| [604] | 1 | English French Notes Complete/Exclude
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| 2 | (CLAIM LEVEL CLAIM ADJUSTMENT DATA)
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| 3 | (CLAIM LEVEL MEDICARE INPATIENT ADJUDICATION DATA)
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| 4 | (CLAIM LEVEL MEDICARE ADJUDICATION DATA)
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| 5 | (CLAIM LEVEL MEDICARE ADJUDICATION DATA REMARKS)
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| 6 | (CLAIM LEVEL SERVICE LINE DATA)
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| 7 | (CLAIM LEVEL SERVICE LINE DATA (CONTINUED))
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| 8 | (CLAIM LEVEL SERVICE LINE ADJUSTMENT DATA)
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| 9 | G.RCDPE PAYMENTS EXCEPTIONS
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| 10 | An EEOB record for bill
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| 11 | was transferred to
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| 12 | ERA TRACE #:
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| 13 | This message is to inform you this transfer was ****
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| 14 | You must make the appropriate funds transfers manually
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| 15 | Contact this site if the EEOB is not ACCEPTED or REJECTED in a timely manner
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| 16 | Try another site or contact your IMPLEMENTATION MANAGER to reconcile this
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| 17 | EDI LBOX TRANSFERRED EEOB
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| 18 | POSTMASTER@FOC-AUSTIN.VA.GOV
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| 19 | An electronic transmission (
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| 20 | ) has been received by the EDI Lockbox
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| 21 | system that did not originate from the Austin system. This message
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| 22 | WILL NOT be stored on your system and may be a breach of security.
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| 23 | Please contact your IRM with the following information:
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| 24 | The message was sent from
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| 25 | The text received in the message is:
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| 26 | EDI LBOX - ERA/EFT NOT FROM AUSTIN
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| 27 | SELECT REPORT
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| 28 | ENTER THE EARLIEST TRANSFERRED FROM/TO DATE TO INCLUDE ON THE REPORT
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| 29 | ENTER THE LATEST TRANSFERRED FROM/TO DATE TO INCLUDE ON THE REPORT
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| 30 | AR - EDI LOCKBOX TRANSFERRED EEOB REPORT
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| 31 | RCDPE_TROUT
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| 32 | RCDPE_TRIN
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| 33 | NOT REC'D
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| 34 | NOT ACCPTD
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| 35 | ** THERE WERE NO EEOBs TRANSFERRED OUT WITHIN THE DATE RANGE SELECTED
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| 36 | TOTAL # EEOBs NOT CONFIRMED AS 'RECEIVED' BY OTHER SITES:
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| 37 | TOTAL # EEOBs STILL JUST 'RECEIVED' BY OTHER SITES:
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| 38 | TOTAL # EEOBs ACCEPTED BY OTHER SITES:
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| 39 | TOTAL # EEOBs NOT ACCEPTED BY OTHER SITES:
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| 40 | ** THERE WERE NO EEOBs TRANSFERRED 'IN' WITHIN THE DATE RANGE SELECTED
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| 41 | TOTAL # EEOBs YOU ACCEPTED:
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| 42 | TOTAL # EEOBs STILL PENDING:
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| 43 | EDI LOCKBOX EEOBs TRANSFERRED
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| 44 | TRANS DT
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| 45 | TRANS
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| 46 | EEOB DATE
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| 47 | Select EFT RECORD (Unmatched to an ERA):
