| 1 | English French  Notes   Complete/Exclude
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| 2 |  Non-Acute Reason:                      
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| 3 | Warning: Admission Criteria does NOT appear to be met but Reason for                    
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| 4 | Non Acute Admission Missing.                    
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| 5 | Warning: Admission Criteria appears to be met but has Reason for                        
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| 6 | Non Acute Admission.                    
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| 7 | Warning: Acute Care Criteria does NOT appear to be met but Reason for                   
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| 8 | Non Acute Days Missing.                 
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| 9 | Warning: Acute Care Criteria appears to be met but has Reason for                       
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| 10 | Non Acute Days.                 
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| 11 |    There are other reviews for this admission with a next review date                   
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| 12 |    specified.  Generally, only the last review for an admission should                  
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| 13 |    have a next review date.  Please check the reviews for this case and                 
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| 14 |    delete all unnecessary 'next review dates'.                  
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| 15 | Next Review Dates have all been deleted, except for this review                 
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| 16 | Unbilled Amounts Menu Options^1N^                       
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| 17 | Average Bill Amounts                    
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| 18 | This will automatically be tasked to run and needs no device.                   
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| 19 | A mail Message will be sent when the process completes.                 
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| 20 | Use the option View Unbilled Amounts to see cumulative totals.                  
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| 21 | IB - Generate Avg. Bill Amounts for a Month                     
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| 22 | BILLS-                  
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| 23 | EPISD-                  
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| 24 | BILLS-I                 
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| 25 | BILLS-P                 
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| 26 | EPISD-I                 
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| 27 | EPISD-P                 
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| 28 | UNBILLED AMOUNTS JOB FOR                        
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| 29 | The background job responsible for calculating and updating MONTHLY and                 
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| 30 | YEARLY Average Bill Amounts and Bill numbers for inpatient episodes has                 
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| 31 | successfully completed.                 
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| 32 | Monthly totals calculated for                   
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| 33 | Yearly totals calculated for                    
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| 34 | Re-Generate Unbilled Amounts Report                     
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| 35 | Do you want to store Unbilled Amounts figures                   
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| 36 | Enter 'YES' if you wish to store the Unbilled Amounts summary                   
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| 37 | figures in your system for a specific month/year in the past.                   
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| 38 | Once stored, these figures will be available for inquiry through                        
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| 39 | the View Unbilled Amounts option [IBT VIEW UNBILLED AMOUNTS].                   
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| 40 | These summary figures are normally calculated and stored                        
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| 41 | automatically by the system at the beginning of each month for                  
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| 42 | the previous month.                     
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| 43 | If you enter 'NO', the Unbilled Amounts summary figures will                    
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| 44 | NOT be stored in your system, and the report may be run for                     
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| 45 | any date range.                 
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| 46 | Choose report type(s) to print:                 
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| 47 | INPATIENT UNBILLED                      
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| 48 | OUTPATIENT UNBILLED                     
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| 49 | PRESCRIPTION UNBILLED                   
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| 50 | Unbilled Amounts                        
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| 51 | NOTE: Just a reminder that by entering the above month/year this                        
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| 52 |       report will re-calculate and update the Unbilled Amounts                  
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| 53 |       data on file in your system.                      
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| 54 | Print detail report with the Unbilled Amounts summary                   
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| 55 | Answer YES if you want a detailed listing of the patients                       
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| 56 | and events that are unbilled. Answer NO if you just want                        
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| 57 | the summary, or '^' to quit this option.                        
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| 58 | This report takes a while to run, so you should queue it to run                 
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| 59 | after normal business hours.                    
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| 60 | IB - Unbilled Amounts Report                    
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| 61 | IB REPORTS                      
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| 62 | NOTE: After this report is run, the Unbilled Amounts totals for                 
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| 63 |  will be updated.                       
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| 64 | Re-compile                      
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| 65 |  through MONTH/YEAR:                    
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| 66 | Enter a past month/year (ex. Oct 2000).                 
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| 67 | NOTE: The earliest month/year that can be entered is                    
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| 68 |       it is NOT possible to enter the current or a future month/year.                   
