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