| 1 | English French  Notes   Complete/Exclude
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| 2 |  as non-billable.                       
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| 3 |    'N' to flag                  
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| 4 |  as billable.                   
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| 5 | For the Third Party Auto Biller, please enter:                  
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| 6 |    'Y' if bills should be created for                   
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| 7 |    'N' if bills should NOT be created for                       
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| 8 |    'S' to flag some Stop Codes as (non) billable or (not) auto billed                   
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| 9 |    'C' to flag some Clinics as (non) billable or (not) auto billed                      
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| 10 |    'A' to flag ALL Clinics for the auto biller                  
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| 11 | and clinics that are non-billable in Third Party Billing or                     
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| 12 | that will not have bills created by the Third Party Auto Biller.                        
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| 13 | LIST NON-BILLABLE STOPS/CLINICS                 
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| 14 | LIST OF                         
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| 15 |  FLAGGED FOR THIRD PARTY BILLING                        
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| 16 |  are billable and may be auto billed on this date.                      
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| 17 | NON-BILLABLE                    
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| 18 | NOT AUTO BILLED                 
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| 19 |  are flagged as                         
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| 20 | FLAG ALL CLINICS FOR THE THIRD PARTY AUTO BILLER:                       
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| 21 |      Stops the auto biller from creating bills for all Clinics.                 
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| 22 |      This should only be used if the outpatient auto biller is turned on.                       
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| 23 |      After using this option, individual or a group of clinics can be set                       
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| 24 |      to be auto billed resulting in a small number of clinics being auto billed.                        
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| 25 |      Resets all clinics to be billed by the auto biller.                        
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| 26 | This option does not change a clinics billable status, only whether or not                      
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| 27 | all billable clinics are processed by the auto biller.                  
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| 28 | Set ALL Clinics to be ignored or billed by the Third Party auto biller                  
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| 29 | All clinics will be set as                      
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| 30 | auto billable Clinics.                  
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| 31 | Enter Ignored - if you want to turn on the Auto Biller one clinic at a time.                    
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| 32 |               - if the Third Party Auto biller should create bills for                  
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| 33 |                 outpatient visits in only a few clinics and the bills                   
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| 34 |                 for the remaining clinics continue to be manually created.                      
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| 35 | Enter Billed  - to set all clinics to be billed by the auto biller.                     
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| 36 | IBESTAT-1                       
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| 37 | Integrated Billing Status                       
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| 38 | IB Facility Name ........................                       
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| 39 | IB Facility Number ......................                       
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| 40 | File in Background ......................                       
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| 41 | Filer UCI,VOL ...........................                       
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| 42 | Filer Hang Time .........................                       
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| 43 | Background Error Mail Group .............                       
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| 44 | Filer Appears to be Running!                    
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| 45 | Filer does not Appear to be Running!                    
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| 46 | Filer currently queued to run ...........                       
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| 47 | Number Transactions in Queue ............                       
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| 48 | Filer Started on ........................                       
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| 49 | Filer Stopped on ........................                       
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| 50 | Filer last processed transaction on .....                       
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| 51 | Transactions filed since midnight .......                       
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| 52 | Do you wish to print a (S)ummary or (D)etailed Report?                  
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| 53 | Do you wish to sort this report by division                     
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| 54 | You have selected                       
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| 55 | Sort Patients by (N)AME or (L)AST 4 of the SSN:                         
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| 56 | The LAST value must follow the FIRST.                   
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| 57 | Do you want to capture report data for an Excel document                        
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| 58 | Providers                       
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| 59 | Specialties^Specialty                   
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| 60 | Run report for (A)LL or (S)PECIFIC                      
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| 61 | Already selected. Choose another                        
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| 62 | Please enter 'S' for 'Summary' or 'D' for a Detailed Report.                    
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| 63 | Note that if you select the Detailed report, the Summary will also print.                       