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| 69 | CPTMS-I                 
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| 70 | CPTMS-P                 
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| 71 | IBTUB-OPT                       
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| 72 | IBTUB-INPT                      
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| 73 | EPISM-I                 
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| 74 | EPISM-P                 
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| 75 | EPISM-A                 
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| 76 | IBTUB-RX                        
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| 77 | IBTUB-                  
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| 78 | Unbilled Amounts Report                 
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| 79 |  / DATA RECOMPILED/STORED FOR                   
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| 80 |  / '*' AFTER THE PATIENT NAME = USUALLY BILLED MEANS TEST COPAYMENT                     
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| 81 |  / 'H' AFTER THE ADMISSION DATE = PATIENT CURRENTLY HOSPITALIZED                        
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| 82 |  / '$' AFTER THE ORIGINAL FILL DATE = ORIGINAL FILL DATE HAS BEEN BILLED                        
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| 83 |  / 'CF' COLUMN = NUMBER OF CLAIMS ON FILE FOR THE EPISODE                       
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| 84 |  / 'I/P' COLUMN = 'I' - INSTUTIONAL CLAIM MISSING,                      
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| 85 |  'P' - PROFESSIONAL CLAIM MISSING                       
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| 86 | Last Prim.  Claims                      
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| 87 | Fill                    
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| 88 | 4SSN Elig.  Track.ID#                   
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| 89 | Admission CF Insurance Carrier(s)                       
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| 90 | Care Dt.  CF Insurance Carrier(s)                       
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| 91 | CPT     I. Rate   P. Rate                       
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| 92 | Date     CF Insurance Carrier(s)     Drug Name        Physician                 
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| 93 | Fill Dt.                        
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| 94 | ...Task stoped at user request                  
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| 95 | No information available for the period specified.                      
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| 96 | EPISM-                  
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| 97 | CPTMS-                  
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| 98 | If you enter a start date here, the report will look for                        
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| 99 | events ON or AFTER this date. Press <CR> if you want to                 
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| 100 | skip this prompt and have the report look thru ALL events                       
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| 101 | or enter '^' to exit.                   
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| 102 | NOTE: The earliest date that can be entered is                  
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| 103 |       which is the date of the first event on file, and                 
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| 104 |       it is NOT possible to enter a future date.                        
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| 105 | If you enter a end date here, the report will look for                  
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| 106 | events from                     
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| 107 |  to this date. Press <CR> to have                       
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| 108 | the report look at all events from                      
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| 109 |  to today,                      
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| 110 | NOTE: This date MUST NOT be earlier than                        
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| 111 |       later than today.                 
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| 112 | I $P(Y0,U,8)=3,Y0>IBDT S:'IBNDT IBNDT=+Y0 D:IBNDT=+Y0 CKENC^IBTUBOU(Y,Y0,.IBQUIT) S:$S('$G(IBQUIT):1,1:Y0>IBNDT) SDSTOP=1                       
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| 113 | UNBILLED AMOUNTS SUMMARY REPORT                 
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| 114 | SUMMARY UNBILLED AMOUNTS FOR                    
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| 115 | PERIOD: FROM                    
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| 116 | DETAILED REPORT PRINTED TO '                    
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| 117 | UNBILLED AMOUNTS FIGURES STORED FOR                     
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| 118 | *** TEST DATA, TEST DATA ***                    
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| 119 | Inpatient Care:                 
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| 120 |    Number of Unbilled Inpatient Admissions :                    
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| 121 |    Number of Inpt. Institutional Cases     :                    
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| 122 |    Average Inpt. Institutional Bill Amount :                    
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| 123 |    Number of Inpt. Professional Cases      :                    
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| 124 |    Average Inpt. Professional Bill Amount  :                    
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| 125 |    Total Unbilled Inpatient Care           :                    
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| 126 | Outpatient Care:                        
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| 127 |    Number of Unbilled Outpatient Cases     :                    
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| 128 |    Number of Unbilled CPT Codes            :                    
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| 129 |    Total Unbilled Outpatient Care          :                    
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| 130 | Prescriptions:                  
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| 131 |    Number of Unbilled Prescriptions        :                    
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| 132 |    Total Unbilled Prescriptions            :                    
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| 133 | Total Unbilled Amount (all care)           :                    
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| 134 | Note:  Average bill Amount is based on Bills Authorized during the 12                   
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| 135 |        months preceding the month of this report.                       
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| 136 | Note:  Number of cases is insured cases in Claims Tracking that are                     
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| 137 |        not billed (or bill not authorized) but appear to be billable.                   
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| 138 | View unbilled amounts                   
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| 139 | IB - Unbilled View Unbilled Amounts                     
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| 140 | Inpatient Care:                         
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| 141 | Number of Unbilled Inpatient Cases:                     
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| 142 | Average Inpt. Institutional Bill Amount:                        
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| 143 | Average Inpt. Professional Bill Amount:                         
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| 144 | Total Unbilled Inpatient Care:                  
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| 145 | Outpatient Care:                        
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| 146 | Number of Unbilled Outpatient Cases:                    
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| 147 | Number of Unbilled CPT Codes:                   
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| 148 | Total Unbilled Outpatient Care:                         
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| 149 | Prescriptions:                  
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| 150 | Number of Unbilled Prescriptions:                       
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| 151 | Total Unbilled Prescriptions:                   
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| 152 | No Unbilled Amount information found.                   