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| 48 | THIS ERA ALREADY HAS A RECEIPT - YOU MAY ONLY VIEW ITS SCRATCH PAD
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| 49 | THIS ERA IS FROM CHAMPVA (HAC) - ARE YOU SURE YOU WANT TO CONTINUE?:
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| 50 | NO WORKLIST SCRATCH PAD ENTRY EXISTS FOR THIS ERA
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| 51 | DO YOU WANT TO CREATE ONE NOW?:
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| 52 | PAYMENT METHOD CODE REPORTED:
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| 53 | NO PAYMENT METHOD CODE REPORTED
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| 54 | THIS ERA HAS NO PAYMENT ASSOCIATED WITH IT AND CAN BE MARKED AS
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| 55 | 'MATCH-0 PAYMENT' TO REMOVE IT FROM THE ERA AGING REPORT IF NO PAPER CHECK OR
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| 56 | EFT IS EXPECTED TO BE RECEIVED FOR THIS ERA
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| 57 | DO NOT RESPOND YES HERE UNLESS YOU ARE SURE THRE WILL BE NO EFT OR PAPER
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| 58 | CHECK TO BE RECEIVED FOR THIS 0-PAYMENT ERA
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| 59 | DO YOU WANT TO DO THIS?:
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| 60 | THIS ERA DOES NOT HAVE A MATCHING EFT
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| 61 | ENTER THE NUMBER OF THE PAPER CHECK YOU RECEIVED FOR THIS ERA:
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| 62 | THERE MUST EITHER BE A PAPER CHECK OR AN EFT FOR THIS ERA
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| 63 | CHECK#
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| 64 | ) MATCHED TO PAPER CHECK
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| 65 | IS THIS CORRECT?:
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| 66 | NO WORKLIST ENTRY EXISTS FOR THIS ERA - PRESS RETURN TO CONTINUE
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| 67 | RCDPE EOB WORKLIST
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| 68 | ERA Entry #:
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| 69 | Payer Name/ID:
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| 70 | Total Amt Pd:
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| 71 | EFT #/TRACE #:
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| 72 | PAPER CHECK #:
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| 73 | *** RECEIPT ALREADY CREATED (
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| 74 | RCDPE-EOB_WLDX
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| 75 | RCDPE-EOB_WL
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| 76 | RC_SORTPARM
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| 77 | RC_BILL
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| 78 | THIS ACTION IS NOT AVAILABLE SINCE THE ERA ALREADY HAS A RECEIPT.
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| 79 | SELECT PARAMETERS FOR SELECTING AN ERA
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| 80 | ERA POSTING STATUS:
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| 81 | ERA-EFT MATCH STATUS:
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| 82 | LIMIT THE SELECTION TO A DATE RANGE WHEN THE ERA WAS RECEIVED?:
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| 83 | EARLIEST DATE:
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| 84 | LATEST DATE:
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| 85 | SELECT THE ENTRY THAT HAS A LINE YOU NEED TO SPLIT/EDIT
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| 86 | THIS ENTRY HAS NO LINES AVAILABLE TO EDIT/SPLIT
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| 87 | Enter the line # that you want to split or edit:
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| 88 | WHICH LINE OF ENTRY
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| 89 | DO YOU WANT TO SPLIT/EDIT?:
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| 90 | DOES NOT EXIST - TRY AGAIN
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| 91 | HAS BEEN USED IN A DISTRIBUTE ADJ ACTION AND CAN'T BE EDITED
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| 92 | RCDPE_SPLIT_REBLD
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| 93 | INCLUDING EXPANDED DETAIL WILL SIGNIFICANTLY INCREASE THE SIZE OF THIS REPORT
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| 94 | IF YOU CHOOSE TO INCLUDE IT, ALL PAYMENT DETAILS FOR EACH EEOB WILL BE
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| 95 | LISTED. IF YOU WANT JUST SUMMARY DATA FOR EACH EEOB, DO NOT INCLUDE IT.
