| 1 | English French  Notes   Complete/Exclude
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| 2 | Receiving LOCATION:                     
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| 3 | Quantity to Receive:                    
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| 4 | Enter quantity 1 to 999..                       
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| 5 | Total Cost of Item                      
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| 6 | Enter Cost 0 to 999999..                        
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| 7 | Received from supply or vendor                  
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| 8 | Nothing Received.....                   
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| 9 | Enter LOCATION:                         
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| 10 | Select HCPCS to Remove:                         
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| 11 | Enter Item to Remove:                   
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| 12 | Are you sure you want to DEACTIVATE/REMOVE this item (Y/N)                      
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| 13 | **** Item has been removed from Location                        
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| 14 | Item Deactivated by                     
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| 15 | Deactivated by                  
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| 16 | **** HCPCS has been deactivated from Pros Inventory....                 
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| 17 | Transferring Item Quantity to Another LOCATION.....                     
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| 18 | From Location:                          
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| 19 | Enter HCPCS to Transfer:                        
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| 20 | Enter item to transfer:                         
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| 21 | Enter Quantity to transfer:                     
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| 22 | *** Nothing transferred ...                     
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| 23 | Current balance is =                    
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| 24 | Enter quantity 1 to                     
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| 25 |  enter '^' to QUIT?                     
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| 26 | Quantity to transfer is greater than current balance..                  
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| 27 | Enter Receiving Location:                       
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| 28 | ***Forwarding and Receiving Location is the same!!!!                    
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| 29 | Enter Receiving Item:                   
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| 30 |  was transferred from                   
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| 31 |  transferred from                       
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| 32 | *** Item was transferred...                     
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| 33 | Updating Item in a Location.....                        
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| 34 | Select HCPCS to Update:                         
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| 35 | Enter ITEM to Update:                   
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| 36 | *** Nothing updated....                 
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| 37 | QTY updated by                  
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| 38 | *** Item was updated...                 
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| 39 | Select Prosthetics Site Name :                  
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| 40 | Would you like to ACTIVATE this Item (Y/N)                      
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| 41 | *** Item is inactive ***                        
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| 42 | Checking all item's balances.......                     
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| 43 | RMPR INVENTORY                  
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| 44 | G.RMPR INVENTORY                        
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| 45 | RMX(                    
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| 46 | PROSTHETICS INVENTORY MESSAGE                   
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| 47 | This is a notification from the Prosthetics Department........                  
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| 48 | The current balance for the following item(s) is/are below the reorder level:                   
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| 49 | [Site] [Location]       [Item]                      [HCPCS] [Reorder Lvl] [Bal]                         
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| 50 | Thank You!!!                    
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| 51 | PROSTHETICS DEPARTMENT                  
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| 52 | [Location]        [Item]              [HCPCS] [Reorder Level] [Current Balance]                 
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| 53 | Thank You!!!!!                  
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| 54 | IEN=                    
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| 55 |  CORRUPT NOTIFY IRM                     
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| 56 | Issue from Stock was updated: (                 
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| 57 | Enter Inventory LOCATION:                       
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| 58 | Enter PSAS Item:                        
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| 59 | *** ITEM BALANCE is LOW @ this Pros Location......                      
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| 60 | *** Please ORDER the Item or UPDATE the Inventory Balance.                      
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| 61 | List of HCPCS at location:                      
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| 62 | Enter <RETURN> for more or ^ to STOP listing                    
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| 63 |   **Inactive HCPCS**                    
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| 64 | Reindexing 'D1' cross reference of file #661.3...                       
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| 65 | NO DATA FOR THIS DATE RANGE                     
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| 66 | Enter Date to Start AMIS Calculations From:                     
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| 67 | ENDING DATE RANGE IS LESS THAN BEGINNING DATE RANGE                     
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| 68 | Select AMIS Line Item or <RETURN> for all:                      
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| 69 | Prosthetic AMIS                 
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| 70 | Ratio Should Not Exceed:                        
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| 71 | Ratio for This Line Item:                       
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| 72 | *** Ratio Exceeded! ***                 
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| 73 | AMIS Line Item:                         
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| 74 | Total PSC Repairs: $                    
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| 75 | Total Commercial Repairs: $                     
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| 76 | Number All Other:                       
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| 77 | Special Legislation:                    
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| 78 | Total 2421:                     
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| 79 | Total ALL/COMMER:                       
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| 80 | Number PSC:                     
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| 81 | Number VA:                      
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| 82 | SC/OPT:                         
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| 83 | SC/IP:                  
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| 84 | NSC/OP:                         
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| 85 | NSC/IP:                         
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| 86 | ACTIVITIES NEW/REPAIR WORKSHEET TOTALS^663.2D^0^0                       
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| 87 | NO WORKSHEET ACTIVITIES TO REPORT DURING THIS DATE RANGE!                       