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| 153 | Number of Unbilled Inpt. Cases:                         
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| 154 | Average Inpt. Bill Amount:                      
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| 155 | Total Inpatient Unbilled:                       
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| 156 | Number of Unbilled Opt. Cases:                  
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| 157 | Average Opt. Bill Amount:                       
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| 158 | Total Outpatient Unbilled:                      
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| 159 | ...task stopped at user request                 
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| 160 | SCHEDULED ADMISSION                     
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| 161 | WORK COMP.                      
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| 162 |    Previous Spec. Bills:                        
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| 163 | No Authorized or Denied Days on file for this Visit!                    
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| 164 | For Insurance Company                   
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| 165 | Care Authorized for entire Admission on                         
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| 166 | Care Denied for entire Admission on                     
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| 167 | Care                    
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| 168 | Denied                          
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| 169 | Deny Entire Admission already answered 'YES'.                   
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| 170 | Entired Admission already denied on                     
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| 171 | Entire Admission has already be authorized on                   
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| 172 | Authorize Entire Admission already answered 'YES'.                      
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| 173 | Care Authorized From Date must be before the Care Authorized To Date (                  
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| 174 | Date entered is already covered by another entry.                       
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| 175 | Care Authorized To Date must not be before the Care Authorized From Date (                      
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| 176 | Care Denied From Date must be before the Care Denied To Date (                  
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| 177 | Date must not be before the Care Denied From Date (                     
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| 178 | Date can't be before admission or visit date (                  
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| 179 | Date can not be after Discharge Date (                  
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| 180 | Whole Admission has already been Authorized, can not add partial dates!                 
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| 181 | Whole Admission has already been Denied, can not add partial dates!                     
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| 182 | No Claims Tracking entry has been provided!                     
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| 183 | The prompt type was not specified!                      
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| 184 | Cannot determine the Package file entry for IB!                 
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| 185 | Cannot determine the Visit file entry!                  
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| 186 | Cannot determine the Clinic location of the visit!                      
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| 187 | HOLD - REVIEW                   
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| 188 | Reference Number:                       
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| 189 | Primary Elig. Code:                     
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| 190 | Clock Begin Date:                       
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| 191 | Clock End Date:                 
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| 192 | Number Inpatient Days:                  
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| 193 | 90 Day Inpatient Amounts                        
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| 194 | 1st 90 Day Amount:                      
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| 195 | 2nd 90 Day Amount:                      
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| 196 | 3rd 90 Day Amount:                      
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| 197 | 4th 90 Day Amount:                      
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| 198 | Date Entry Added:                       
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| 199 | Date Last Updated:                      
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| 200 | Update Reason:                  
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| 201 | PRINT ORDER                     
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| 202 | # OF COLUMNS                    
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| 203 | LINE FORMAT                     
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| 204 | ASSOCIATED CLINICS                      
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| 205 | SUB-HEADER                      
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| 206 | Wage                    
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| 207 | Non-Wage                        
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| 208 | Percentage                      
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| 209 | Locality Modifier                       
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| 210 | RP354'I                 
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| 211 | IBA(354,                        
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| 212 | 1:COPAY INCOME EXEMPTION;                       
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| 213 | 1:EXEMPT;0:NON-EXEMPT;                  
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| 214 | RP354.2'I                       
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| 215 | EXEMPTION REASON                        
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| 216 | IBE(354.2,                      
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| 217 | HOW ADDED                       
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| 218 | 1:SYSTEM;2:MANUAL;                      
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| 219 | USER ADDING ENTRY                       
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| 220 | DATE/TIME ADDED                 
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| 221 | ELECTRONIC SIGNATURE                    
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| 222 | PRIOR YEAR THRESHOLDS                   
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| 223 | COPAY INCOME EXEMPTION STATUS                   
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| 224 | COPAY EXEMPTION STATUS DATE                     
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| 225 | COPAY EXEMPTION REASON                  
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| 226 | FEDERAL TAX NUMBER                      
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| 227 | BLUE CROSS/SHIELD PROVIDER #                    
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| 228 | MEDICARE PROVIDER NUMBER                        
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| 229 | MAS SERVICE POINTER                     
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| 230 | DEFAULT DIVISION                        
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| 231 | NAME OF CLAIM FORM SIGNER                       
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| 232 | TITLE OF CLAIM FORM SIGNER                      
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| 233 | BILLING SUPERVISOR NAME                 
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| 234 | MULTIPLE FORM TYPES                     
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| 235 | CAN INITIATOR AUTHORIZE?                        