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| 96 | DO YOU WANT TO INCLUDE EXPANDED EEOB DETAIL?:
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| 97 | AR - Print ERA From Worklist
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| 98 | RC_SUMRAW
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| 99 | RC_SUMOUT
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| 100 | RC_SUMALL
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| 101 | **ERA LEVEL ADJUSTMENTS**
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| 102 | **EXCEPTION RESOLUTION LOG DATA**
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| 103 | EDI LOCKBOX WORKLIST - ERA DETAIL
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| 104 | EEOB Seq #
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| 105 | On ERA:
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| 106 | Net Payment Amt:
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| 107 | EEOB TRANSFERRED TO
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| 108 | ***ADJUSTMENT AT ERA LEVEL
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| 109 | *** ADJUSTMENT LINE FOR TOTALS MISMATCH
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| 110 | Patient/Last 4:
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| 111 | ***CLAIM NOT FOUND IN YOUR AR ***
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| 112 | Billed Amt:
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| 113 | Amt To Post:
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| 114 | Claim Bal:
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| 115 | Svc Dt:
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| 116 | Rx Copay:
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| 117 | Means Tst:
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| 118 | Payment Amt:
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| 119 | Total Adjustments:
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| 120 | Receipt Comment:
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| 121 | ADJUSTMENTS:
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| 122 | Distributed adj dec for retraction
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| 123 | Adjustment distribution to balance receipt:
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| 124 | ERA payment adjusted from
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| 125 | Non-specific payment (ref#
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| 126 | Non-specific retraction (ref#
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| 127 | REVIEW NOTES:
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| 128 | (LAST REVIEW STATUS SET BY:
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| 129 | RC_VALMBG
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| 130 | AR - Print EEOB Detail from Worklist
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| 131 | RC*
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| 132 | PRCA_EOB1
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| 133 | ERA LEVEL ADJUSTMENT #
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| 134 | ADJUSTMENT REFERENCE #:
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| 135 | ADJUSTMENT REASON CODE:
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| 136 | ADJUSTMENT AMOUNT:
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| 137 | *** NOT IDENTIFIED IN A/R ****
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| 138 | PRCA EDI LOCKBOX CHARGES
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| 139 | YOU DO NOT HAVE THE KEY NEEDED TO ACCESS THIS OPTION.
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| 140 | EDI LOCKBOX EEOB DETAIL FROM WORKLIST
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| 141 | ERA NUMBER:
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| 142 | ERA TRACE #:
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| 143 | INS COMPANY:
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| 144 | RETURN TO CONTINUE
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| 145 | THIS BILL IS NOT IDENTIFIED IN YOUR A/R
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| 146 | THIS FUNCTION IS NOT AVAILABLE ... RETURN TO CONTINUE
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| 147 | THIS IS AN ERA LEVEL ADJUSTMENT - NO DATA EXISTS FOR IT IN YOUR AR
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| 148 | RCDPE_EOB_SPLIT_OK
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| 149 | YOU HAVE NOT FILED THESE CHANGES
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| 150 | DO YOU WANT TO FILE THEM BEFORE YOU EXIT?:
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| 151 | RCDPE_SPLIT_FILE
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| 152 | RCDPE EOB RESEARCH
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| 153 | THIS RECEIPT IS NOT ASSOCIATED WITH AN ERA RECORD - PRESS RETURN TO CONTINUE
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| 154 | NO ERA WORKLIST EXISTS FOR THIS ERA - PRESS RETURN TO CONTINUE
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| 155 | THIS ACTION NOT CURRENTLY AVAILABLE - PRESS RETURN TO CONTINUE
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| 156 | RCDPE_SPLIT
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| 157 | THIS IS AN ERA-LEVEL ADJUSTMENT - ONLY THE ADJUSTMENT COMMENT CAN BE EDITED
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| 158 | NOTE: THIS LINE HAS AN ADJUSTMENT RECORD ASSOCIATED WITH IT
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| 159 | RCDPE EOB WORKLIST SPLIT
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| 160 | RCDPE_EOB_SPLIT
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| 161 | RCDPE_EOB_SPLITDX
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| 162 | **** TOTAL AMOUNTS ENTERED DO NOT MATCH THE ORIGINAL AMOUNTS ****
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| 163 | (NOT IN A/R)
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| 164 | ENTER THE CLAIM # TO WHICH THE PAYMENT OR ADJUSTMENT WILL BE APPLIED.
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| 165 | THE CLAIM # DOES NOT HAVE TO EXIST IN YOUR AR IF THE PAYMENT/ADJUSTMENT
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| 166 | BELONGS TO ANOTHER SITE.