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| 88 | SC/OPT                  
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| 89 | NSC/OPT                 
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| 90 | SP/LEG                  
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| 91 | Activities, New Appliances Worksheet for Report of Prosthetics (                        
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| 92 | PAGE <                  
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| 93 | Vet's                   
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| 94 | Furnished                       
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| 95 | Dis.                    
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| 96 | Last Name                       
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| 97 | ID No.                  
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| 98 | Items                   
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| 99 | Budgeted                        
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| 100 | Served                  
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| 101 | Activities, Repair Appliances Worksheet for Report of Prosthetics (                     
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| 102 | Other Comm Rep.                 
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| 103 | Repairs                 
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| 104 | No.   Cost                      
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| 105 | Forms   Cost                    
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| 106 | VA:                     
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| 107 | CM:                     
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| 108 |  # New Cases:                   
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| 109 | PHC:                    
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| 110 | ..NOW CALCULATING AMIS REPAIRS..                        
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| 111 | .....ONE MOMENT PLEASE.....                     
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| 112 | Prosthetic LAB or RESTORATIONS AMIS                     
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| 113 | WORKSHEET FOR ORTHOTICS LABORATORY OR RESTORATIONS CLINIC REPORT                        
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| 114 | |IDENTIFICATION DATA                    
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| 115 | |    APPLIANCES/SERVICES COMPLETED                      
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| 116 | Period Covered                  
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| 117 | Name of Item                    
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| 118 | Segment No.                     
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| 119 | YOU MAY NOT SELECT YOUR TERMINAL                        
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| 120 | PURGE 668 SUSPENSE FILE                 
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| 121 | <REQUEST QUEUED!>                       
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| 122 | Purge Suspense File Entries from Station/Division                       
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| 123 | No Suspense entries purged.                     
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| 124 |  Suspense entries purged.                       
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| 125 | Suspense entry purged.                  
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| 126 | NOTHING FOUND                   
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| 127 | Full DOR From Station:                  
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| 128 | VHACOPSASPIPReport@MED.VA.GOV                   
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| 129 | DOR From Station:                       
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| 130 | The Automated Delayed Order Report has transmitted to Prosthetics HQ.                   
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| 131 | This was activated by                   
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| 132 | Summary Data Transmitted, includes the following:                       
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| 133 | Totals for site                         
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| 134 |  listed in the order of 0-5, 6-9, 10-29, 30-89, 90+                     
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| 135 | Seperated by ;                  
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| 136 | ***Number of MANUALS      ;;                    
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| 137 | ***Number of CONSULTS     ;;                    
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| 138 | ***Minus Previous Pending ;;                    
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| 139 | RMPRMSG(                        
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| 140 | Open/Pending/Closed Suspense for                        
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| 141 | Nothing to Display, Manual Suspense                     
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| 142 |  for Excel CSV                  
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| 143 | PATIENT NOT KNOWN                       
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| 144 | VENDOR PHONE: and Address                       
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| 145 | OBL:                    
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| 146 | COREFLS/HISTORICAL DATA                 
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| 147 | PSAS HCPCS DESC.                        
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| 148 | RMPRDFN,                        
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| 149 | PROSTHETICS INQUIRE TO PATIENT VEHICLE OF RECORD                        
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| 150 | NO VEHICLE OF RECORD FOR THIS PATIENT                   
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| 151 | CLAIM NO.                       
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| 152 | VEHICLE ID#                     
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| 153 | PROCESS DATE                    
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| 154 | '*' Denotes Inactive Vehicle of Record                  
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| 155 | VOC REHAB                       
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| 156 | VAN MOD                 
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| 157 | ADAP EQP                        
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| 158 | Total/Date:                     
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| 159 | NO ITEMS ON THIS VEHICLE OF RECORD                      
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| 160 | Please Enter Patient Name or Vehicle ID#:                       
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| 161 | Someone else is Editing this Entry!                     
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| 162 | Some one else is editing this entry!                    
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| 163 | Add/Edit/View Patient PSC                       
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| 164 | VAF21-4502 DATE:                        
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| 165 | ANKLYOSIS OR VOC REHAB                  
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| 166 | Has Vehicle ID#:                        
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| 167 |  As an active Vehicle of Record                 
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| 168 | You must mark this Vehicle of Record Inactive before                    
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| 169 | you can assign it to this Veteran.  Use the Edit/Delete                 
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| 170 | Vehicle of Record option to do so                       
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| 171 | There are currently two V.O.R in the last 4 yrs.                        