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| 64 |       Enter:  '<CR>' -  To print the report without regard to division                  
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| 65 |               'Y'    -  To select those divisions for which a separate                  
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| 66 |                         report should be created                        
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| 67 |               '^'    -  To quit this option                     
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| 68 |       Enter:  '<CR>' -  To select and sort patients by name                     
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| 69 |               'L'    -  To select and sort patients by the last 4                       
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| 70 |                         of the SSN                      
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| 71 |       Enter a valid field value, or                     
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| 72 |         '@'    -  To include null values                        
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| 73 |         '<CR>' -  To start from the 'first' value for this field                        
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| 74 |         '^'    -  To quit this option                   
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| 75 |         '@'    -  To include only null values, if 'Start with'                  
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| 76 |                   value is @                    
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| 77 |         '<CR>' -  To go to the 'last' value for this field                      
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| 78 |       Enter:  'Y'    -  To capture detail report data to transfer                       
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| 79 |                         to an Excel document                    
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| 80 |               '<CR>' -  To skip this option                     
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| 81 | Enter: '<CR>' - To select all                   
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| 82 | 'S' - To select one or more                     
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| 83 | '^' - To quit this option                       
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| 84 | Before continuing, please set up your terminal to capture the                   
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| 85 | detail report data. On some terminals, this can  be  done  by                   
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| 86 | clicking  on the 'Tools' menu above, then click  on  'Capture                   
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| 87 | Incoming  Data' to save to  Desktop. This  report  may take a                   
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| 88 | while to run.                   
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| 89 | Note: To avoid  undesired  wrapping of the data  saved to the                   
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| 90 |       file, please enter '0;256;999' at the 'DEVICE:' prompt.                   
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| 91 | This report measures the amount of time between significant                     
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| 92 | milestones which occur from the time treatment has been provided                        
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| 93 | to the time that the claim to the insurer for that treatment has                        
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| 94 | been closed out.                        
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| 95 |  ALL the above reports.                 
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| 96 | This report only requires an 80 column printer.                 
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| 97 | Note: This report searches through all Reimb. Insurance claims.                 
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| 98 | You should queue this report to run after normal business hours.                        
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| 99 | IB - BILLING LAG TIME REPORT                    
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| 100 | This job has been queued. The task number is                    
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| 101 | Enter a <CR> to print the report without regard to division,                    
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| 102 | or 'Y' to select those divisions for which a separate report                    
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| 103 | should be created. To quit this option, enter '^'.                      
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| 104 | Select '1-11' (Response can be a single number, list or range,                  
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| 105 | e.g.: 1,3,5 or 2-6,10) to print up to 11 lag time reports based                 
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| 106 | on the line items of the lag time summary reports. To quit this                 
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| 107 | Billing Lag Time Report                 
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| 108 | There was no                    
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| 109 |  (Late Insurance)                       
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| 110 |  claim activity during this period.                     
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| 111 | Outpatient Billing Lag Time Report                      
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| 112 | Claims w/activity from                  
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| 113 |  (*=Insurance found after trmt)                 
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| 114 | Date Claim                      
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| 115 | Date of Care                    
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| 116 | Check Out                       
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| 117 | Activated                       
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| 118 | First Paymt                     
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| 119 | Average Number of Days for                      
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| 120 |  (Late Ins)                     
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| 121 | BILLING LAG TIME                        
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| 122 | OUTPATIENT SUMMARY REPORT                       
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| 123 | Receivables with activity from                  
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| 124 | Time Period                     
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| 125 | Average Number of days                  
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| 126 | *LI=Late Insurance (policy identified after treatment)                  
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| 127 | +This element does not include Late Insurance claims                    
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| 128 | INPATIENT SUMMARY REPORT                        
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| 129 | Inpatient Billing Lag Time Report                       
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| 130 | Date PTF                        
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| 131 | Run report for (D)ATE ENTERED or (E)PISODE DATE: D//                    
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| 132 | DdEe                    
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| 133 | EPISODE DATE                    
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| 134 |    Start with                   
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| 135 |         Go to                   
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| 136 | Reasons Not Billable^Reason Not Billable                        
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| 137 | Providers^Provider                      
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| 138 | Choose which episode to print:                  
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| 139 | ALL RECEIVABLES                 
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| 140 | Inpatient Specialties^Inpatient Specialty                       
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| 141 | Outpatient Specialties^Outpatient Specialty                     
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| 142 | Sort report by (R)NB CATEGORY, (P)ROVIDER, or (S)PECIALTY: R//                  
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| 143 | RrPpSs                  
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| 144 | RNB CATEGORY                    
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| 145 | You will need a                         
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| 146 |  column printer for this report!                        
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| 147 | Note: This report may take a while to run. You should  queue it                 
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| 148 |       to run after normal business hours.                       