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| 167 | YOU MUST SPLIT THE ENTIRE AMOUNT OF THE LINE.
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| 168 | PAYMENT IS LEFT
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| 169 | ADJ IS LEFT
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| 170 | DO YOU WANT TO ABORT THIS SPLIT NOW?:
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| 171 | THIS CLAIM WAS NOT FOUND IN YOUR AR. DO YOU WANT TO CONTINUE?:
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| 172 | >>Current claim balance is:
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| 173 | SINCE THIS LINE HAS AN ADJUSTMENT, THE AMOUNT ENTERED HERE SHOULD BE THE
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| 174 | CORRECTED AMOUNT THE PAYER INDICATED THEY SHOULD HAVE PAID FOR THE CLAIM
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| 175 | ENTER THE AMT FROM THE PAYMENT TOTAL FOR THIS LINE (
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| 176 | THAT APPLIES TO THIS CLAIM. THE PAYMENT AMOUNT ALREADY USED FOR THIS
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| 177 | LINE SPLIT IS:
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| 178 | LEAVING A BALANCE TO DISTRIBUTE OF:
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| 179 | THE TOTAL PAYMENTS ENTERED DURING THIS SPLIT MUST EQUAL THE ORIGINAL LINE
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| 180 | PAYMENT AMOUNT OF $
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| 181 | PAYMENT AMOUNT TO APPLY TO THIS CLAIM:
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| 182 | THIS LINE CONTAINS AN ADJUSTMENT AMOUNT OF $
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| 183 | THIS AMT IS USUALLY THE AMT THE PAYER PREVIOUSLY PAID
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| 184 | ON A CLAIM WHICH THEY HAVE NOW AMENDED. IF THERE WAS
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| 185 | AN AMT PREVIOUSLY PAID FOR THIS CLAIM, ENTER THAT AMOUNT
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| 186 | AS A NEGATIVE AMOUNT HERE.
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| 187 | ENTER THE AMT FROM THE ADJUSTMENT TOTAL FOR THIS LINE (
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| 188 | THAT APPLIES TO THIS CLAIM. THE ADJUSTMENT AMOUNT ALREADY USED FOR THIS
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| 189 | LINE SPLIT IS
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| 190 | LEAVING A BALANCE OF
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| 191 | TO DISTRIBUTE
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| 192 | ENTER IT AS THE NEGATIVE OF THE AMT THE PAYER PREVIOUSLY PAID ON THIS CLAIM
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| 193 | THE TOTAL ADJUSTMENTS ENTERED DURING THIS SPLIT MUST EQUAL THE ORIGINAL LINE
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| 194 | ADJUSTMENT AMOUNT OF $
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| 195 | RECEIPT LINE COMMENT:
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| 196 | Comment will be deleted
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| 197 | AND ADJUSTMENTS
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| 198 | DO NOT MATCH THE ORIGINAL AMOUNT(s):
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| 199 | ORIG PAY AMT:
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| 200 | ORIG ADJ AMT:
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| 201 | AMT ENTERED:
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| 202 | AMT ENTERED:
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| 203 | ;.05////0;.06////0;.09////RETRACTED FUNDS DEDUCTED FROM OTHER PAYMENT ON THIS ERA
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| 204 | PROBLEM ADDING ADJUSTMENT - NO DISTRIBUTION PERFORMED
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| 205 | THIS ERA ALREADY HAS A RECEIPT -
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| 206 | - NO RECEIPT CREATED
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| 207 | THIS ACTION WILL CREATE THE RECEIPT FOR THIS ERA. ONCE THE RECEIPT IS
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| 208 | CREATED HERE, NO MORE AUTOMATIC ADJUSTMENTS MAY BE MADE FOR THIS ERA.