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| 172 | Are you going to apply the exception rule?                      
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| 173 | Please Enter Vehicle of Record entry # to be dropped                    
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| 174 | Selecting an entry will mark the Vehicle inactive                       
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| 175 | INACTIVE RECORD                 
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| 176 | Someone else is Editing this entry                      
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| 177 | This Patient Currently has two Vehicles of Record.                      
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| 178 | Would you like to drop a Vehicle?                       
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| 179 | Would you like to enter the Auto adaptive equipment now                 
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| 180 | Enter 'A' for Adaptive items, 'V' for Van Mods                  
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| 181 | Someone else is editing this record!                    
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| 182 | INITIAL ISSUE                   
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| 183 | RECORD NOT ENTERED SEE YOUR IRM SERVICE                 
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| 184 | < NO RECORD ADDED >                     
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| 185 | Would you like to Edit/Delete an item                   
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| 186 | Would you like to add an another Item                   
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| 187 | NO ITEMS ADDED TO THIS RECORD                   
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| 188 | Someone else is Editing the entry!                      
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| 189 | No Items for the V.O.R                  
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| 190 | Please enter Item Number                        
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| 191 | No Item for this V.O.R                  
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| 192 | No Item for V.O.R                       
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| 193 | Start With Delivery Date:                       
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| 194 | End With Delivery Date:                         
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| 195 | PRINT MAS BILLING                       
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| 196 | ...PREPARING TO PRINT PROSTHETIC BILLING...                     
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| 197 | DID NOT HAVE AN IFCAP DAILY RECORD                      
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| 198 | FAILED TO CLOSE IFCAP DAILY RECORD FOR THE FOLLOWING REASON                     
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| 199 | PLEASE CONTACT YOUR APPLICATION COORDINATOR!                    
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| 200 | CANCELLING THE OBLIGATION!                      
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| 201 | By entering Yes, this will Delete the transaction in Prosthetics, and Cancel the Transaction in IFCAP.                  
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| 202 | By entering Yes, this will Cancel the Transaction in IFCAP,and NOT UPDATE the 10-2319.                  
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| 203 | This Transaction has already been Closed!                       
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| 204 | CANCEL TRANSACTIONS IN FILE 664 FOR A STATION/DIVISION                  
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| 205 | <REQUEST NOT QUEUED!>                   
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| 206 | Purge Canceled Prosthetic Purchasing Transactions For:                  
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| 207 | NO CANCELED PURCHASING TRANSACTIONS DELETED                     
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| 208 | YOU MAY NOT SELECT YOUR OWN TERMINAL                    
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| 209 | PURGE 664 OF CLOSED OUT ENTRIES                 
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| 210 | Purge Closed Prosthetic Purchasing Transactions For                     
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| 211 | NO CLOSED PURCHASING TRANSACTIONS DELETED                       
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| 212 | Purge Non-Obligated Transactions For Station #                  
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| 213 | RMPR*                   
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| 214 | No Non-Obligated Transactions deleted.                  
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| 215 | DONE RECALCULATING !                    
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| 216 | Enter a CPT MODIFIER for HCPCS                  
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| 217 | This is a required field!!!                     
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| 218 | LT,RT                   
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| 219 | Is this RENTAL                  
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| 220 | Enter 'Y for YES' or 'N for NO'                         
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| 221 | UE,                     
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| 222 | PL,                     
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| 223 | KA,                     
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| 224 | GY,                     
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| 225 | This Form Type Has Been Changed to a 10-55!                     
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| 226 | You Can Not Exceed $                    
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| 227 | , You Must Issue a 10-55 For This Amount!                       
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| 228 | If You Enter in an Amount That Exceeds the Above Amount                 
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| 229 | This Form Type will be CHANGED to a 10-55                       
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| 230 | ** Total for Previous Item(s) is $                      
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| 231 | ** Total With This Amount is $                  
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| 232 | Dollar Amount must be within Contract Authority Guidelines                      
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| 233 | *** THIS ITEM HAS IMPROPER AMIS CODES AND CANNOT BE ENTERED ON A 2914                   
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| 234 | *** THIS PATIENT DOES NOT HAVE A PSC CARD FOR THIS ITEM YET!***                 
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| 235 | YOU MAY NOT CHANGE ITEMS AT THIS TIME!                  
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| 236 | This will change the amount on this FORM to                     
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| 237 | Cost cannot exceed                      
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| 238 | ** Total With This number of Items is $                 
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| 239 |  For This 2520 Form.                    
