English French Notes Complete/Exclude DRUG PROFILE - FROM REGISTRATION HEALTH SUMMARY - FROM REGISTRATION ROUTING SLIP - FROM REGISTRATION 10-10^10-10I^DRUG PROFILE^ROUTING SLIP YES - To include a copy of the for this patient. NO - If you don't want to print a copy of the Doing CIRN Messaging... Change aborted. Bad Addr: Are you sure that you want to save the above changes Please answer Y for YES or N for NO. Please review the saved changes!! Change saved. Press ENTER to continue EXIT NOT ALLOWED ?? DG ADD CHNG RPRT DG ADDRESS BEFORE DG DAILY ADDRESS CHANGE does not have a member. Report not sent. The report will be sent to mail group DG DAILY ADDRESS CHANGE. DG DAILY ADDRESS CHANGE DG ADDRESS CHANGE REPORT REQUEST QUEUED AS TASK# COUNTY CODE: PHONE(H): PHONE(O): Patient has active pharmacy prescription(s) LABEL;AUDIT EDITED OR DELETED Audit is off for the ALL ADDRESS CHANGE REPORT ALL ADDRESS CHANGE FOR PATIENTS WITH ACTIVE PRESCRIPTIONS REPORT The BEFORE address shown may not be accurate. It is only valid as of 24 hours prior to running the report. Changes within the last 24 hours will not be shown. Date/Time Report Run: TOTAL RECORD(S): ADDRESS CHANGE ( G.DG DAILY ADDRESS CHANGE *** NO RECORDS TO PRINT *** EAS GMT COUNTY EDIT CITY ABBREVIATION FREE TEXT STATE POINTER FIPS CODE STATE: COUNTY: No registrations on file. All registrations are dispositioned. Are you sure you want to delete this registration YES - If you want to permanently remove this registration. NO - If you wish to retain this registration data on file. Deleted. to select the registration you wish to edit Updating eligibility status for this registration... Disposition on AMIS Segment SEGMENT NAME UNKNOWN Patient falls into a means test category...AMIS 401-420 segment will be determined at time the report is generated... SCHEDULE FUTURE APPOINTMENT Patient is ineligible for benefits. did not receive an honorable discharge. Entered Service Veteran Must Have Completed at Least 24 Consecutive Months of Service to be eligible for Care Or has Received a Hardship Discharge Or has a Service Connected Condition The connection to the Last Site Treated failed and timed out. Please continue with registration. IBCN INSURANCE QUERY TASK Insurance data retrieval has been initiated. Date of Death information has been retrieved from the LST. This information has NOT been filed into the patient's record. A mail message has been sent to the Register Once mail group. Register Once Sensitive Patient information has been retrieved from the LST. This information has been filed into the patient's record. and the ISO explaining that this information has been received. Confidential Address information has been retrieved from the LST. NOTE: Confidential Address Start Date is in the future, Register Once Messaging Demographic Data DGRO ROM ORF/R04 SUBSC DGRO ROM QRY/R02 EVENT Attempting to connect to the Last Site of Treatment ( ) to search for Patient Demographic Data. This request may take some time, please be patient ... DATE OF DEATH ENTERED BY POINTER;LABEL Unable to find ICN # based on a Register Once call from Station # * * * * DG REGISTER ONCE NOTIFICATION * * * * Death Information has been received for the following patient: Date Of Birth: Death data received: Date of Death: D.o.D. Last Updated: D.o.D. Entered By: Source Of Notification of D.o.D.: DG REGISTER ONCE Sensitive Patient Information has been received for the following patient: DG Register Once Module DG REGISTER ONCE MESSAGE The query to the LST has been terminated because required information was not provided by the MPI. Patient is being edited. Try again later. APPLICANT IS LISTED AS 'INELIGIBLE' FOR TREATMENT! APPLICANT IS LISTED AS 'MISSING'. NOTIFY APPROPRIATE PERSONNEL! SS: NO REMARKS ENTERED FOR THIS PATIENT Permanent Address: Temporary Address: NONE ON FILE NO TEMPORARY ADDRESS Phone: Office: From/To: [MARITAL STATUS CHANGED:] [STREET ADDRESS LAST CHANGED:] [HOME PHONE NUMBER CHANGED:] [EMPLOYMENT STATUS CHANGED:] DATE ENTERED: DATE EDITED: Family^Given^Middle^Prefix^Suffix^Degree < No alias entries on file > < More alias entries on file > Ineligible Date: VARO Decision: Missing Date: TWX Source: TWX City: TWX State: Eligibility Status: Status Date: Status Entered By: Interim Response: (NOT