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| 209 | ARE YOU SURE YOU ARE READY TO CREATE THIS RECEIPT?:
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| 210 | NO RECEIPT CREATED - PRESS RETURN TO CONTINUE
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| 211 | AT LEAST ONE LINE ITEM WAS FOUND WITH A NEGATIVE PAYMENT AMOUNT
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| 212 | NO RECEIPT CAN BE CREATED - PRESS RETURN TO CONTINUE
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| 213 | NO RECEIPT CAN BE CREATED - NO POSTABLE LINE ITEMS WERE FOUND
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| 214 | A PROBLEM WAS ENCOUNTERED ADDING THE RECEIPT - NO RECEIPT ADDED
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| 215 | THE FOLLOWING PROBLEMS OCCURRED WHILE ADDING THE RECEIPT:
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| 216 | DO YOU WANT TO GO TO RECEIPT PROCESSING NOW?
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| 217 | RECEIPT
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| 218 | HAS BEEN CREATED FOR THIS ERA
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| 219 | THE FOLLOWING LINES HAVE A NET PAYMENT LESS THAN 0. THESE LINES MUST HAVE
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| 220 | THIS NEGATIVE AMOUNT DISTRIBUTED TO OTHER LINE(S) IN THE ERA BEFORE A
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| 221 | RECEIPT CAN BE CREATED.
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| 222 | RCDPE EOB RECEIPT PREVIEW
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| 223 | RCDPE_EOB_PREVIEW
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| 224 | Dec adj $
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| 225 | PAYMENTS (LINES FOR RECEIPT):
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| 226 | ZERO DOLLAR PAYMENTS:
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| 227 | LINES WITH NEGATIVE BALANCES STILL NEEDING TO BE DISTRIBUTED:
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| 228 | TOTALS MISMATCH ADJ
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| 229 | DO YOU WANT TO PRINT/VIEW THE ERA FIRST?:
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| 230 | THIS IS NOT A VALID ACTION FOR AN ERA FROM HAC
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| 231 | THIS WILL CREATE A RECEIPT THAT WILL MOVE THE FUNDS ($
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| 232 | FOR THIS ENTIRE ERA TO YOUR SUSPENSE ACCOUNT
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| 233 | THIS WILL CREATE AND POST A RECEIPT FOR $0.00 FOR THIS ERA
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| 234 | ***ALL POSTINGS TO A/R FOR ANY CLAIMS IN THIS ERA MUST BE DONE MANUALLY***
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| 235 | ENTER A 1-60 CHARACTER COMMENT TO BE PLACED ON THE RECEIPT:
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| 236 | REF ERA #:
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| 237 | NO ACTION TAKEN - RETURN TO CONTINUE:
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| 238 | DO YOU WANT TO TURN DISPLAY REVIEW DATA ON?:
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| 239 | NO LINES EXIST NEEDING ADJUSTMENT DISTRIBUTION
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| 240 | NO VALID LINES EXIST ON THIS ERA WHERE A DISTRIBUTION CAN BE MADE
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| 241 | SELECT A LINE THAT NEEDS AN ADJUSTMENT AMOUNT DISTRIBUTED:
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| 242 | THE FOLLOWING LINE(S) HAVE AN ADJUSTMENT THAT CAUSED A NEGATIVE NET PAYMENT.