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| 240 | ** Total with this actual amount is $                   
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| 241 | Inquire To Prosthetics 1358                     
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| 242 | READY TO WRITE WORD PROCESSING FIELDS                   
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| 243 | PROSTHETICS FORM 7306D                  
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| 244 | Segment 120, ADP Form 10-7306d(AMIS)                    
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| 245 | Would you like to ADD/EDIT a Disability Code to the Patient's 2319                      
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| 246 | Enter 'Y' to Edit a Disability Code, 'N' or '^' to continue.                    
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| 247 | DISABILITY CODE HAS BEEN MARKED AS DELETED.                     
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| 248 | WOULD YOU LIKE TO RE-ACTIVATED THIS CODE                        
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| 249 | Enter 'Y' to re-activate code.                  
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| 250 | Patient has no Prosthetics Disability codes                     
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| 251 |  HAS THE FOLLOWING DISABILITY CODES:                    
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| 252 | Would you like to Mark a Disability Code as Deleted                     
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| 253 | Enter 'Y' to Mark a Disability Code as Deleted                  
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| 254 | Would you like to Mark all of the Patient's Disability Codes as Deleted                 
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| 255 | Enter 'Y' to Mark all of the Patients Disability Codes as Deleted, 'N' to select a Disability Code.                     
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| 256 | **CODE MARKED AS DELETED**                      
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| 257 |  HAS THE FOLLOWING CODES:                       
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| 258 | This will Post Pickup and Delivery Charges to the 1358 and 10-2319                      
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| 259 | Enter PSAS HCPCS                        
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| 260 | 4;10////^S X=DUZ;11R~UNIT COST;14REMARKS                        
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| 261 | Select PICKUP OR DELIVERY                       
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| 262 | This will post an Est. $                        
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| 263 |  on the 1358 Transaction and,                   
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| 264 |  on the 10-2319 Record.                 
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| 265 | Type '^' to delete and exit.                    
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| 266 | Posting Now...                  
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| 267 | Press 'RETURN' to continue.                     
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| 268 | Enter `YES` to delete the transaction, `NO` to continue.                        
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| 269 | This will create a 1358 Daily Transaction and post to Veteran's 10-2319 Record that AMIS will be counted from.                  
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| 270 | *** PLEASE CONTACT YOUR FISCAL SERVICE ***                      
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| 271 | Enter a two digit fiscal year (e.g., 93).                       
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| 272 | Ready to Close-Out Transaction                  
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| 273 | THIS TRANSACTION HAS BEEN CANCELED                      
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| 274 | Closed out Transaction                  
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| 275 | Closed out 1358 Transaction                     
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| 276 | UNKNOWN 2319 RECORD TO UPDATE, IFCAP DAILY RECORD NOT UPDATED!                  
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| 277 | OLD CPT MODIFER:                        
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| 278 | NEW CPT MODIFIER:                       
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| 279 | Would you like to edit the CPT Modifier                         
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| 280 | ***Based on the information given above, CPT modifier string has not changed!!!                 
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| 281 | Select NUMBER, or Patient:                      
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| 282 | Would You like to Edit CPT MODIFIER                     
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| 283 | Jumping not allowed!                    
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| 284 | Posting....                     
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| 285 | Are you sure you want to DELETE this entry                      
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| 286 | Returned from STOCK ISSUE                       
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| 287 | Error encountered while posting to GIP.  Patient 10-2319 not deleted!! Please check with your Application Coordinator.                  
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| 288 | Edited/Returned STOCK ISSUE                     
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| 289 | Woul you like to POST/EDIT/DELETE this entry                    
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| 290 | Answer `P` to post the transaction, `E` to edit the transaction,'D' to delete the transaction                   
 | 
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| 291 | Would you like to EDIT/DELETE this Transaction                  
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| 292 | Answer 'E' to EDIT the transaction or 'D' to DELETE the transaction.                    
 | 
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| 293 | This is a mandatory field!!!                    
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| 294 | OLD CPT MODIFIER:                       
 | 
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| 295 | Would you like to Edit CPT MODIFIER Entry                       
 | 
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| 296 | PSAS Item was not selected!!                    
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| 297 | Select FRAME MANUFACTURER:                      
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| 298 | ENTER THE NAME OF THE FRAME'S MANUFACTURER ; 3 TO 30 CHARACTERS ALLOWED                 
 | 
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| 299 | Select FRAME NAME:                      
 | 
|---|
| 300 | ENTER THE NAME OF THE FRAME ; 3 TO 30 CHARACTERS ALLOWED                        
 | 
|---|
| 301 | Select FRAME COLOR:                     
 | 
|---|
| 302 | ENTER THE FRAME COLOR AS SPECIFIED BY MANUFACTURER ; 3 TO 30 CHARACTERS ALLOWED                 
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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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