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| 236 | CAN CLERK ENTER NON-PTF CODES?                  
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| 237 | ASK HINQ IN MCCR                        
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| 238 | USE OP CPT SCREEN?                      
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| 239 | *DEFAULT AMB SURG REV CODE                      
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| 240 | DGCR(399.2,                     
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| 241 | TRANSFER PROCEDURES TO SCHED?                   
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| 242 | PER DIEM START DATE                     
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| 243 | *DEFAULT RX REFILL REV CODE                     
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| 244 | SUPPRESS MT INS BULLETIN                        
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| 245 | DEFAULT RX REFILL DX                    
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| 246 | DEFAULT RX REFILL CPT                   
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| 247 | PRINT '001' FOR TOTAL CHARGES?                  
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| 248 | HOLD MT BILLS W/INS                     
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| 249 | REMARKS TO APPEAR ON EACH FORM                  
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| 250 | UB-92 ADDRESS COLUMN                    
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| 251 | CANCELLATION REMARK FOR FISCAL                  
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| 252 | HCFA 1500 ADDRESS COLUMN                        
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| 253 | BILL CANCELLATION MAILGROUP                     
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| 254 | XMB(3.8,                        
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| 255 | BILL DISAPPROVED MAILGROUP                      
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| 256 | COPAY BACKGROUND ERROR GROUP                    
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| 257 | MEANS TEST BILLING MAIL GROUP                   
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| 258 | DEFAULT FORM TYPE                       
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| 259 | IBE(353,                        
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| 260 | AGENT CASHIER MAIL SYMBOL                       
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| 261 | FACILITY NAME FOR BILLING                       
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| 262 | BILLING SITE IS OTHER FACILITY                  
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| 263 | AGENT CASHIER STREET ADDRESS                    
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| 264 | AGENT CASHIER CITY                      
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| 265 | AGENT CASHIER STATE                     
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| 266 | AGENT CASHIER ZIP CODE                  
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| 267 | AGENT CASHIER PHONE NUMBER                      
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| 268 | CATEGORY C BILLING MAIL GROUP                   
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| 269 | PATIENT SHORT MAILING ADDRESS                   
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| 270 | SC AT TIME OF CARE                      
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| 271 | TEMPORARY ADDRESS ACTIVE?                       
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| 272 | TEMPORARY ADDRESS START DATE                    
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| 273 | TEMPORARY ADDRESS END DATE                      
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| 274 | TEMPORARY STREET [LINE 1]                       
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| 275 | TEMPORARY STREET [LINE 2]                       
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| 276 | TEMPORARY STREET [LINE 3]                       
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| 277 | TEMPORARY CITY                  
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| 278 | TEMPORARY STATE                 
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| 279 | TEMPORARY ZIP+4                 
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| 280 | TEMPORARY PHONE NUMBER                  
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| 281 | ALIAS SSN                       
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| 282 | 1:EMPLOYED FULL TIME;2:EMPLOYED PART TIME;3:NOT EMPLOYED;4:SELF EMPLOYED;5:RETIRED;6:ACTIVE MILITARY DUTY;9:UNKNOWN;                    
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| 283 | EMPLOYER STREET [LINE 1]                        
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| 284 | EMPLOYER STREET [LINE 2]                        
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| 285 | EMPLOYER STREET [LINE 3]                        
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| 286 | EMPLOYER CITY                   
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| 287 | EMPLOYER STATE                  
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| 288 | EMPLOYER ZIP+4                  
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| 289 | EMPLOYER PHONE NUMBER                   
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| 290 | SPOUSE'S EMP STREET [LINE 1]                    
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| 291 | SPOUSE'S EMP STREET [LINE 2]                    
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| 292 | SPOUSE'S EMP STREET [LINE 3]                    
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| 293 | SPOUSE'S EMP ZIP+4                      
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| 294 | DGCR(399.3,                     
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| 295 | RP353'                  
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| 296 | Must be a printable national form type                  
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| 297 | PRIMARY INSURANCE POLICY                        
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| 298 | SECONDARY INSURANCE POLICY                      
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| 299 | TERTIARY INSURANCE POLICY                       
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| 300 | RESPONSIBLE INSTITUTION                 
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| 301 | CURRENT BILL PAYER SEQUENCE                     
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| 302 | P:PRIMARY INSURANCE;S:SECONDARY INSURANCE;T:TERTIARY INSURANCE;A:PATIENT;                       
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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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