[604] | 1 | English French Notes Complete/Exclude
|
---|
| 2 | Transmission Statement Total :
|
---|
| 3 | CCPC Statements Printed Total :
|
---|
| 4 | Total Not Printed :
|
---|
| 5 | This data can only be entered between the 1st and the 7th of the month.
|
---|
| 6 | Enter Month/Year of Waiver Data
|
---|
| 7 | You must enter month and year
|
---|
| 8 | # OF BILLS:
|
---|
| 9 | Is Data Correct
|
---|
| 10 | Line Number to Edit
|
---|
| 11 | Data Entry for Line
|
---|
| 12 | Enter Total Number of Bills
|
---|
| 13 | Enter Total Amount
|
---|
| 14 | No Forward Jumping Allowed
|
---|
| 15 | Initial Waiver Request
|
---|
| 16 | Waiver Request Resolved
|
---|
| 17 | Appeal Waiver
|
---|
| 18 | Appeal Waiver Resolved
|
---|
| 19 | Waiver Approved Refund
|
---|
| 20 | Appeal Approved Refund
|
---|
| 21 | SC
|
---|
| 22 | Pharmacy Co-Pay Waiver Data for Site
|
---|
| 23 | Rx Copay Waivers-Site #
|
---|
| 24 | Pharmacy Co-pay Waiver Report:
|
---|
| 25 | There were no debtors who defaulted on their repayment plan yesterday.
|
---|
| 26 | There were no debtors with repayment plans who had new active bills yesterday.
|
---|
| 27 | AR REPAYMENT PLAN MONITOR
|
---|
| 28 | G.RC REPAY PLANS
|
---|
| 29 | The following debtors just defaulted on a Repayment Plan by not making a
|
---|
| 30 | scheduled payment on or before the scheduled payment date:
|
---|
| 31 | The following debtors with a Repayment Plan had a new active bill entered:
|
---|
| 32 | New Bill
|
---|
| 33 | The following mailman message is your Accounts Receivable assignment list.
|
---|
| 34 | ASSIGNMENT #:
|
---|
| 35 | ACCOUNT BILL# CATEGORY ACTIVATE
|
---|
| 36 | TOTAL BILL COUNT FOR ASSIGNMENT:
|
---|
| 37 | [Not Specified]
|
---|
| 38 | SUMMARY OF ALL ASSIGNMENTS
|
---|
| 39 | ALL BILLS FOR ALL ASSIGNMENTS COUNT:
|
---|
| 40 | * indicates patient has expired COUNT:
|
---|
| 41 | d indicates bill has been forwarded to DMC COUNT:
|
---|
| 42 | t indicates bill has been forwarded to TOP COUNT:
|
---|
| 43 | r indicates bill is under a repayment plan COUNT:
|
---|
| 44 | R indicates bill in default of repay plan COUNT:
|
---|
| 45 | AR Assignment List for
|
---|
| 46 | TOTAL BILL COUNT FOR ALL CLERKS:
|
---|
| 47 | TOTAL BILL DOLLARS FOR ALL CLERKS:
|
---|
| 48 | IBJD WORKLOAD ASSIGNMENT
|
---|
| 49 | AR Supervisor List for
|
---|
| 50 | [RECEIVABLE TYPE equals
|
---|
| 51 | [CATEGORY equals
|
---|
| 52 | [MINIMUM BILL BALANCE greater than
|
---|
| 53 | [DAYS SINCE LAST PAYMENT greater than
|
---|
| 54 | [PATIENT NAME is after
|
---|
| 55 | and before
|
---|
| 56 | [PATIENT SSN is after
|
---|
| 57 | [DAYS SINCE LAST TRANSACTION greater than
|
---|
| 58 | [INSURANCE COMPANY NAME is after
|
---|
| 59 | Notice Of Active Bill Without Principal Balance
|
---|
| 60 | The following bill has a 0 principal balance,
|
---|
| 61 | but has interest/admin charges remaining.
|
---|
| 62 | These charges should be exempted
|
---|
| 63 | BILL #:
|
---|
| 64 | Deletion of Debtor from DMC
|
---|
| 65 | The following patient has a DMC balance of '0'
|
---|
| 66 | and will be deleted from the DMC system:
|
---|
| 67 | DEBTOR:
|
---|
| 68 | INACTIVE BENEFIT
|
---|
| 69 | Death Notice Received From DMC
|
---|
| 70 | DMC has received a death notice for the following patient:
|
---|
| 71 | Date Of Death:
|
---|
| 72 | Please follow up locally to have this information entered
|
---|
| 73 | into the local VAMC patient file.