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| 149 | IB - REASONS NOT BILLABLE REPORT                        
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| 150 | IBSRNB(                 
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| 151 | This job has been queued. Task number is                        
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| 152 | Enter: '<CR>' - To enter a DATE ENTERED range for the report                    
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| 153 | 'E' - To enter a EPISODE DATE range for the report                      
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| 154 | Enter: '<CR>' - To sort detail report by RNB category                   
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| 155 | 'P' - To sort detail report by provider                 
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| 156 | 'S' - To sort detail report by specialty                        
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| 157 | PRESCRIPTION FILL                       
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| 158 | Division^Svc^Patient^SSN^Episode Dt^Dt Entered^Dt Lst Edit^                     
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| 159 | Lst Edited By^RNB Cat^Provider^Specialty^Entry Amt^Comments                     
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| 160 | No entries for this episode.                    
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| 161 | No statistics available.                        
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| 162 | REASONS NOT BILLABLE SUMMARY/                   
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| 163 | Period : from                   
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| 164 | No. of                  
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| 165 | RNB Category                    
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| 166 | Reasons Not Billable Summary                    
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| 167 | Grand Totals:                   
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| 168 | Reasons Not Billable (RNB) Report                       
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| 169 |  events by                      
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| 170 | RNB category                    
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| 171 |  REASONS NOT BILLABLE                   
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| 172 | Episode   Date      Dte Last                    
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| 173 | Date      Entered   Edited     Last Edited By                   
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| 174 | Reasons Not Billable Report                     
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| 175 | TOTAL FOR EPISODE - Count:                      
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| 176 | TOTAL EVENTS - Count:                   
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| 177 | UNBILLED AMOUNTS REPORT                 
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| 178 | There are no entries available.                 
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| 179 | Enter MONTH/YEAR:                       
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| 180 | DIAGNOSTIC MEASURES SUMMARY EXTRACTIONS-                        
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| 181 | ON STANDBY                      
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| 182 | Summary Line Item                       
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| 183 | The DM extract background job has been disabled.                        
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| 184 |  Do you want to re-enable it                    
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| 185 | Do you want to disable the DM extract background job                    
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| 186 | These DM reports have been disabled:                    
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| 187 | There are no disabled DM reports.                       
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| 188 | Enter REPORT NAME                       
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| 189 | able this report                        
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| 190 | Enter the name of the report you want disabled or re-enabled.                   
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| 191 | If the report you enter is disabled, the monthly DM extraction                  
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| 192 | process will not collect summary data from the report until you                 
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| 193 | re-enable it again.                     
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| 194 | Enter the entry point for this report. You may enter  a  program                        
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| 195 | name (^ROUTINE), or a specific label of a  program (TAG^ROUTINE)                        
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| 196 | or you may also leave it blank.                 
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| 197 | Obs: If this field is left blank, it means that the code respon-                        
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| 198 |      sible for extracting the data will be  invoked  by  another                        
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| 199 | The DM extract process has been disabled.                       
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| 200 | All DM extracts on file have been transmitted.                  
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| 201 | Enter DM extract date:                  
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| 202 | Do you want to start the DM extract process for                         
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| 203 | The extract process for                         
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| 204 |  began on                       
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| 205 | Do you want to restart it                       
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| 206 | Extract process started on                      
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| 207 | Do you want to start the process for another date                       
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| 208 | All DM extracts on file have NOT been completed.                        
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| 209 | Are you sure you want to transmit for                   
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| 210 | The DM extract message failed to transmit...try again                   
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| 211 | The DM extract process for                      
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| 212 |  was initiated on                       
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| 213 | but it hasn't run yet.                  
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| 214 | The DM report data for                  
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| 215 |  has been successfully                  
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| 216 | extracted on                    
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| 217 | . This data has been                    
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| 218 | sent to the Central Collections mail group in FORUM.                    
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| 219 | If you want, you can restart the DM extract process                     
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| 220 | by using the                    
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| 221 | Manually Start DM Extraction                    
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| 222 |  option in                      
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| 223 | the Diagnostic Measures Extract Menu.                   
