English French Notes Complete/Exclude IB Print Actions by Bill Number IBOLK-2 CHARGE TYPE BRIEF DESCRIPTION *** ADDRESS INFORMATION *** Patient Address: Mailing Address: Instit. IB - MAS BILLING LOG MAS Billing Log of Printed Bills for DATE OF BILL AMT. BILLED BILL CATEGORY INPT./OPT. DATE CANCELLED IBOMTC-1 Run this report for Purple Heart Vets only? November 30 1999 The Start Date cannot be earlier than 10/1/90. Billing Activity List IBOMTC-2 Purple Heart Recipients for this date range. * This report is being generated for Purple Heart Patients only * Charges from PATIENT/ID * Purple Heart Recipient IBOMTE-1 Medical Administration Service is not defined in your IB Site Parameter File. Please contact your System Manager, as this impacts on all aspects of Means Test billing. The patient has Geographic Means Test Copayment Status. Please note that this patient was admitted on and Means Test charges have been calculated through Proposed ADMISSION Date: Past admissions cannot be accurately estimated. Proposed DISCHARGE Date: The DISCHARGE Date must follow the ADMISSION Date. Anticipated Facility Treating Specialty: A 'billable' bedsection is not associated with this Means Test charges are not being would not be billed for this admission. MEANS TEST INPATIENT BILLING ESTIMATOR IBOMTE1-2 ** Please note that this patient has never been Means Test billable. ** Please note that this patient will not be MT billable on the admission date. Last date as MT billable: ** THIS PATIENT HAS AN ACTIVE BILLING CLOCK ** Clock date: Days of inpatient care within clock: Copayments made for current 90 days of inpatient care: (PATIENT IS CONTINUOUS SINCE 7/1/86) PER DIEM CHARGES for (GMT rate) Total Estimated Charges (GMT Rates) Estimated Inpatient Charges for Please note that this patient is a current inpatient. Charges will be estimated from (ONE-DAY ADMISSION) ** NO COPAYMENT CHARGES WILL BE APPLIED ** ** NO PER DIEM CHARGES WILL BE APPLIED ** ** NEW BILLING CLOCK TO BEGIN ON Copayment amount reduced due to Patient's GMT Status COPAYMENT CHARGES for Billing Dates Inpt. Days Clock Days From To 1st Last There is no ICN for this patient. This patient has remote facilities. Do you want to perform remote queries Performing query locally only , the patient has no remote facilities. MT/LTC COPAY REMOTE QUERY IBO MT LTC COPAY QUERY Unable to get remote information from this site. MT and LTC Copay Information ) For Site: EXEMPT DATE Billing Clock Patient Charges Bill From Bill To Charge Type Stop Bill # Status Charge IBOMTP-1 OCT 01, 1990 MEANS TEST BILLING PROFILE IBOMTP1-2 Means Test Billing Profile for This patient has no Means Test bills. OPT COPAYMENT (UB-82) BILL DATE BILL TYPE BILL # BILL TO TOT CHARGE '*' - Geographic Means Test rates IBORAT-1 IBORAT-2 No data for this date range Enter Beginning Date: Enter Ending Date: Ending Date Less than Beginning Date Please Re-enter IB BILLING RATES & MEDICARE DEDUCTIBLE REPORT ***Billing Rates Listing*** Additional Amount Rates in effect on: Rates in effect from: IBORT-1 SELECT BILLS BY Date must be in the past. IB - BILLING TOTALS REPORT IBORT-2 PENDING TOTALS Billing Summary Report Summary of Pending Bill Authorizations Event Date) Date Billed) TOTAL PENDING NO ACTION Number Dollars| EVENT DATE is the date beginning the bill's episode of care BILL DATE is the date the bill was initially printed IBOST-1 Integrated Billing Statistical Report IB Statistical Report IBOST-2 NET TOTALS BY ACTION TYPE GROSS TOTALS BY ACTION TYPE INTEGRATED BILLING STATISTICAL REPORT Do you want to print the status of ALL bills Choose (Y)es or (N)o THIS STATUS IS NOT USED CHOOSE BILL STATUS: Do you want to print the summary ONLY *** Margin width of this output is IB - Bill Status Report EVENT DATE is the date beginning the bill's episode of care BILL DATE is the date the bill was initially printed ENTERED DATE is the date the bill was first entered Select (Y)ES to just print the bill status summary, or (N)O to print the BOTH the detail and summary reports. RATE TYPE : BILL STATUS: *** No matches found *** * REQUEST MRA UNKN USER MCCR Bill Status Bill Status: * Denotes that the bill status is not Printed or Cancelled ClaimsManager Comments ON PT.ID BILL STATUS IBOTR-1 