REQUIRED) Verif. Method: Verif. Source: NOT AVAILABLE Rated Disabilities: NONE STATED NO ADMISSION DATA ON FILE FOR THIS PATIENT!! Admission Date: Admit Ward: Admit Diagnosis: NOT DISCHARGED Discharge Type: NO APPLICATION DATA ON FILE FOR THIS PATIENT! Applied for: Dispositioned: OPEN DISPOSITION Type of Disp.: Enrollment Clinics: Pending Appt's UNKNOWN CLINIC Sponsor Information: No Sponsor Information available. *** Additional assignment information exists *** Military Status : Branch of Service : Rank : Type : Effective Date : Expiration Date: Edit Primary Provider information. POB: Marital: Father: Mother: PARA, QUAD, PARA,NON QUAD,NON Mom's Maiden: Previous Care Date Location of Previous Care Relation: Work Phone: Occupation: EMPLOYED FULL TIME^EMPLOYED PART TIME^NOT EMPLOYED^SELF EMPLOYED^RETIRED^ACTIVE MILITARY DUTY^^^UNKNOWN Covered by Health Insurance: Group # Eligible for MEDICAID: [last updated Medicaid Number: Service Branch Entered Separated Discharge From: War: Loc: Reg: Exam: ION Rad.: Method: Gulf War Env Contam: Mil Disab: , Applicant is retired from military due to disability. Dent Inj: Teeth Extracted: Purple Heart: PH Status: PH Remarks: Trt Date: Cond.: Receiving Military retirement in lieu of VA Compensation. Patient Type: Veteran: Unemployable: SC Award Date: Rated Incomp.: Claim Number: Folder Loc.: VA Disability: GI Insurance: Amount: Primary Elig Code: Agency/Country: Other Elig Code(s): NO ADDITIONAL ELIGIBILITIES IDENTIFIED Period of Service: Recalled to Duty: FROM NATIONAL GUARDS FROM RESERVES <3.1> Combat Vet Elig.: , End Date: Service Connected Conditions as stated by applicant NOTE: Since there is no income data for you may COPY Dependents Household Taxable Income: Income data for [Data Copied - Not Updated] Test is complete for that calendar year! You can only edit these items for dependents who are not not This data must be edited through the test module! Checking data for consistency... Check consistency for which PATIENT: CONSISTENCY CHECKER TURNED OFF!! Confidential Address NO CONFIDENTIAL ADDRESS From/To: NOT APPLICABLE Categories: Last notification message was sent ' No new message sent since it's been less than 7 days since last message and no new inconsistencies were found... Initial notification Reminder Updated message sent... new inconsistenc INCONSISTENCY EDIT PATIENT NAME: NOTIFICATION STATUS: THIS IS THE FIRST NOTIFICATION MESSAGE. INITIALLY NOTIFIED ' UNKNOWN DATE INITIALLY IDENTIFIED BY: ' DR(1,2, But I need a reason why this applicant is ineligible! But I need to know the date eligibility was verifed! Patient not a veteran-can't claim VIETNAM SVC Patient not a veteran-can't claim AO EXPOSURE Patient not a veteran-can't claim RADIATION EXPOSURE Patient not a veteran-can't claim A&A Patient not a veteran-can't claim HOUSEBOUND Patient not a veteran-can't claim VA PENSION Patient not a veteran-can't claim MIL. RET. Patient not a veteran-can't claim GI INSURANCE Patient not a veteran-can't claim POW STATUS Patient not a veteran-can't claim COMBAT >>> Catastrophically Disabled eligibilty requires additional information <<< The patient record indicates that a determination was made that the patient is catastrophically disabled. To add Catastrophic Disability Eligibility Code(s), please use the menu option DGEN PATIENT ENROLLMENT. >>> Determination Deleted <<< Catastrophic disability determination can not be deleted at this time. Please try again later. Do you want to delete the determination showing that patient is catastrophically disabled DO YOU WANT TO UPDATE THESE INCONSISTENCIES NOW YES - To correct inconsistencies to unrestricted fields immediately. NO - To abort this process immediately. You will not be able to edit inconsistencies followed by an asterisk [*] as you do not hold the appropriate security key. Inconsistencies followed by two (2) asterisks [**] must be corrected by using the appropriate MAS menu option(s). All items not followed by an asterisk can be edited at this time. If these items are not corrected at this time, a bulletin will be sent to the appropriate hospital personnel. ===> Removing patient from Inconsistency file... LAST RUN COMPLETED: Do You Really want to purge data from this file #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### ####################