | Insurance conversion not complete, NO EDITING ALLOWED
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| 237 | INVALID ENTRY, DELETE AND RE-ENTER, NO EDITING ALLOWED
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| 238 | <DELETED> GROUP INSURANCE PLAN REQUIRED BUT NOT ENTERED
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| 239 | *** If ROI applies, make sure current consent is signed! ***
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| 240 | You may now enter a brief comment about this patient's policy
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| 241 | You may now enter comments about this Group Plan that pertains to all Patients
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| 242 | Current Personal Riders:
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| 243 | Are you adding a new Annual Benefits YEAR
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| 244 | IB ZZZZZ
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| 245 | You cannot add a new Benefits Used BENEFIT YEAR
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| 246 | Are you adding a new Benefits Used YEAR
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| 247 | IBCNS PLAN LOOKUP
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| 248 | No plans were identified for this company.
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| 249 | <not filed>
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| 250 | Precerts:
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| 251 | <no street address>
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| 252 | <no city>
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| 253 | <no state>
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| 254 | You may only select a single plan!
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| 255 | This plan is not allowed for selection!
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| 256 | Would you like to select any other plans
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| 257 | If you wish to select plans from other screens, please answer 'YES'. Otherwise, answer 'NO'.
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| 258 | ACTIVE DUTY
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| 259 | Select SPONSOR:
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| 260 | New sponsors must be in the format LAST,FIRST.
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| 261 | ' as a new SPONSOR
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| 262 | Unable to add a new sponsor!
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| 263 | .01 NAME;.02 DATE OF BIRTH;.03 SOCIAL SECURITY NUMBER
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| 264 | .02 MILITARY STATUS;.03 BRANCH;.04 RANK
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| 265 | The person '
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| 266 | ' is not currently the sponsor of this patient.
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| 267 | Okay to add this person as the patient's sponsor
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| 268 | Please enter 'YES' to add this person as the patient's sponsor, or 'NO' to select a new sponsor.
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| 269 | MOVE SUBSCRIBERS OF ONE PLAN TO ANOTHER PLAN
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| 270 | This option may be used to move subscribers from a selected Plan
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| 271 | to a different Plan. The plans may be associated with the same
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| 272 | Insurance Company or a different one. Plan and Annual Benefit
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| 273 | information may be moved as well. Users of this option should
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| 274 | be knowledgeable of the VistA Patient Insurance management options.
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| 275 | Press any key to continue.
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| 276 | plan, subscribers were moved from, is already inactive.
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| 277 | Do you wish to inactivate
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| 278 | 's plan subscribers were moved from
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| 279 | If you wish to inactivate the old plan, enter 'Yes' - otherwise, enter 'No.'
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| 280 | <The old plan is still active>
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| 281 | The plan has been inactivated.
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| 282 | Do you wish to delete this plan
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| 283 | If you wish to delete the old plan, enter 'Yes' - otherwise, enter 'No.'
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| 284 | The plan has been deleted.
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| 285 | <No Insurance Company selected>
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| 286 | You may add a new Plan at this time or select an existing Plan.
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| 287 | Insurance Company receiving subscribers must have a Plan.
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| 288 | You may select an existing Plan from a list or enter a specific Plan.
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| 289 | Do you wish to enter a specific plan
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| 290 | The look-up facility to select a 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 a plan.
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| 291 | * No plan selected!
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| 292 | Select a GROUP PLAN:
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| 293 | MOVE SUBSCRIBERS FROM
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| 294 | Select the Insurance Company and Plan to move subscribers FROM.
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| 295 | Collecting Subscribers ...
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| 296 | * This plan has no subscribers!
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| 297 | This plan has
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| 298 | subscribers. All subscribers will be moved.
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| 299 | MOVE SUBSCRIBERS TO
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| 300 | You must move the subscribers to an active insurance company!
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| 301 | You must move the subscribers to a different plan!
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| 302 | <Not Specified>
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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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