You may select a field from the BILL/CLAIMS file which you may use to limit the selection of records to appear on the report. Do you wish to choose such a field Select BILL/CLAIMS FIELD: LAST DATE must follow the BEGIN DATE. Select (I)NPATIENT, (O)UTPATIENT, or (B)OTH bill records: BOTH// BIObio Print (C)OMBINED or (S)EPARATE reports: COMBINED// CScs Select (O)PEN, (C)LOSED, or (B)OTH types of bills: BOTH// BCObco Do you want to include cancelled bills Print report by 1-DATE BILL PRINTED or 2-TREATMENT DATE: The END DATE must follow the BEGIN DATE. Print (M)AIN REPORT, (S)UMMARY, or (G)RAND TOTALS: M// GMSgms Run for (S)PECIFIC insurance companies or a (R)ANGE: RANGE// Start with INSURANCE COMPANY: FIRST// Go to INSURANCE COMPANY: LAST// Sort by AMOUNT (O)WED, AMOUNT (P)AID, or (I)NSURANCE CO.: I// IOPiop AMOUNT OWED Do you want to include receivables referred to Reg. Counsel INSURANCE PAYMENT TREND REPORT IBOTR-2 Trend Report NO INFORMATION MATCHES SELECTION CRITERIA. PAYMENT TREND REPORT - COMBINED INPATIENT AND OUTPATIENT Note: '*' after the Bill No. denotes a CLOSED bill DATE BILL NAME (AGE) BILL FROM - TO INSURANCE CARRIER: ALL DATES THROUGH ALL DATES ON AND AFTER ALL VALUES NULL VALUES ONLY ALL VALUES THROUGH , INCLUDING NULLS ALL VALUES, INCLUDING NULLS ALL VALUES FOLLOWING ALL VALUES BETWEEN TOTAL NUMBER OF BILLS GRAND TOTAL NUMBER OF BILLS: GRAND TOTAL AMOUNT BILLED: GRAND TOTAL AMOUNT BILLED-UNDER 65: GRAND TOTAL AMOUNT BILLED-65 & OVER: GRAND TOTAL AMOUNT COLLECTED: GRAND TOTAL AMOUNT COLLECTED-UNDER 65: GRAND TOTAL AMOUNT COLLECTED-65 & OVER: GRAND TOTAL AMOUNT UNPAID: GRAND TOTAL AMOUNT PENDING: PERCENTAGE COLLECTED: GRAND TOTAL NUMBER OF CANCELLED BILLS: GRAND TOTAL AMOUNT OF CANCELLED BILLS: IBOUNP1-1 IBOUNP1-2 Start with DATE Go to DATE ENDING DATE must follow or be the same as the STARTING DATE IBO* OUTPATIENT INSURANCE REPORT Include veterans whose insurance is unknown Include veterans whose insurance is expiring Include veterans who have no insurance NOT KNOWN OUTPATIENT VISITS FOR VETERANS FOR APPOINTMENTS ON WITH NO INSURANCE WHOSE INSURANCE IS EXPIRED OR WILL EXPIRE WITHIN 30 DAYS WHOSE INSURANCE IS UNKNOWN Clinic Subtotal : Division Subtotal: Total : Tele: Employer: Sps's Emplr: Insurance: Expiration: EMPLOYMENT STATUS IBOUNP4-1 IBOUNP4-2 INPATIENT INSURANCE REPORT C for CURRENT DATE- Report will display only those patients that are inpatients in hospital today. Display report for Do you want the report sorted by WARD, as well as by division and patient ALL WARDS THAT WERE ADMITTED BETWEEN THAT ARE CURRENTLY ADMITTED WITH NO INSURANCE WHOSE INSURANCE IS UNKNOWN Subtotal: PATIENT/WARD Unknown Task ' stopped at user's request... IBOVOP-1 MEANS TEST/LTC OUTPATIENT/REGISTRATION EVENTS IBOVOP-2 Outpatient/Registration Events Report CLINIC APPT STOP CODE No Outpatient activity recorded for MT/LTC copay patients on Veteran has CV status until Means Test/LTC Outpatient and Registration Activity for Patient/Event Clinic/Stop Appt.Type Find^Archive^Purge Billing Data to Archive This option is used to begin the archive process for^archive data from^purge data from the following files: #350 INTEGRATED BILLING ACTION #351 MEANS TEST BILLING CLOCK Specify your search criteria for each file. search^archiving process^purge process will be queued. Archive entries to what device: Invalid File to Archive Unable to Retrieve Current Entry to Log File Log Entry has no Search Template Search Template Name is Invalid Search Template has no Entries to Archive No Entries Archived Archived Purge Medication Copayment Exemptions Enter the date through which you want to purge entries for the BILLING EXEMPTIONS file (354.1) This must be a date at least one year in the past. This option will purge inactive exemptions whose exemption date is earlier than this date and active exemptions older than one year before this date. Purge Date There is no output from this routine it just purges. Are you sure you want to purge now IB Purge exemption entries BILLING EXEMPTION PURGE REPORT No exemption found that met purge criteria entries purged from the billing exemption file Unable to Add Entry to Log File #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### ####################