English French Notes Complete/Exclude If you want to merge the patient's current benefits used into the newly-proposed plan, enter 'YES'. Otherwise, enter 'NO' and these benefits used will be deleted. offers no other active group plans! No plan selected! You may repoint these policies change the policy plan to a newly-added plan. No Insurance Plan has been added or selected. To inactivate this plan, answer 'YES.' Otherwise, answer 'NO.' Is it okay to inactivate this plan The plan was not inactivated. Inactivating the plan... Building the list of inactivated subscriptions to send to you... IBSUB-LIST SUBSCRIPTION LIST FOR INACTIVATED PLAN The following plan offered by has been inactivated: Group Plan Number: Plan Number: The following plan subscriptions, which may have been active, were automatically inactivated: Patient Name/ID Whose Employer Effective Expires You should review this list and change the policy plan for any of these subscriptions if necessary. Repointing all policies to the new plan... All policies have been re-pointed to the new plan. There were no Benefits Used merged or deleted. Benefits Used record ** Please Note ** The selected plan has no Annual Benefits with which to associate the Benefits Used from the current plan! If you re-point all policies to this plan, the Benefits Used for the current plan will be deleted!! The selected plan has Annual Benefits on file. Should the repointing of the policies attempt to merge all transferable benefits Do you still wish to re-point these policies to a new plan Inactivate another plan offered by the same company To inactivate another plan from this company, answer 'YES.' To switch companies, answer 'NO.' Select PLAN COMPANY: Do you wish to directly enter this plan The look-up facility to select an active group plan has been enhanced to use the List Manager. Enter 'NO' if you wish to select a plan from this look-up, or 'YES' to directly enter the plan. an Active GROUP PLAN: This policy is not valid! This action will allow you to change the insurance plan to which the veteran is subscribing through this policy. Can't change subscribed-to plan... *** Please note that this Individual Plan will be deleted if you select to switch plans associated with this policy. This patient has Benefits Used associated with his current plan and policy! The newly proposed subscribed-to plan has no associated Annual Benefits, so the Benefits Used associated with the current plan will be deleted! Please note that Benefits Used are transferable. All Benefits Used Note that those Benefits Used which cannot be merged will be deleted! Do you want to merge the transferable Benefits Used The transferable Benefits Used will be Okay to change the subscribed-to plan The subscribed-to plan for this policy was not changed. Changing the subscribed-to plan... Deleting the formerly subscribed-to Individual Plan... There are no longer any subscribers to the previous plan. You may wish to inactivate or delete this plan using the 'Inactivate Plan' action. There is no plan associated with this policy! Please use the action 'Change Plan Info', which will create a plan for the policy. Please note that this is an Individual Plan. This plan is currently inactive. There are Benefits Used associated with this plan! This patient has riders associated with this policy! There are insurance reviews associated with this policy. Existing Benefit Used Yr Annual Benefit for Proposed Plan Merge BU? Merging previous benefits used into the new plan... Deleting previous benefits used... If you change the plan for this policy, all existing benefits will be deleted. all existing benefits will be merged. all transferable benefits will be merged. All others will be deleted. Do you wish to add a new Insurance Plan If you have identified a new plan that has not been previously entered, and you wish to add it, answer 'YES'. If you do not wish to add a new plan, enter 'NO'. IS THIS A GROUP PLAN Searching for potential duplicate plans offered by No potential duplicate plans have been identified. The following plans have been identified as potential duplicates: PLAN? Do you still want to add a new plan with Plan Name and Plan Number This process will allow you to transfer subscribers from many insurance plans into one 'master' plan. After the subscribers from each selected plan are transferred to the master plan, the selected plan will be deleted from your system. You should be very careful when you use this tool. You must first select the master plan into which you will transfer all selected plan subscribers. This plan must be an active group plan. Annual Benefits have been established for this plan. This plan has no Annual Benefits on file! Do you wish to continue If you wish to continue with this processing, enter 'YES.' Otherwise, enter 'NO.' Please note that any Benefits Used on file for subscribers who will be merged into the master plan will be deleted! Any Benefits Used on file for subscribers who will be merged into the master plan will also be merged if the master plan has any Annual Benefits dated in the same year as the Benefits Used. Please note that the Benefits Used date will be changed to match the date of the Annual Benefit. You may now select the plans to be merged into the master plan... (type ) No plans were selected! selected to be merged into the master plan. Okay to merge th into the master plan If you wish to merge the selected plans into the master plan, enter 'YES.' Otherwise, enter 'NO.' Merging each selected plan into the master plan... All selected plans have been deleted. transferred to the master plan. had the date changed) Plan Company: Do you wish to delete multiple plans simultaneously If you wish to transfer subscribers