|
---|
| 74 | The following debtors will not be followed by DMC
|
---|
| 75 | and are being deleted from the DMC.
|
---|
| 76 | Patients Deleted From DMC: (SEQ. #:
|
---|
| 77 | The following debtors have invalid debtor numbers
|
---|
| 78 | Please verify the debtors
|
---|
| 79 | Notice of Invalid Debtor Number
|
---|
| 80 | END OF TRANSMISSION FOR SITE#
|
---|
| 81 | : TOTAL RECORDS:
|
---|
| 82 | XXX@Q-DMX.MED.VA.GOV
|
---|
| 83 | XXX@Q-DMR.MED.VA.GOV
|
---|
| 84 | /DMC REPORT
|
---|
| 85 | WEEKLY UPDATE
|
---|
| 86 | MASTER FILE
|
---|
| 87 | RECORDS SENT TO DMC ON
|
---|
| 88 | Name Last4 Principle Interest Admin Total
|
---|
| 89 | Total Records Sent:
|
---|
| 90 | Principle:
|
---|
| 91 | Interest:
|
---|
| 92 | Admin:
|
---|
| 93 | Total:
|
---|
| 94 | Notice of debtor eligible for DMC with Pseudo-SSN
|
---|
| 95 | The following patient is eligible for DMC collection,
|
---|
| 96 | but can not be submitted because of a Pseudo-SSN.
|
---|
| 97 | A valid SSN needs to be entered for this patient.
|
---|
| 98 | DMC 90 DAY REFERRAL REPORT
|
---|
| 99 | Select type of report
|
---|
| 100 | Enter 'D' or 'S':
|
---|
| 101 | A detailed report prints out current totals for each individual debtor at DMC.
|
---|
| 102 | A summary report prints out current totals of all accounts at DMC.
|
---|
| 103 | Mailgroup 'DMR' to receive master transaction messages has been set up
|
---|
| 104 | Mailgroup 'DMX' to receive weekly transacton messages have been sent up.
|
---|
| 105 | ****Remember to add users to these mailgroups.****
|
---|
| 106 | DMC Lesser Withholding...
|
---|
| 107 | Amount entered exceeds the amount currently at DMC which is
|
---|
| 108 | Re-enter lesser amount
|
---|
| 109 | Deletion of Debtor From DMC
|
---|
| 110 | Enter Debtor To Be Removed From DMC:
|
---|
| 111 | Are you sure you wish to delete this debtor from DMC?
|
---|
| 112 | Notice of Unknown/Corrupted Address to DMC
|
---|
| 113 | Master Record-Monthly was not sent because:
|
---|
| 114 | Address is
|
---|
| 115 | . Verify and re-enter
|
---|
| 116 | address for the following patient:
|
---|
| 117 | PLEASE NOTE: SENT WEEKLY UPDATE WITH ZERO BALANCE!
|
---|
| 118 | This option will allow you to select a new account.
|
---|
| 119 | RCDP TRANSACTIONS LIST
|
---|
| 120 | RCDP BILL PROFILE
|
---|
| 121 | There are NO bills to profile.
|
---|
| 122 | ***** Select an ACCOUNT *****
|
---|
| 123 | ***** Account does not have any bills *****
|
---|
| 124 | TOTAL BALANCE OWED FOR ALL BILLS DISPLAYED
|
---|
| 125 | Pending Payments
|
---|
| 126 | TOTAL PENDING PAYMENTS
|
---|
| 127 | TOP Hold Date:
|
---|
| 128 | RCDP ACCOUNT PROFILE
|
---|
| 129 | ACCOUNT NOT selected.
|
---|
| 130 | RX Copay Exempt:
|
---|
| 131 | ACCOUNT BALANCE: Unknown
|
---|
| 132 | ACCOUNT BALANCE:
|
---|
| 133 | Pending Payments:
|
---|
| 134 | Select ACCOUNT or BILL NUMBER:
|
---|
| 135 | NO STREET
|
---|
| 136 | This option will allow you to specify which bill statuses to display.
|
---|
| 137 | *:ALL statuses;-:NO statuses;
|
---|
| 138 | Select STATUS of bills to display:
|
---|
| 139 | When using this option, you have the option to select bills to display by
|
---|
| 140 | status. You can select a list of statuses of the bills to display. After
|
---|
| 141 | you select the list of statuses, the option will retain the list of selected
|
---|
| 142 | statuses for the next time you enter this option. Since you currently do
|
---|
| 143 | not have any statuses selected for your list, the default statuses of
|
---|
| 144 | active, open, pending calm, and refund review will be automatically
|
---|
| 145 | selected for your list now.
