English French Notes Complete/Exclude You selected to move FROM Insurance Company Plan Name TO Insurance Company Okay to continue If you wish to move these subscribers, enter 'Yes' - otherwise, enter 'No.' Okay to add 's plan Annual Benefits to If you wish to move these Annual Benefits, enter 'Yes' - otherwise, enter 'No.' Moving subscribers Done. All subscribers were moved as requested! Press any key to continue. Now you may edit specific Plan attributes and Coverage Limitations. (Plan 1 is the plan subscribers moved from.) (Plan 2 is the plan subscribers moved to.) 'Plan 1' Attributes for: TYPE OF PLAN: > << BILLS NOT YET GENERATED AGAINST IVM POLICIES >> Total Amounts Billed and Collected: Sending the report in a bulletin to the IVM Center... IVM BILLING ACTIVITY Types ==> I:Inpatient, O:Outpatient, P:Prosthetics, R:Pharmacy Refill Note: '*' after the Bill # denotes a closed bill Bill Amt Generated Patient Name SSN Bill # Type Bill From - To Identify Active Policies with NO Effective Date Sort report by 1 - Patient Name Range 2 - Terminal Digit Range Select Number: 1 - Verified Policies 2 - Non-Verified Policies Select Number: START WITH PATIENT NAME GO TO PATIENT NAME * The Go to Patient Name must follow after the Start with Name. * Enter up to 9 digits of the Terminal Digit to include in Report Start with Terminal Digit GO to Terminal Digit * The Go to Terminal Digit must follow after the Start with Digit. * Please enter Policy Verification Dates: Start with DATE: Go to DATE: Enter 1 to search by a Patient Name Range. (i.e. ADAMS to ADAMSZ) Enter 2 to search by Terminal Digit. The output will be sorted by the 8th and 9th digits and then the 6th and 7th digits of the Patient's SSN. Enter 1 to list active policies by Verification Date Range (i.e. Sort Date By: 10-1-96 Go to Date: 01-1-97) Enter 2 to list active policies with no Verification Date. Enter 3 to include active policies with or without a Verification Date. You may want to queue this report! IB - Identify Active Policies w/no Effective Date ... One Moment Please ... (No Plan Name) ** NO RECORDS FOUND ** Active Policies with no Effective Date Report Verification Date Range: No Verification Date Entered with or without Verification Date Non-Verified Reimb VA? Sub ID: Whose: Verif: This report will identify patients who were treated within a specified date range who do or do not have insurance coverage. Sort by Insurance Company or No Insurance 1 - Insurance Company Range 2 - Selected Insurance Companies 3 - Patients with No Insurance Select Number: Sort by Date Last Treated Range. 1 - Patient Name Range 2 - Terminal Digit Range Sort by Patient Age Range. (Optional) Start AGE: To AGE START WITH PATIENT NAME GO TO PATIENT NAME Start with Terminal Digit GO to Terminal Digit START WITH INSURANCE COMPANY GO TO INSURANCE COMPANY * The Go to Insurance Company must follow after the Start with Company Name. * Select Another INSURANCE COMPANY: IBSIN( IB - Identify Patients with/without Insurance Inp Out No Coverage Verified: No Insurance on File. Patient's Home Phone: Patient's SSN. Enter 1 to List patients covered by policies in Insurance Co. Name Range (i.e. Sort By: MEDICARE To: MEDICAREZZZ) Enter 2 to List patients covered by policies of the selected Insurance Co. (User may enter up to six Companies.) Enter 3 to list patients with NO Coverage on file. Enter an Age Range to sort by (1-250). Or press return at the Start Age prompt to not include Age range in search criteria. Without Insurance Report Date Last Treated Range: Insurance Company Range: Patients with no Insurance on File Age Range: * - Patient Deceased Active Policies with selected Insurance Companies: Patient Name (SSN) Test? Last Visit Generate Insurance Company Listings 1 - Active Insurance Companies 2 - Inactive Insurance Companies You may search for specific companies to be included in this report by 'screening' companies based on the company name, street, city, or state. You may select any combination of these fields and specify a 'range' of values that the field must fall between, or a specific value that the field must 'contain.' field to screen Insurance Companies Select a field by Number: Select STATE: Allow a (R)ange of values or a value that (C)ontains a specific string: contains the value: Note: Companies will be selected where is null. Please note that no screening fields were selected! The following conditions were selected: Equals Contains Between START WITH ' GO TO ' * The 'Go To' value must follow after the 'Start With' value. * Enter 1 to search Active Insurance Companies Enter 2 to search Inactive Insurance Companies Enter 3 to include Active and Inactive Insurance Companies in Report Enter 1 to screen insurance company by Name Enter 2 to screen insurance company by Street Enter 3 to screen insurance company by City Enter 4 to screen insurance company by State Enter 'R' to enter a 'Start From' and 'Go To' range, or 'C' to enter a specific string that the field value must contain. Enter '^' to eliminate this screen field and select another field. Enter a string that the field value should contain. Enter a to find entries where the field value is null. Enter '^' to eliminate this screen field and select another field. IBFLD( IBCASE( IB - Identify Dup Insurance Companies List of Insurance Companies Insurance Name/Address Reimburse? Phone Number Inactive Companies Active Companies Patients with No Insurance Coverage Verification Enter Verification Date Range IB - Patients w/no Coverage Verification Patients w/No Coverage Verification Date Report Sorted by: (* - Patient Deceased) Request MRA Authorized Prnt/Trans Debtor: PREVIOUSLY BILLED PATIENTS for Division Unbilled Unbilled w/RNB Billed/Not Auth Billed/Auth PT ID PATIENT DATE OF INSURANCE COMPANIES NOT BILLABLE Rated Disabilities: Last Ver: Policy Comment: Group Comments: Coverage Limits: Riders: PATIENT INCLUDE PATIENT EXCLUDE Add/Edit Stop Code^ Registration: Stop Codes^ {ALL MOVES SC} Enter Report to print: 1 - Unbilled Episodes 2 - Billed Episodes but Not Authorized 3 - Billed Episodes (Authorized) Optional format requirements: 1 - Include Episodes with a Reason Not Billable 2 - Include Only Episodes with a Reason Not Billable 3 - Combine Divisions into one Report 4 - Sort by Terminal Digit 5 - Select Sort Range Optional print fields: 6 - Patient's Rated Disabilities 7 - Patient Insurance Dates 8 - Coverage and Riders 9 - Policy Comments 10 - Group Comments Optional requirements Select Range of Patients By START WITH TERMINAL DIGIT GO TO TERMINAL DIGIT START WITH INSURANCE COMPANY NAME GO TO INSURANCE COMPANY NAME Determines what types of episodes are included on the report. Required: specify if report should include billed and/or unbilled episodes 1 - Unbilled: no Third Party bill can be identified for episode 2 - Billed/Not Authorized: one or more Third Party bills exists for the episode, but at least one of them has not yet been authorized or passed to AR 3 - Billed/Authorized: one or more Third Party bills exists for the episode and all of them have been Authorized Choose one or more of the above to include on the report. Determines which episodes are included on the report and how they are sorted. Optional: special requirements for printing the report, #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### ####################