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| 243 | IN ORDER TO BALANCE THE RECEIPT AND THE DEPOSIT, THESE AMOUNTS WILL NEED TO
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| 244 | BE DISTRIBUTED TO OTHER LINE(S)
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| 245 | THIS LINE DOES NOT EXIST FOR THIS ERA
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| 246 | THIS LINE DOESN'T NEED AN ADJUSTMENT DISTRIBUTION
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| 247 | PLEASE ENTER THE ENTIRE LINE # (Such as: 1.001)
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| 248 | AMOUNT NEEDED TO DISTRIBUTE:
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| 249 | THE ERA DOES NOT HAVE ENOUGH VALID PAYMENTS TO OFFSET THIS DISTRIBUTION
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| 250 | SELECT A LINE TO DISTRIBUTE THE ADJUSTMENT AMOUNT TO:
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| 251 | THE FOLLOWING LINE(S) HAVE A NET PAYMENT THAT CAN BE USED TO OFFSET THE
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| 252 | NEGATIVE NET PAYMENT FOR LINE
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| 253 | On hold exists
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| 254 | THIS LINE CANNOT BE USED FOR AN ADJUSTMENT DISTRIBUTION
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| 255 | Warning - on-hold exists for this claim
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| 256 | LINE BALANCE:
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| 257 | THE LINE SELECTED IS AN ADDITIONAL PAYMENT LINE, NOT SPECIFIC TO A CLAIM
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| 258 | THE AMT WILL BE DISTRIBUTED, BUT A DECREASE ADJUSTMENT WILL NOT BE PERFORMED
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| 259 | ADJUSTMENT AMOUNT TO DISTRIBUTE:
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| 260 | THIS IS THE AMOUNT OF THE ADJUSTMENT THAT SHOULD BE APPLIED TO THIS
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| 261 | PAYMENT LINE. THE AMT ENTERED MUST BE BETWEEN .01 AND
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| 262 | NO AMOUNT WAS ENTERED - TRY AGAIN LATER
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| 263 | USER ABORT - PRESS RETURN TO CONTINUE
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| 264 | DECREASE ADJ COMMENT (1-60 CHARACTERS):
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| 265 | RETRACTED FOR
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| 266 | ERA ADJ #
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| 267 | CLAIM
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| 268 | THIS ACTION WILL DELETE AND REBUILD THIS EEOB WORKLIST SCRATCH PAD ENTRY
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| 269 | ALL EDITS/SPLITS/ADJUSTMENTS PREVIOUSLY ENTERED FOR THIS ERA WILL BE ERASED
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| 270 | ARE YOU SURE YOU WANT TO DO THIS?:
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| 271 | THIS ERA MUST BE MOVED TO SUSPENSE
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| 272 | THIS ERA'S RECEIPT MUST BE ENTERED MANUALLY
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| 273 | DECREASE ADJUSTMENT
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| 274 | TYPE OF ADJUSTMENT:
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| 275 | Claim balance is now:
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| 276 | PLEASE NOTE: This will not be reflected in the worklist until the worklist
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| 277 | is closed and reopened
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| 278 | TOTALS MISMATCH^^
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| 279 | TOTALS MISMATCH
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| 280 | ORDER OF PAYMENTS:
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| 281 | THIS DEPOSIT WAS OPENED MORE THAN ONE WEEK AGO (
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| 282 | ARE YOU SURE YOU WANT TO USE THIS DEPOSIT?:
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| 283 | is no longer in exception file
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| 284 | This record has already been scheduled for update. Task # is:
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| 285 | This message has an invalid 'type' - can't update
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| 286 | File update has been tasked (#
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| 287 | File update could not be tasked. Please try again later!!!
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| 288 | DO YOU WANT TO INCLUDE DATA THE WAY IT WAS RECEIVED (RAW DATA)?:
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| 289 | AR - Print EEOB Exception Message
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| 290 | **EXCEPTION MESSAGES**
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| 291 | **RAW DATA**
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| 292 | RCDPEX-EOBDX
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| 293 | This action will PERMANENTLY delete an EDI Lockbox message from your system
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| 294 | * This EDI Lockbox message is about to be PERMANENTLY deleted!! *
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| 295 | RAW MESSAGE DATA:
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| 296 | ARE YOU DELETING THIS BECAUSE THE EEOB DOES NOT BELONG TO YOUR SITE?:
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| 297 | IF YOU RESPOND YES TO THIS QUESTION, A REJECT MESSAGE WILL BE SENT BACK TO
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| 298 | THE SENDING SITE FOR THIS EEOB
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| 299 | Electronic EDI Lockbox message
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| 300 | EDI LBOX MESSAGE DELETED
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| 301 | UPDATE DATA BASE FROM EEOB EXCEPTION PROCESSING
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| 302 | Another user is editing this entry ... please try again later
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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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