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| 224 | Data for the following DM reports have not been extracted                       
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| 225 | Checking for completed and/or transmitted DM extracts                   
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| 226 | DM data has NOT been fully extracted for these months:                  
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| 227 | If you want, you can start the DM extract process for these                     
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| 228 | months by using the                     
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| 229 | DM data has NOT been transmitted for these months:                      
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| 230 | If you want, you can transmit the DM extract data for these                     
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| 231 | Manually Transmit DM Extract                    
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| 232 | DAT~                    
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| 233 | DIAG. MEASURES EXTRACT FILE-                    
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| 234 | This report provides a tool for sites to use to perform follow-up                       
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| 235 | activities for Third Party receivables.                 
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| 236 | Calculate report using (D)ATE OF CARE or (A)CTIVE IN AR (days): (A)CTIVE IN AR//                        
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| 237 | ADad                    
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| 238 | DATE OF CARE                    
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| 239 | (DAYS) ACTIVE IN AR                     
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| 240 | Run report for (S)PECIFIC insurance companies or a (R)ANGE: RANGE//                     
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| 241 | RSrs                    
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| 242 | INSURANCE CO.:                  
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| 243 | Already selected. Choose another insurance company.                     
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| 244 | START WITH INSURANCE COMPANY: FIRST//                   
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| 245 | GO TO INSURANCE COMPANY: LAST//                         
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| 246 | Sort Patients by (N)AME or (L)AST of the SSN:                   
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| 247 | START WITH PATIENT                      
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| 248 | GO TO PATIENT                   
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| 249 | Choose which type of receivables to print:                      
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| 250 |        3 - PHARMACY REFILL                      
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| 251 |        4 - ALL RECEIVABLES                      
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| 252 | Include (A)LL active AR's or those within an AGE (R)ANGE: ALL//                         
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| 253 | ARar                    
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| 254 |   Enter the minimum age of the active receivable:                       
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| 255 |   Enter the maximum age of the active receivable:                       
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| 256 | Print receivables with a minimum balance                        
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| 257 |   Enter the minimum balance amount of the receivable:                   
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| 258 | Include the Bill Comment history with each receivable                   
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| 259 | Include receivables referred to Regional Counsel                        
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| 260 | Note: This report will search through all active receivables.                   
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| 261 | IB - THIRD PARTY FOLLOW-UP REPORT                       
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| 262 | IBS*                    
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| 263 | Third Party Follow-Up Report                    
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| 264 | There are no active receivables                         
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| 265 |  days old                       
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| 266 | for this division.                      
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| 267 |  ( date of care )                       
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| 268 |  ( days in AR )                 
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| 269 | All active                      
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| 270 | OUTPATIENT                      
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| 271 | RX REFILL                       
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| 272 | with balances of at least $                     
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| 273 | Patient (Age)                   
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| 274 | Prepared                        
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| 275 | Bill Fr. Bill To                        
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| 276 | Note: '(n)' or '(*)' next to balance means AR was referred to Regional Counsel                  
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| 277 |    Billing Phone:                       
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| 278 |    Main Phone:                  
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| 279 | Comment Date:                   
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| 280 | This report provides a summary of all outstanding Third Party receivables.                      
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| 281 | Choose which type of summaries to print:                        
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| 282 |      1 - INPATIENT RECEIVABLES                  
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| 283 |      2 - OUTPATIENT RECEIVABLES                 
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| 284 |      3 - PHARMACY REFILL RECEIVABLES                    
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| 285 |      4 - ALL RECEIVABLES                        
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| 286 | Note: This report requires a search through all active receivables.                     
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| 287 | IB - FOLLOW-UP SUMMARY REPORT                   
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| 288 | Third Party Follow-Up Summary Report                    
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| 289 | THIRD PARTY FOLLOW-UP SUMMARY REPORT                    
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| 290 | RX REFILL                       
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| 291 | ALL REIMBURSABLE                        
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| 292 | AR Category                     
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| 293 | Total Outstanding Balance                       
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| 294 | There are no active receivables                 
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| 295 |  for this division                      
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| 296 | Enter <CR> to summarize all receivables without regard to division,                     
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| 297 | or YES to select those divisions for which a separate report should                     
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| 298 | be created.                     
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| 299 | EMERGENCY/HUMANITARIAN                  
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| 300 | C-MEANS TEST & RX COPAY                 
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| 301 | LONG TERM CARE COPAY                    
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| 302 | ALL OF THE ABOVE                        
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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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