from many duplicate plans into a master plan, enter 'YES.' To inactivate a single plan, enter 'NO.' IBCNS PLAN LIST You cannot inactivate an individual plan. IBCNS INS CO PLAN DETAIL You may now enter comments about this plan. Do you want to see the list of plans for this insurance company Enter 'YES' if you want to use the LIST MANAGER lookup facility on the previous screen to select a plan. Enter 'NO' to select a plan using the standard Fileman lookup. coverage category -OR- Press ENTER if selection is complete 'ALL' to select all coverage categories This category already selected. Coverage Category: Editing existing record. A new record will be added for this EFFECTIVE DATE/coverage category. New record added. Do you want to exit this function now No current dates on file for this plan. Current dates on file for this plan: (and more) Enter a coverage category to add/edit coverage limitations for. Enter ALL to select all coverage categories. You may enter multiple coverage categories by entering them one at a time. After you have selected all needed categories, press ENTER at this prompt to An effective date later than the one you selected already exists for Are you sure you want to this earlier date for the category Select Patient Name or Insurance Co. No Insurance Policies on file for this patient. Verification of No Coverage Insurance Management for Patient: REPORT OF NEW NOT VERIFIED INSURANCE You can't delete this policy, there are bills associated with it. Please note that there are Insurance Reviews associated with this policy!! Are You Sure you want to delete policy # not Deleted! WARNING: Patient Name: ' ' DOES NOT MATCH Name of Insured: ' ' for this LAST VERIFIED BY COVERAGE VERIFIED TODAY, NEVER PREVIOUSLY VERIFIED. DO YOU WISH TO VERIFY COVERAGE ARE YOU RE-VERIFYING COVERAGE TODAY VERIFIED BY Patient has no effective insurance coverage on file. Re-v erify that patient has No Insurance Coverage Enter 'Yes' to enter a Verification of No Coverage Date COVERED BY HEALTH INSURANCE changed to ' NKNOWN' Select the Insurance Company for the policy you are entering This company does not reimburse. Warning: Inactive Company The patient currently has the following Insurance Policies Can't identify the policy! This company does not offer any active group plans. This company offers active group plans. Do you wish to select one The look-up facility to select an active group plan has been enhanced to use the List Manager. Enter 'YES' if you wish to select a plan from this look-up, or 'NO' to add your own plan. Select an Active GROUP PLAN: Select GROUP INSURANCE PLAN: WARNING: The expiration date for this policy is in the future! Normally this is a past date or left blank or a past date GROUP NAME: GROUP NUMBER: WARNING: This appears to be an expired policy! WARNING: This insurance company is INACTIVE! Since you have changed the Insurance Company to you must now change the Insurance Plan to which this veteran is subscribing to one which is offered by this company! The current policy plan has Benefits Used associated with it! If you add or select another plan to associate with this policy, these Benefits Used will be deleted! *** Please note: Since the veteran's current plan is an Individual Plan, this plan will be deleted if you add or select a new plan to associate with this policy. A new plan was not added or selected! Changing the policy company back to Changing the policy plan... current Individual plan for Deleting current Benefits Used... Repointing all Insurance Reviews to The policy company and plan company are not the same!! This inconsistency probably occurred in the past when changing the policy company through Screen 5 of Registration. You must resolve this inconsistency. If you do not choose a new plan offered by the policy company, the policy company will be changed to the plan company ( Enter Medicare Claim Number (Subscriber ID) exactly as it appears on the Medicare Insurance Card including All Characters. Valid HICN formats are: 1-3 alpha characters followed by 6 or 9 digits, or 9 digits followed by 1 alpha character optionally followed by another alpha character or 1 digit. DATE OF PREVIOUS ENTRY IS MOST RECENT ENTRY IS . ENTRY CANNOT BE MORE THAN A YEAR OLD. YOU MAY PRINT ENTRY UNDER 'PC'. INSURANCE MANAGEMENT WORKSHEET INSURANCE COVERAGE FOR CURRENT ENTRY NEXT-MOST-CURRENT ENTRY PT ID: DOB: For YEAR: Ins. Type: No Benefit Years on File. Do you want to fill out a worksheet ** INSURANCE COMPANY ** ** PLAN INFO, UR ** Company: Require UR?: Street: Require Pre-cert?: Street 2: Benefits Assignable?: Precert Phone: Subscriber ID: Verification Phone: Insured's Name: Filing Time Frame: * ANNUAL BENEFITS * ** INPATIENT ANNUAL BENEFITS ** ** OUTPATIENT ANNUAL BENEFITS ** Annual Ded ($): Per Admis Ded ($): Per Visit Ded ($): Inpt Lifet Max ($): Lifet Max ($): Inpt Annual Max ($): Annual Max ($): Room & Board (%): Visit (%): Drug/Alc Lifet Max ($): Max Visits/Yr: Drug/Alc An Max ($): Surgery (%): Nursing Home (%): Emergency (%): Other Inpt Charges (%): Prescription (%): Adult Day Health Care?: Dnt Cov Type (NONE/PER VIS $ / % AMT): Dental Cov ($): Dental Cov (%): Dental Cov $ Or %: ** MENTAL HEALTH INPATIENT ** ** MENTAL HEALTH OUTPATIENT ** MH Inpt Max Days/Year: MH Opt Max Days/Year: MH Lifet Inpt Max ($): MH Lifet Opt Max ($): MH Annual Inpt Max ($): MH Annual Opt Max ($): MH Inpt (%): MH Opt (%): ** HOME HEALTH CARE ** Care Level: Visits/Year: Max Days/Year: Med Equipment (%): Visit Definition: ** IV MANAGEMENT ** OT Visits/Yr: IV Infusion Opt?: PT Visits/Yr: IV Infusion Inpt?: ST Visits/Yr: IV Antibiotics Opt?: Med Cnslg Visits/Yr: IV Antibiotics Inpt?: #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### ####################