|
---|
| 146 | The following is a list of available statuses for bills:
|
---|
| 147 | ** indicates account has bills under status **
|
---|
| 148 | Date
|
---|
| 149 | Trans Date Type Amount Description
|
---|
| 150 | Qty
|
---|
| 151 | Outpatient Visit Date:
|
---|
| 152 | Inpatient Adm Date:
|
---|
| 153 | Repayment Plan Data
|
---|
| 154 | Repayment Plan Date
|
---|
| 155 | Day of Month Payment Due
|
---|
| 156 | Repayment Amount Due
|
---|
| 157 | Number of Payments
|
---|
| 158 | Forwarded to IRS
|
---|
| 159 | On Date
|
---|
| 160 | Principal Balance:
|
---|
| 161 | Interest Balance:
|
---|
| 162 | Administrative Balance:
|
---|
| 163 | Forwarded to DMC
|
---|
| 164 | Forwarded to TOP
|
---|
| 165 | TOP Hold Date:
|
---|
| 166 | Insurance Data
|
---|
| 167 | Insured Name
|
---|
| 168 | ID Number
|
---|
| 169 | Group Name
|
---|
| 170 | Group Number
|
---|
| 171 | Employer Name
|
---|
| 172 | Employee ID Number
|
---|
| 173 | Employer Location
|
---|
| 174 | Secondary Ins Carrier
|
---|
| 175 | Tertiary Ins Carrier
|
---|
| 176 | Date Prepared
|
---|
| 177 | Date Activated
|
---|
| 178 | Date Status Up
|
---|
| 179 | Resulting From
|
---|
| 180 | Type of Care
|
---|
| 181 | Interest Effective Rate Date:
|
---|
| 182 | Annual Rate:
|
---|
| 183 | Admin Effective Rate Date:
|
---|
| 184 | Monthly Rate:
|
---|
| 185 | Last Int/Admin Charge Date
|
---|
| 186 | Bill Balances Billed Paid
|
---|
| 187 | Original Amt:
|
---|
| 188 | Medicare Contr Adj:
|
---|
| 189 | Marshall Fee:
|
---|
| 190 | Court Cost:
|
---|
| 191 | Administrative:
|
---|
| 192 | Medicare Unreim Exp:
|
---|
| 193 | Refunded Amount
|
---|
| 194 | Accounting Data
|
---|
| 195 | Fiscal Year
|
---|
| 196 | Approp Code
|
---|
| 197 | Rev Srce Code:
|
---|
| 198 | Collection Follow up Data
|
---|
| 199 | IRS Letter
|
---|
| 200 | DC/DOJ Ref Date
|
---|
| 201 | ***** ACCOUNTS RECEIVABLE BILL PROFILE FOR
|
---|
| 202 | There are NO transactions to profile.
|
---|
| 203 | RCDP TRANS PROFILE
|
---|
| 204 | TOTAL BALANCE FOR BILL
|
---|
| 205 | STORED BALANCE FOR BILL (** INCORRECT **)
|
---|
| 206 | Bill Balance:
|
---|
| 207 | Select BILL:
|
---|
| 208 | original amount^
|
---|
| 209 | This option will confirm a deposit. Once a deposit is confirmed, receipts
|
---|
| 210 | can no longer be added or changed on the deposit. Before a deposit can be
|
---|
| 211 | confirmed all receipts must be processed and the cash receipt code sheets
|
---|
| 212 | accepted by FMS.
|
---|
| 213 | Deposit NOT Confirmed.
|
---|
| 214 | Use the Edit Deposit option to enter missing bank data.
|
---|
| 215 | Checking receipts on deposit ...
|
---|
| 216 | ON LINE ENTRY
|
---|
| 217 | Cannot confirm deposit until all receipts are closed and the cash
|
---|
| 218 | receipt documents have been accepted in FMS.
|
---|
| 219 | All receipts are closed and accepted.
|
---|
| 220 | Checking the deposit bank data ...
|
---|
| 221 | BANK is missing.
|
---|
| 222 | BANK TRACE NUMBER is missing.
|
---|
| 223 | AGENCY LOCATION CODE is missing.
|
---|
| 224 | AGENCY TITLE is missing.
|
---|
| 225 | RCDP RECEIPT PROFILE
|
---|
| 226 | There are NO receipts to profile.
|
---|
| 227 | This option will allow the user to customize the screen and options
|
---|
| 228 | used for deposit processing.
|
---|
| 229 | Do you want to turn on the display of the FMS CR documents
|
---|
| 230 | Are you sure you want to CONFIRM this deposit
|
---|
| 231 | RCDP DEPOSIT PROFILE
|
---|
| 232 | *** No RECEIPTS for this deposit ***
|
---|
| 233 | TOTAL DOLLARS FOR DEPOSIT
|
---|
| 234 | Bank Trace Number:
|
---|
| 235 | Agency Location Code:
|
---|
| 236 | Agency Title:
|
---|
| 237 | FMS CR Documents
|
---|
| 238 | Deposit Status:
|
---|
| 239 | Deposit Date:
|
---|
| 240 | accounts receivable
|
---|
| 241 | Opened By:
|
---|
| 242 | Date/Time Opened:
|
---|
| 243 | Confirmed By:
|
---|
| 244 | Date/Time Confirmed:
|
---|
| 245 | Deposit confirmed on
|
---|
| 246 | Exit option entirely
|
---|
| 247 | Another user is editing the deposit.
|
---|
| 248 | Sent to: PRCAY PAYMENT SUP security key holders
|
---|
| 249 | This deposit was confirmed and the following action occurred:
|
---|
| 250 | Deposit Processing Audit
|
---|
| 251 | Accounts Receivable Package
|
---|
| 252 | Select DEPOSIT:
|
---|
| 253 | Print Summary 215 Report
|
---|
| 254 | RCFMSCR_SUM
|
---|
| 255 | Appropriation:
|
---|
| 256 | INT:
|
---|
| 257 | TOTAL for
|
---|
| 258 | 0160a1 sub-totals Champva receipts
|
---|
| 259 | not sent to FMS on the CR document.
|
---|
| 260 | INTEREST : (APP: 1435)
|
---|
| 261 | ADMIN : (APP: 3220)
|
---|
| 262 | MARSHALL : (APP: 0869)
|
---|
| 263 | COURTCOST: (APP: 0869)
|
---|
| 264 | TOTALS:
|
---|
| 265 | TOTAL AMT POSTED FOR RECEIPT:
|
---|
| 266 | **** GRAND TOTALS FOR DEPOSIT:
|
---|
| 267 | Total Appropriation:
|
---|
| 268 | not sent to FMS on the CR doc.
|
---|
| 269 | Total Appropriation: 3875
|
---|
| 270 | TOT AMT POSTED FOR DEPOSIT:
|
---|
| 271 | Appropriation: 3875
|
---|
| 272 | TOTAL for 3875
|
---|
| 273 | ACCRUED OR DETAILED REPORT
|
---|
| 274 | A DETAILED Report will list out accrued bills separately
|
---|
| 275 | An ACCRUED Report will list just the accrued total under each appropriation
|
---|
| 276 | 215 DEPOSIT SUMMARY REPORT
|
---|
| 277 | DEPOSIT #:
|
---|
| 278 | FMS Document #:
|
---|
| 279 | REFERENCE ERA #:
|
---|
| 280 | Start with Deposit Date: FIRST//
|
---|
| 281 | AR - List of unlinked EFT deposit payments
|
---|
| 282 | RCDPE8NZZ_EFT
|
---|
| 283 | DEPOSIT DATE:
|
---|
| 284 | TASK STOPPED BY USER!!
|
---|
| 285 | NO RECEIPT
|
---|
| 286 | PAPER EOB
|
---|
| 287 | MATCHED TO ERA #:
|
---|
| 288 | (TOTALS MISMATCH)
|
---|
| 289 | NO FMS DOCUMENT
|
---|
| 290 | UNAPPLIED EFT PAYMENT DEPOSITS
|
---|
| 291 | DEPOSIT # DEPOSIT DATE TOT AMT OF DEPOSIT TOT AMT UNPOSTED
|
---|
| 292 | TRACE # PAYMENT AMT RECEIPT #
|
---|
| 293 | ERA MATCHED
|
---|
| 294 | FMS DOC #/STATUS
|
---|
| 295 | EDI LBOX ERA UNMATCHED AGING REPORT FOR
|
---|
| 296 | EDI LBOX EFT UNMATCHED AGING REPORT FOR
|
---|
| 297 | Enter the minimum # of days elapsed before including on report (0-1000):
|
---|
| 298 | DO YOU WANT (S)UMMARY OR (D)ETAIL?:
|
---|
| 299 | AR - EDI LOCKBOX ERA AGING REPORT
|
---|
| 300 | RCERA_AGED
|
---|
| 301 | RCERA_ADJ
|
---|
| 302 | (HAC ERA)
|
---|
| 303 | #################### #################### ####################
|
---|
| 304 | #################### #################### ####################
|
---|
| 305 | #################### #################### ####################
|
---|
| 306 | #################### #################### ####################
|
---|
| 307 | #################### #################### ####################
|
---|